Score: S = Satisfactory   U = Unsatisfactory    N/A = Not Applicable

Method: O = Direct Observation    D = Demonstration    V = Verbalized

Demonstrates knowledge of home care (if applicable), role of PCA & HHA, plan of care, scope of practice

Understands physical, emotional, and developmental needs of the participant and common health problems

Understands grievance and appeals and reporting process

Reports changes in participant condition and environment

Maintains record of participant activities performed and records / reports participant non-compliance

Possesses sound problem-solving skills and judgment

Is punctual for work and job responsibilities

Ability to accept supervision/direction

Caregiving Skills

Personal Care:

Oral hygiene; teeth and dentures

Nail and skin care, lotion and massage

Bed bath/sponge bath/Tub/Shower

Shampoo: Bed, skin, tub

Special skin care including observations, reporting, recording

Able to appropriately dress & groom

Shaves & properly uses disposable razor

Cares for prosthetic devices (hearing aide, glasses, etc.)

Toileting and eliminating including use of bedpan, urinal, commode

Performs ostomy care/observe/reports (HHA Only)

Performs Foley catheter care including cleansing of catheter

Empties leg/drainage bag

Applies Texas catheter or directs/assists

Properly applies incontinent briefs and checks for proper sizing: refers to item as briefs and not diapers

Properly disposes of briefs

Gives fleets if applicable

Provides peri-care if applicable

Provides am/pm care if applicable

Score: S = Satisfactory U = Unsatisfactory N/A = Not Applicable

Method: O = Direct Observation D = Demonstration V = Verbalized

Bedmaking

Bed making: occupied, unoccupied, exam room table

Rehab Skills

ROM: Active Range of Motion

ROM: Passive / Home Exercise Program (HHA only)

Applies OT/PT devices (HHA only)

Ambulation: 1 or 2 assist

Assists with crutches, walker, cane, w/c

Safely uses Mechanical Lift if applicable

Safely transfers with 1 or 2 assists

Position in dining chair at meals

Positions supine/prone/sitting

Moves up in the bed/chair as needed

Transfer techniques sitting, standing

Clinical Skills

VS: Temp, Pulse, Respiratory, B/P (HHA only)

Records and reports VS (HHA Only)

Assists in simple dressing changes(HHA Only)

Assists with participant med remind: reads label, Records/reports non-verbal compliance if applicable

Performs simple testing and measurement of urine/blood sugar and acetone (HHA only)

Measures Intake and Output

Demonstrates weight and height

Assist with O2 and care of tank or liquid O2 and reservoir (HHA Only)

Feeding

Understand basic nutrition and simple modified diet

Assists with adaptive feeding devices

Demonstrates safe and appropriate kitchen and mealtime practices: gloves, hairnet, etc. if applicable

Infection Control

Demonstrates infection control practices (Standard Precautions)

Demonstrates proper hand washing techniques

Demonstrates proper glove use

Follows blood spill procedure

Score: S = Satisfactory U = Unsatisfactory N/A = Not Applicable

Method: O = Direct Observation D = Demonstration V = Verbalized

Safety/ Emergency/ OSHA Procedures

Follow fire safety procedure

Follows disaster procedure

Knowledge of infection control principles

Personnel Policies

Observes hours of work

Utilizes proper call-in procedures

Utilizes proper leave requests procedures

Complies with payroll system

Complies with HIPAA practice

Follows established dress code

Follows abuse prevention policies

Others

REMEDIATION given as needed

Evaluations Completed by: Nurse Educator

2019.04.16 Paraprofessional Competency Skill Checklist