6. HCA Care Activities Summary Checklist
Practice Experience in Multi-Level and/or Complex Care
This checklist aligns with the suggested course assessment 1 included in the Practice Experience in Multi-Level and/or Complex Care course.
The following summary checklist could be used as an organizational tool to identify learning needs and record the practice of HCA skills in the lab and clinical settings. It is not intended to replace scenario-based lab skills testing or assessment of meeting program learning outcomes for practice education placements.
This is a summary list only. Additional procedure criteria for each care activity will be provided by the program in a lab manual. The program may wish to indicate care activities with additional safety-related considerations (e.g., instructor is present for the first-time demonstration of the care activity in the clinical setting, two-person mechanical lift policy, etc.).
Completion Criteria and HCA Care Activity Summary Checklist
Student Name: has demonstrated completion of the following personal care and assistance skills.
- A check indicates that the skill was completed safely and efficiently in accordance with established procedures and criteria.
- Reviewed by identifier – Full name to be provided for first instances along with initials may be used thereafter for repeat reviewer.
| HCA Care Activity Summary List | Peer Review (in Lab) | Instructor Review (in Lab) | Instructor Review (in Clinical) |
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| Problem solving while carrying out care activities | |||
| Plan and implement care based on the client’s needs, the established care plan, and agency policies | □
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| View and access the care plan | □
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| Observe the client and the situation prior to commencing care | □
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| Identify unsafe environments or situations | □
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| Establish priorities for care with consideration to client acuity | □
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| Seek assistance, if necessary, to maintain the safety of the client and care provider | □
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| Maintain client privacy and dignity | □
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| Tidy the client’s environment | □
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| Evaluate the effectiveness of the procedure and care | □
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| Report and record actions, results, and observations | □
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| Complete appropriate flow sheets | □
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| Contribute observations and information to care planning | □
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| Respond appropriately to emergency situations | □
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| Asepsis and prevention of infection | |||
| Maintain medical asepsis | □
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| Hand sanitizer | □
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| Hand washing | □
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| Glove application and removal | □
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| Following isolation precautions | □
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| Donning and doffing PPE | □
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| Double bagging | □
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| Promoting comfort and rest | |||
| Helping admit a client to a care facility | □
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| Using aids to promote comfort, sleep, and rest | □
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| Promoting personal hygiene | |||
| Oral hygiene | □
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| Denture care | □
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| Partial bath | □
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| Complete bed bath | □
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| Tub baths and showers | □
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| Perineal care | □ Perineal care of the penis
Reviewed by: Date: □ Perineal care of the vulva Reviewed by: Date: |
□ Perineal care of the penis
Reviewed by: Date: □ Perineal care of the vulva Reviewed by: Date: |
□ Perineal care of the penis
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| Assisting with dressing (changing clothing) | □
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| Morning care and evening care | □
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| Back massage | □
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| Assist client to maintain intact skin by washing, drying, and applying non-prescription creams | □
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| Observe for and report changes in skin integrity | □
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| Moving, positioning, and transferring a client | |||
| Using body mechanics when assisting clients | □
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| Turning and moving a client in a hospital or regular bed | □
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| Using positioning devices | □
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| Positioning a client in bed – supine | □
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| Positioning a client in bed – lateral | □
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| Positioning a client in bed – Fowlers | □
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| Assisting a client to sit on the side of the bed | □
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| Transferring a client; one-person transfer | □
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| Transferring a client; hemi transfer | □
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| Use of a sit-to-stand transfer device | □
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| Use of a mechanical lift | □
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| Use of a ceiling lift | □
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| Moving and positioning a client in a wheelchair | □
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| Bedmaking | |||
| Making unoccupied (closed and open) beds | □
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| Making occupied beds | □
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| Promoting exercise and activity | |||
| Assisting with ambulation | □
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| Assisting with walking devices, including safe use of walkers with resting seats | □
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| Assisting with wheelchairs | □
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| Preventing and responding to falls | □
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| Assisting with range of motion exercises | □
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| Assisting with dietary intake | |||
| Serving meals in ways that encourage normalizing interactions | □
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| Assisting clients with eating and drinking as per their care plan | □
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| Position client for safe eating and drinking | □
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| Assisting clients with modified diets of pre-made thickened fluids using straws, covered drinking cups, and nosey cups | □
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| Using techniques and strategies to safely assist clients experiencing biting, chewing, or swallowing difficulties | □
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| Assisting clients with safe eating and drinking using adaptive utensils and aids | □
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| Observing and recording intake and output | □
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| Provides elimination assistance | |||
| Application of continence products (1 piece/2 piece) | □
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| Assisting with bedpans and urinals | □
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| Assisting with toilets and commodes | □
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| Apply and remove condom catheter | □
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| Provide perineal care to someone with an established catheter | □
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| Apply, empty, clean/change urinary drainage bag | □
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| Make reportable observations such as colour, clarity, strong odour, and amount | □
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| Ostomy care: Observe and report skin integrity and stoma condition | □
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| Clean established ostomy site (change bag, dispose of bag) | □
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| Empty ostomy bag | □
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| Assist with bath for client with established ostomy (shower, clean skin) | □
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| Collecting urine specimens | □
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| Collecting stool specimens | □
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| Hand and foot care | |||
| Observing for any changes and reporting to the supervisor | □
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| Nail clipping for clients without chronic diseases like diabetes, swollen feet, or compromised skin or skin integrity | □
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| Soaking, massaging, and applying lotion to hands and feet as per the care plan | □
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| Compression stocking | |||
| Apply and remove compression stockings (>20 mmHg of pressure) | □
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| Wash and dry stockings as per care plan | □
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| Clients measurements and vital signs | |||
| Height and weight | □
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| Measure body temperature (excluding rectal temperature) | □
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| Pulse and respirations | □
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| Reporting and recording client measurements and vital signs | □
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| Heat and cold applications | |||
| Safety consideration and checks regarding heat and cold applications | □
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Medication assistance
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| Medication reminders | □
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| Reading medication label to the client | □
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| Providing medication container to the client | □
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| Opening blister packs or dosettes | □
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| Loosening or removing container lids | □
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| Recapping the device or closing the medication container or bottle | □
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| Placing the medication in the client’s hand | □
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| Steadying the client’s hand while the client places medication in their mouth or administers own eye drops, nasal sprays, or other medication | □
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| Using an enabler (such as a medicine cup, spoon, or oral syringe) to assist the client in getting the medication to their mouth | □
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| Supervising the client during self-administration | □
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| Providing the client with water or other fluids for rinsing their mouth or to help them swallow medication | □
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| Observing the client for unexpected effects (recognizing what is not normal for the client and reporting it) | □
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| Documentation as required by the care plan | □
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Medication administration
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| Applying a transdermal patch | □
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| Administering prescription ear drops | □
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| Administering prescription eye drops | □
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| Inserting a rectal suppository | □
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| Inserting an enema | □
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| Applying a prescription cream or ointment | □
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| Assisting with oxygen needs | |||
| General precautions for safe use of oxygen | □
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| Assisting with setting up oxygen therapy machine | □
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| Application and removal of nasal prongs | □
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| Dealing with oxygen tubing | □
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| Turning on and off the nebulizer | □
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| Using supplies and equipment | |||
| Organizing equipment and supplies to efficiently complete care activities | □
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| Checking equipment for safety and functionality | □
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| Cleaning equipment after use and returning to appropriate place | □
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| Restocking supplies | □
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| Reporting equipment malfunction | □
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| Home management | |||
| Applying agency policies and procedures | □
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| Observing the home for safety risks | □
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| Fire hazards and safety precautions | □
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| Maintaining safety and medical asepsis in the home setting | □
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| Using common cleaning agents, following Workplace Hazardous Materials Information Systems (WHMIS) plan | □
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| Using body mechanics in a home environment | □
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| Dealing with emergencies in the home | □
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Instructor Name Instructor Signature Date
Student Name Student Signature Date