1. Use organizational skills (prepare all equipment and supplies prior to performing a care activity to prevent backtracking)
2. Use effective time management skills (completing care timely in an unhurried manner)
3. Use and recognize teamwork, leadership, and mentoring
4. Recognize problems and know when/how to seek assistance, as well as how to reassess the situation in problem resolution
5. Incorporate customer service skills – respecting differences and perspectives
6. Recognize and report changes in patient’s condition promptly
7. Perform duties and responsibilities demonstrating respect and cooperation
8. Demonstrate good character, is productive during work hours, manage attendance and absences according to policy
9. Maintain a professional demeanor and work appearance
10. Documentation of visits and productivity captures actual work activities, when applicable

1. Hand Hygiene techniques including the use of soup and water and alcohol based hand sanitizer
2. Use, describe and demonstrate adherence to OSHA and CDC guidelines (such as Standard Precautions, handling Blood Borne Pathogens and maintaining infection control)
3. Properly dispose sharps (e.g., razors, needles in sharps container)
4. Use and demonstrate personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
5. Describe clean vs dirty areas
6. Clean and maintain equipment within infection control standards
7. Demonstrates Bag Technique when using equipment brought into the home, when applicable
8. Describe and use Standard Precautions as determined by the CDC and OSHA, when applicable
9. Perform visual check of patient’s environment and resolve potential safety issues (secure hazardous materials, clear pathways and wipe up water to avoid trips, falls, and slips etc.)
10. Check patient’s alarm; make sure call light/signal is within patient’s reach; secure patient’s bed
11. Take care of light cleaning needs in patient’s room, maintaining a clean, safe and healthy environment
12. Handle soiled linen and clothing to prevent contamination, including isolation techniques in accordance with infection control standards
13. Make unoccupied and occupied bed
14. Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills, disaster preparedness)
15. Recognizing emergencies and the knowledge of instituting emergency procedures and their application.
16. Properly use safety tools (e.g., ABC fire extinguisher)
17. Discuss fire safety, describe and explain RACE and PASS acronyms
18. List general safety steps for working in a healthcare environment
19. Maintain and operate back up equipment as needed
20. Apply and monitor safety devices
21. Ability to administer the Heimlich Maneuver, and other lifesaving assistance in accordance with organizational policy
22. Identify measures to promote safety of patients with special needs or issues (e.g., dementia, injuries, illnesses)
23. Demonstrate safe evacuation procedures and role as a part of the organization’s Emergency Preparedness Plan policy.
24. Handle oxygen safely
25. Administers basic first aide

1. Interact with patients, representatives and caregivers in a respectful way regarding their culture, their needs, clinical information, and preferences, while respecting their privacy
2. Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
3. Describe rules for effective communication with the patient and team
4. Utilize appropriate communication methods for working with the sensory impaired and cognitively impaired
5. Ability to read, observe, verbally report and document clinical information, patient status, issues and events in clear concise language, within regulatory requirements
6. Report physical changes, mental changes, abuse, any changes to the medical team, or authorized persons of which the team should be aware
7. Understand and follow legal requirements on reporting and documentation (i.e., HIPAA, agency polies and procedures)
8. Understand who is an authorized person and what information is allowed to be provided
9. Maintain patient/client confidentiality and privacy according to organization and HIPAA guidelines
10. Utilize appropriate communication techniques related to ability (communication board, etc.) with patient/client
11. Communicate in non-judgmental manner minimizing bias and assumptions
12. Participates in interdisciplinary team meetings

1. Measure/read/record respiration
2. Measure/read/record oral temperature (digital and non-digital thermometer)
3. Measure/read/record axillary temperature (digital and non-digital thermometer)
4. Measure/read/record radial pulse
5. Measure/read/record weight (balance scale)
6. Measure/record food and fluid intake
7. Measure/record urinary output
8. Provide post-mortem care
9. Assist nursing staff with any additional duties as assigned within scope of practice
10. Recognizes, reports and documents changes in patient condition including abnormal changes in body function

1. Assist patient with bathing or dressing, as indicated on plan
2. Give complete bed bath
3. Give partial bed bath
4. Give sponge bath
5. Give tub bath with chair/Give shower
6. Demonstrate the proper order of bathing
7. Provide hair care including grooming, brushing, combing
8. Provide oral hygiene for patients with natural teeth Provide oral hygiene for patients with no natural teeth
9. Provide denture care
10. Shave patient (safety razor or electric razor only)
11. Provide nail care
12. Provide foot care
13. Dress patient, including care of eyeglasses and hearing aides
14. Perineal care - female
15. Perineal care - male
16. Perineal care - incontinent patient
17. Assist with bedpan (offer/remove/ clean)
18. Assist with urinal (offer/remove/ clean)
19. Assist to toilet (offer/clean)
20. Use bedside commode
21. Urinary catheter care (external and indwelling)
22. Care of/emptying of urinary drainage bag
23. Provide basic ostomy care
24. Administer a suppository, as directed by the nurse Administer an enema, as directed by the nurse Provide skin care with back rub Applies and changes non-sterile dressing Applies moist and dry, hot and cold treatments Applies anti-embolism stockings
25. Recognizing and reporting changes in skin condition Position patient in chair, Move patient up in bed, Position patient on side in bed
26. Uses safe transfer techniques with use of proper body mechanics: one assist, two assist, mechanical lift, transfer belt, and lift sheets, transfer board
27. Knowledgeable of common nutritional problems of the elderly and chronically ill to assist with proper nutrition and fluid balance
28. Promote optimal level of nutrition/hydration related to use of assistive devices and in accordance with the plan of care
29. Reports on observed use of medication
30. Provides assistance in administering medications: limited to only getting fluids to the patient to take their medicine or remind them to take their medicine, when applicable Verifies the dietary orders food, fluids, type, and consistency for patients, when applicable Meal preparation, serve and assist patient with meals according to dietary guidelines/special diets, applicable locations
31. Feed patient, including set-up tray, partial assistance, total assistance, adaptive devices, patients with dysphasia, and alternative feeding methods (moved down with other dietary), when applicable

1. Able to effectively and supportively deal with abusive patients
2. Respect patient privacy (knock before entering, discreet coverage of body when bathing, asking permission to use patient's items before using)
3. Respect of patient's property
4. Encourage self-advocacy and promote patient's self-esteem
5. Demonstrate techniques for communicating effectively and respectfully to patients, families, and guests Encourage family and friends as a source of emotional support of patient
6. Recognize signs and symptoms of pain/discomfort and reports patient's perceived pain level appropriately
7. Promote the optimal level of wellbeing for patients/clients experiencing loss/grief
8. Promote optimal level of sensory stimulation including visual/auditory and tactile
9. Promote patient's social interaction, recreation, where applicable
10. Provide companionship; assist patient with correspondence, where applicable
11. Encourage health eating choices, where applicable Coordinate patient's appointments, where applicable Recognize developmental tasks and needs associated with the elderly, where applicable Orient patient to person/place/time, where applicable

1. Ability to effectively communicate with cognitively impaired patients
2. Incorporate expanded knowledge of patient’s issues and understanding of what to observe and report with changes in behavior or physically
3. Provide appropriate assistance with ADLs to maximize independence and well-being, understanding impairment issues and patient preference, where applicable

1. Performs tasks using good body mechanics
2. Encourage and support the highest level of functioning and patient self-care as appropriate and safe, utilizing assistive devices or adaptations
3. Assist with ambulation using gait/safety belt
4. Demonstrate organization's Universal Fall Precautions and additional standards according to the patient's service plan
5. Utilize ambulation assistive devices and adaptive equipment correctly and safely including walkers, cane and crutches.
6. Under nurse's care, assist with improving the patient's normal range of motion to upper extremities and to lower extremities
7. Assist the patient in the use of positioning devices in bed and in chair
8. Assist patients in the proper use of prosthetic/orthotic devices
9. Apply hand splint
10. Use all transfer and other equipment in a manner to make the patient feel safe
11. Implement turning, repositioning, and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries Provide exercise program and other activities with patients that are trying to restore strength and healing as directed by nursing/therapy staff
12. Provide and reinforce bowel and bladder training, when indicated
13. Discuss the complications of immobility and importance of exercise to health

1. Respond to patient's requests promptly or promptly forward requests if unable to take care of the request Recognize and respect the patient's individuality and preferences for wake, bedtime, dress, time of services/assistance, etc.
2. Ability to recognize verbal, mental, emotional, neglect, and financial abuse or exploitation
3. Provide privacy to patient when providing care
4. Respect patient individuality and preferences as much as safely possible
5. Respect and maintain the confidentiality of the patient always adhering to HIPAA and other guidelines
6. Notify nurse, family member, or other team members if the patient needs equipment or personal supplies Respect the privacy of the patient demonstrating there are guests in the patient's home, where applicable Ability to define abuse, neglect, assault, battery, and malpractice
7. Identify organization and professional standards related to the use of restraints
8. Discuss resolvina arievances and disputes

1. Complete all required reports and documentation
2. Understand and implement all policies and procedures, including new ones
3. Participate in agency/staff/medical team meetings
4. Participate in in-service training and yearly mandatory regulatory instruction/ competencies
5. Maintain all professional licensing up to date, including requirements for vaccinations
6. Recognize, understand and prevent potential abuse/neglect in environment and within self and report promptly to supervisor, and others according to policy and local regulations

Introduction - Client Rights - HIPAA - Abuse & Neglect - Reporting Indirect Care - Proper Body Mechanics - How to operate hospital bed (electric & crank)

Standard Precautions - Personal Protective Equipment (PPE) - Methods of Elimination (bedside commode, urinal, etc.) Hand Washing Bedpan Use - Proper body alignment - Turning and Repositioning

Patient Care -Mouth Care -Denture Care -Nail Care -Foot Care -Partial Bed Bath -Perineal Care (Female & Male) Dressing - Hair Care (Styling) - Shaving (Blade /Electric) - Skin Care Inspection - Assisting Unconscious Patients

Making an Occupied Bed - Making an Unoccupied Bed Feeding -Intake & Output - Personal Care Skills Review - Bathing (tub & shower) - Emergency Emergency Preparedness (Fire, natural disaster, etc.) Heimlich Maneuvering Restraints Patient Documentation Clinical Readiness

Proper Body Mechanics for lifting - Methods of Mobility (walker, cane, etc.) - Mechanical Lift (Hoyer, Assist to Stand, etc.) Transfer Ambulatio n - Assisting a resident with Falls - Assisting a resident with Seizures

Measuring and Recording Vitals - Signs (temp, blood pressure, etc.) Measuring and Recording Pulse Measuring and Recording Respirations - Measure and record Height and Weight

Catheter Care Urinary Drainage Bag - Urine / Stool specimen collection Change of Position Change of Position with a Backrub

Range of Motion - Elbow & Wrist - Shoulder - Lower Extremity

Death & Dying 22 Skills Recap Final Exam Review

Final Exam - Registering for the State Exam - Course Wrap Up