Website Quad Nurse

Company Summary

Quad Nurse, LLC is a Florida licensed Nurse Registry located in Ocala, FL providing quality in-home health care to clients in their homes. We focus on Quadriplegic clients and those who have suffered a catastrophic event resulting in head trauma and spinal cord injuries. We are looking for passionate and dedicated Certified Nursing Assistants (CNAs) and Home Health Aides (HHAs) to join our team of healthcare providers. 


  • Prior Home Health experience through a licensed home health agency or a minimum of 6 months
    of experience in nursing homes, assisted living facilities, or home health agencies preferred.
  • A reliable means of transportation with current insurance coverage and a Florida Driver’s License.
  • Legible handwriting
  • Evidence of:
    • A. At least 75 hours of training from a public vocational-technical school or a licensed private career education school certified by the FL Department of Education, OR
    • B. Training as a home health aide by a licensed home health agency, OR
    • C. Successful completion of the Home Health Aide Competency Test, form number AHCA 3110-1007, February 2001, in lieu of the forty hours of training required;
    • AND additionally to A or B or C:
      • A competency assessment by an RN and demonstration of satisfactory performance prior to client assignment for the task.

Additionally for CNAs

The agency must have on file the CNA State of Florida certification or a copy of the screen of the Florida Department of Health website’s Certified Nursing Assistant Information showing the person’s name, address, certificate number, original issue date, expiration date, and status.

A CNA who has not received “approved” training, but challenges the CNA exam and passes it, would still need the 40-hour training program unless he/she:

  • Has passed successfully the Home Health Aide Competency Test, form number AHCA 3110-1007, February 2001, in lieu of the forty hours of training required; OR
  • Show evidence of training as a home health aide by a licensed home health agency
  • AND additionally to A or B
    • A competency assessment by direct observation by an RN of all tasks expected to be performed and demonstration of satisfactory performance prior to client assignment without supervision.

An individual is not considered to have completed a training and competency evaluation program, or a competency evaluation program if, since the individual’s most recent completion of this program(s), there has been a continuous period of 24 consecutive months during none of which the individual furnished services described in “ RESPONSIBILITIES” of this policy for compensation.


The HHA & CNA perform all personal care activities contained in a written assignment by a licensed health professional, employee, or contractor of the agency and which include assisting the client with:

  • Personal hygiene, dressing, and shaving;
  • Ambulation and physical transfer;
  • Eating, and providing nutritional support 
  • Assistance with other ADLs (grooming, bathing, toileting) and IADL such as the use of the telephone, shopping, food preparation, housekeeping, laundry, and transport;
  • Reporting changes in the client’s condition;
  • Maintaining a clean, safe and healthy environment, which may include light cleaning and straightening of the bathroom, straightening the sleeping and living areas, washing the client’s or client’s dishes or laundry, and such tasks to maintain cleanliness and safety for the client or client; 
  • Other activities as taught by an RN employee of the home health agency for a specific client and is restricted to the following: 
    • Assisting with reinforcement of dressing;
    • Assisting with tasks associated with elimination:
      • Toileting
      • Assisting with the use of the bedpan and urinal
      • Providing catheter care including changing the urinary catheter bag
      • Collecting specimens  
      • Emptying ostomy bags, or changing bags that do not adhere to the skin
    • Assisting with the use of devices for aid to daily living such as a wheelchair or walker;
    • Assisting with prescribed range of motion exercises;
    • Assisting with prescribed ice cap or collar;  
    • Doing simple urine tests for sugar, acetone, or albumin;   
    • Measuring and preparing special diets;  
    • Measuring intake and output of fluids;
    • Measuring temperature, pulse, respiration, or blood pressure; 
    • Keeping records of personal health care activities on the form specific to the agency; 
    • Observing the appearance and gross behavioral changes in the client or client and reporting to the registered nurse;
    • Assisting with self-administered medication.  Home health aides and CNAs assisting with self-administered medication must receive a minimum of 2 hours of prior to assuming this responsibility;
    • Supervising self-administered medication in the home which is limited to the following:
      • Obtaining the medication container from the storage area for the patient or client;
      • Ensuring that the medication is prescribed for the client;
      • Reminding the client that it is time to take the medication as prescribed; and
      • Observing the client self-administering the medication
    • Other tasks as determined by the RN supervisor and permissible under FL law.

The Home Health Aide or CNA SHALL NOT:

  • Change sterile dressings
  • Irrigate body cavities such as giving an enema
  • Irrigate a colostomy or wound
  • Perform gastric irrigation or enteral feeding
  • Catheterize a client
  • Administer or assist with medication
  • Apply heat by any method
  • Care for a tracheotomy tube
  • Provide any personal health service which has not been included in the written Home Health Aide Care Assignment form (Care Plan) or the Service Provision Plan.
  • Provide care to clients with high-tech needs (VI, tracheotomy, ventilator) 

Physical and Environmental Demands

Applicant must be able to:

  • Lift, reposition and transfer clients.
  • Sustain the weight of clients using proper transfer safety techniques and equipment (for example use of a transfer belt while assisting the client to transfer from bed to chair).
  • Travel to the client’s residence place of residence using a reliable automobile with current insurance coverage and a Florida Driver’s License.