Skills
A = I can perform well
B = I need to review
C = I need to experience
Communication
Observation, reporting and documentation of patient status and the care of services provided
Reading and recording temperature, pulse and respiration
Universal precautions
Basic elements of body functions and changes in condition that must be reported
Maintaining a clean, safe, and healthy environment
Ability to recognize emergency situations
Ability to recognize physical and emotional needs and work with the client and respect the pt’s privacy and property
Appropriate and safe techniques in personal hygiene and grooming:
A = I can perform well
B = I need to review
C = I need to experience
Bed bath
Sponge bath
Shampoo (sink, tub, or bed)
Nail care
Skin care
Oral hygiene
Toileting and elimination
Safe transfer techniques
Safe ambulation
Normal positioning with proper alignment
Ability to recognize adequate nutrition and intake
Other
Signature
Clear
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
The Right Choice Home Care
Home Care Aide Skills Test Checklist
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform