Patient Care Tech Checklist

VITAL SIGNS (TAKE AND RECORD) * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Temperature
Pulse
Respirations
Blood Pressure
Height and Weight

VITAL SIGNS (TAKE AND RECORD) * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Temperature
Pulse
Respirations
Blood Pressure
Height and Weight

ENVIRONMENT * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Linen Change
Light Housekeeping
Meal/Snack Preparation

ENVIRONMENT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Linen Change
Light Housekeeping
Meal/Snack Preparation

AMBULATING * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cane
Crutches
Walker
Standby Assistant

AMBULATING FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cane
Crutches
Walker
Standby Assistant

TRANSFER TECHNIQUE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Gait Belt
Weight Bearing
Hoyer/Easystand
Two-Person Transfer
Pivot
Wheelchair

TRANSFER TECHNIQUE * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Gait Belt
Weight Bearing
Hoyer/Easystand
Two-Person Transfer
Pivot
Wheelchair

POSITIONING/TURNING * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Supine
Side Lying
High Fowler's
Right/Left Sim's
Prone
Trendelenburg
Use of Draw Sheet
Range of Motion Exercises
In Chair

POSITIONING/TURNING * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Supine
Side Lying
High Fowler's
Right/Left Sim's
Prone
Trendelenburg
Use of Draw Sheet
Range of Motion Exercises
In Chair

PERSONAL CARE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bed bath
Back rub
Applying lotion
Decubitus Care
Shampoo
Nail Care
Oral Hygiene
Denture Care
Shaving
Dressing: Assist/Complete
Female Perineal Care
Male Perineal Care
Post-mortem Care

PERSONAL CARE * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bed bath
Back rub
Applying lotion
Decubitus Care
Shampoo
Nail Care
Oral Hygiene
Denture Care
Shaving
Dressing: Assist/Complete
Female Perineal Care
Male Perineal Care
Post-mortem Care

NUTRITION/HYDRATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Encourage Fluids per Patient's Orders
Types of Diet
Assist in Feeding
Feeding Techniques
Measure and Record Intake and Output

NUTRITION/HYDRATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Encourage Fluids per Patient's Orders
Types of Diet
Assist in Feeding
Feeding Techniques
Measure and Record Intake and Output

INFECTION CONTROL * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand Washing
Universal Precautions
Standard Precaution
Contact Precaution
Droplet Precaution
Airborne Precaution

INFECTION CONTROL * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand Washing
Universal Precautions
Standard Precaution
Contact Precaution
Droplet Precaution
Airborne Precaution

ELIMINATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bed Pan/Urinal and Fracture Pan
Bedside Commode
Measure and Record Output
Foley Catheter Care
External Catheter Care/Placement
Enemas
Urine Specimen Collection
Stool Specimen Collection
Sputum Specimen Collection

ELIMINATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bed Pan/Urinal and Fracture Pan
Bedside Commode
Measure and Record Output
Foley Catheter Care
External Catheter Care/Placement
Enemas
Urine Specimen Collection
Stool Specimen Collection
Sputum Specimen Collection

SAFETY DEVICES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Vest Restraint
Soft Ankle Restraints
Wrist Restraints

SAFETY DEVICES * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Vest Restraint
Soft Ankle Restraints
Wrist Restraints

OXYGEN THERAPY * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cannula/Mask Placement

OXYGEN THERAPY * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cannula/Mask Placement

OBSERVATIONS/REPORTING/DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Change in Body Functions
Change in Behavio
Change in Behavior
Change in Routines
Change in Mentation
Input and Output

OBSERVATIONS/REPORTING/DOCUMENTATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Change in Body Functions
Change in Behavior
Change in Routines
Change in Mentation
Input and Output

ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

ELECTRONIC DOCUMENTATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

AGE SPECIFIC COMPETENCIES * SKILL FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)