PSW Resources

PSW Forms & Resources

Background Check and Provider # Renewal Forms:

Remember to provide a copy of your Driver’s License/ID when submitting the background check form to the office.

PSW Information:

PSW Tools:

Employment Forms:

Workers’ Comp Flyer:

Homecare worker / Personal support worker

PSW Credentialing

Potential Provider Packet:

PSW Orientation and Training

The Oregon Administrative Rules require that each person newly enrolled as a PSW attend a new worker orientation within 90 days of receiving their provider number.

OHCC Training for Homecare and Personal Support Workers

Carewell SEIU 503 Website

PSW Registry

Oregon Home Care Commission

OHCC Registry and Referral System

Serious Incident & Abuse Reporting

Effective November 1, 2019, Personal Support Workers (PSWs) must report serious incidents to the Personal Agent within one business day of the incident. Serious incidents may be reported via phone, email, or in-person.

For Provider Agencies, a written report must be submitted to the Personal Agent within five business days.

What is a Serious Incident?

Serious illness that results in hospitalization, bodily injury, or death without treatment
Serious injury that risks a person’s life or permanent injury without treatment
Physical aggression resulting in injury to the person, PSW, or others
The individual receives emergency medical care: This includes urgent care visits and treatment by paramedics, regardless if the individual is transported to a hospital by the paramedic
The individual is missing beyond the time frame established in their ISP
The individual is admitted to a psychiatric hospital
A suicide attempt is made by the individual
There is an unplanned hospitalization
A medication error occurs that results in harm or puts the person’s health and safety at risk
A safeguarding intervention or the use of safeguarding equipment included in a Positive Behavior Support Plan that results in injury
The use of a physical restraint that is not included in a Positive Behavior Support Plan
Death

What information must the incident report include?

The individual’s name
Date, time, duration, type, and location of the incident
What happened before, or leading up to, the incident
Detailed description of the incident, including what you (the provider) did
Description of the injury, if applicable
The provider’s name and the names of any witnesses to the incident
Actions taken by the provider or others to help prevent the incident from happening again

Incident Reporting Form for PSW, Community, Family (Click Here)

Please note that your role as a mandatory reporter of suspected abuse or neglect has not changed. It is still required to report this to the abuse hotline at 1-855-503-SAFE (7233) and to the individual’s Personal Agent.