HCA Skills Summary Checklist
The following summary list could be used as an organizational tool to identify learning needs and record practise 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. It is expected that additional procedure criteria for each skill would be provided by the program in a lab skills manual. The program may wish to indicate skills with additional safety-related considerations (e.g., instructor is present for the first time demonstration of a skill in the clinical setting, two person mechanical lift policy, etc.).
Completion Criteria
Student Name: has demonstrated completion of the following personal care and assistance skills.
- A check mark indicates that the skill was completed in a safe and efficient manner in accordance with established procedures and criterion.
- Reviewed by identifier – Full name to be provided for first instances along with initials may be used thereafter for repeat reviewer.
| HCA Skills Summary List | Peer Review (in Lab) | Instructor Review (in Lab) | Instructor Review (in Clinical) |
|---|---|---|---|
| Prevents Infection | |||
| Handwashing | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Gloving | □
Reviewed by: Date: |
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| Donning and removing gloves | □
Reviewed by: Date: |
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| Donning and removing gloves | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Donning and removing mask | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Other, e.g., double bagging | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Promotes Personal Hygiene | |||
| Oral hygiene | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Denture care | □
Reviewed by: Date: |
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| Partial bath | □
Reviewed by: Date: |
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| Complete bed bath | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| 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
Reviewed by: Date: □ Perineal care of the vulva Reviewed by: Date: |
| Grooming | □ Male
Reviewed by: Date: □ Female Reviewed by: Date: |
□ Male
Reviewed by: Date: □ Female Reviewed by: Date: |
□ Male
Reviewed by: Date: □ Female Reviewed by: Date: |
| Dressing and undressing | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Applying compressing stockings | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Skin care | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Relieving pressure | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Assists with Movement | |||
| Body mechanics | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Moving a client | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Positioning a client in chair | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Positioning a client in bed – supine | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Positioning a client in bed – lateral | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Positioning a client in bed – Sims | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Positioning a client in bed – Fowlers | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Transferring a client; one-person transfer | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Transferring a client; hemi transfer | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Use of a sit-to-stand lift | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Use of a full lift | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Use of a ceiling lift | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Promotes Exercise and Activity | |||
| Assisting with walking devices | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Assisting with wheelchairs | □
Reviewed by: Date: |
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| Preventing falls | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Responding to falls | □
Reviewed by: Date: |
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| Assisting with range of motion exercises | □
Reviewed by: Date: |
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| Provides Elimination Assistance | |||
| Application of continence products (1 piece/2 piece) | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Assisting with bedpans | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Assisting with urinals | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Assisting with commodes | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Enema administration | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Ostomy care | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Care of indwelling urinary catheter | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Applying a condom catheter | □
Reviewed by: Date: |
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| Collecting specimens | □
Reviewed by: Date: |
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| Promotes Client Well-Being | |||
| Supporting transitions | □
Reviewed by: Date: |
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| Supporting comfort | □
Reviewed by: Date: |
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| Supporting rest | □
Reviewed by: Date: |
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| Changes Bed Linens | |||
| Occupied bed | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Unoccupied bed | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Promotes Healthy Nutrition and Fluid Intake | |||
| Assisting a client with eating/fluid intake | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Feeding a client | □
Reviewed by: Date: |
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| Measuring and recording intake | □
Reviewed by: Date: |
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| Measures Vital Signs | |||
| Height | □
Reviewed by: Date: |
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Reviewed by: Date: |
| Weight | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Pulse | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
| Respiration | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Temperature | □
Reviewed by: Date: |
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Reviewed by: Date: |
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| Reporting and recording | □
Reviewed by: Date: |
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Reviewed by: Date: |
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Reviewed by: Date: |
Instructor Name Instructor Signature Date
Student Name Student Signature Date
Note: This sample tool has been included to align with Suggested Course Assessment 2 included in the Healing 3: Personal Care and Assistance course and Suggested Course Assessment 1 included in the Practice Experience in Multi-Level and/or Complex Care course.
Download HCA Skills Summary Checklist [PDF].
