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
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
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