Oregon only – If you have not previously completed the state-required 8-hour Home Care Pulse caregiver training, you will be required to complete the training along with the nurse-led medication training before you can work with clients. Serving the greater Portland Metro area across Multnomah and Clackamas Counties, including Clackamas, Happy Valley, Troutdale, Gresham, Gladstone, Milwaukee, N Portland, NE Portland, SE Portland, Canby, Molalla, and Fairview .