{"id":200,"date":"2024-06-24T17:55:08","date_gmt":"2024-06-24T21:55:08","guid":{"rendered":"https:\/\/opentextbc.ca\/hcasupplement\/chapter\/hca-care-activities-summary-checklist\/"},"modified":"2024-06-24T17:55:08","modified_gmt":"2024-06-24T21:55:08","slug":"hca-care-activities-summary-checklist","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/hcasupplement\/chapter\/hca-care-activities-summary-checklist\/","title":{"raw":"6. HCA Care Activities Summary Checklist","rendered":"6. HCA Care Activities Summary Checklist"},"content":{"raw":"\nThis checklist aligns with the suggested course assessment 1 included in the <a href=\"https:\/\/opentextbc.ca\/hcasupplement\/chapter\/practice-experience-in-multi-level-and-or-complex-care\/\">Practice Experience in Multi-Level and\/or Complex Care<\/a> course.\n\nThe 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.\n\nThis 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.).\n<h1>Completion Criteria and HCA Care Activity Summary Checklist<\/h1>\n<em>Student Name: <span style=\"text-decoration: underline;\" aria-label=\"blank\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/span> has demonstrated completion of the following personal care and assistance skills.<\/em>\n<ul>\n \t<li>A check indicates that the skill was completed safely and efficiently in accordance with established procedures and criteria.<\/li>\n \t<li>Reviewed by identifier \u2013 Full name to be provided for first instances along with initials may be used thereafter for repeat reviewer.<\/li>\n<\/ul>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 6468px;\" border=\"0\">\n<tbody>\n<tr style=\"height: 15px;\">\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">HCA Care Activity Summary List<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Peer Review (in Lab)<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Instructor Review (in Lab)<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Instructor Review (in Clinical)<\/th>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Problem solving while carrying out care activities<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Plan and implement care based on the client\u2019s needs, the established care plan, and agency policies<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">View and access the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observe the client and the situation prior to commencing care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Identify unsafe environments or situations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Establish priorities for care with consideration to client acuity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Seek assistance, if necessary, to maintain the safety of the client and care provider<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintain client privacy and dignity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Tidy the client's environment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Evaluate the effectiveness of the procedure and care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Report and record actions, results, and observations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Complete appropriate flow sheets<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Contribute observations and information to care planning<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Respond appropriately to emergency situations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Asepsis and prevention of infection<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintain medical asepsis<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Hand sanitizer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Hand washing<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Glove application and removal<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Following isolation precautions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Donning and doffing PPE<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Double bagging<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting comfort and rest<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Helping admit a client to a care facility<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using aids to promote comfort, sleep, and rest<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting personal hygiene<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Oral hygiene<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Denture care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Partial bath<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Complete bed bath<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Tub baths and showers<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 216px;\">\n<td style=\"width: 25%; height: 216px;\">Perineal care<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis\n\nReviewed by:\n\nDate:\n\n\u25a1 Perineal care of the vulva\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis\n\nReviewed by:\n\nDate:\n\n\u25a1 Perineal care of the vulva\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis\n\nReviewed by:\n\nDate:\n\n\u25a1 Perineal care of the vulva\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with dressing (changing clothing)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Morning care and evening care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Back massage<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assist client to maintain intact skin by washing, drying, and applying non-prescription creams<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observe for and report changes in skin integrity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Moving, positioning, and transferring a client<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using body mechanics when assisting clients<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Turning and moving a client in a hospital or regular bed<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using positioning devices<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed - supine<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed - lateral<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed - Fowlers<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting a client to sit on the side of the bed<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Transferring a client; one-person transfer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Transferring a client; hemi transfer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a sit-to-stand transfer device<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a mechanical lift<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a ceiling lift<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Moving and positioning a client in a wheelchair<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Bedmaking<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Making unoccupied (closed and open) beds<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Making occupied beds<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting exercise and activity<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with ambulation<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with walking devices, including safe use of walkers with resting seats<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with wheelchairs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Preventing and responding to falls<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with range of motion exercises<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Assisting with dietary intake<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Serving meals in ways that encourage normalizing interactions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with eating and drinking as per their care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Position client for safe eating and drinking<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with modified diets of pre-made thickened fluids using straws, covered drinking cups, and nosey cups<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using techniques and strategies to safely assist clients experiencing biting, chewing, or swallowing difficulties<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with safe eating and drinking using adaptive utensils and aids<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing and recording intake and output<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Provides elimination assistance<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Application of continence products (1 piece\/2 piece)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with bedpans and urinals<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with toilets and commodes<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply and remove condom catheter<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Provide perineal care to someone with an established catheter<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply, empty, clean\/change urinary drainage bag<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Make reportable observations such as colour, clarity, strong odour, and amount<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Ostomy care: Observe and report skin integrity and stoma condition<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Clean established ostomy site (change bag, dispose of bag)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Empty ostomy bag<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assist with bath for client with established ostomy (shower, clean skin)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Collecting urine specimens<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Collecting stool specimens<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\"><\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Hand and foot care<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing for any changes and reporting to the supervisor<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Nail clipping for clients without chronic diseases like diabetes, swollen feet, or compromised skin or skin integrity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Soaking, massaging, and applying lotion to hands and feet as per the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\">Compression stocking<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply and remove compression stockings (&gt;20 mmHg of pressure)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Wash and dry stockings as per care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Clients measurements and vital signs<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Height and weight<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Measure body temperature (excluding rectal temperature)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Pulse and respirations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reporting and recording client measurements and vital signs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Heat and cold applications<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Safety consideration and checks regarding heat and cold applications<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\">\n<th style=\"width: 25%;\" colspan=\"4\" scope=\"colgroup\"><strong>Medication assistance<\/strong>\n<ul>\n \t<li>Students may have limited opportunities to practice assisting with medications in practice education settings due to legislative and regulatory limitations on student practice.<\/li>\n<\/ul>\n<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Medication reminders<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reading medication label to the client<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Providing medication container to the client<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Opening blister packs or dosettes<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Loosening or removing container lids<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Recapping the device or closing the medication container or bottle<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Placing the medication in the client\u2019s hand<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Steadying the client\u2019s hand while the client places medication in their mouth or administers own eye drops, nasal sprays, or other medication<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using an enabler (such as a medicine cup, spoon, or oral syringe) to assist the client in getting the medication to their mouth<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Supervising the client during self-administration<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Providing the client with water or other fluids for rinsing their mouth or to help them swallow medication<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing the client for unexpected effects (recognizing what is not normal for the client and reporting it)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Documentation as required by the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\"><strong>Medication administration<\/strong>\n<ul>\n \t<li>Students may have limited opportunities to practice medication administration in practice education settings due to legislative and regulatory limitations on student practice.<\/li>\n<\/ul>\n<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying a transdermal patch<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Administering prescription ear drops<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Administering prescription eye drops<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Inserting a rectal suppository<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Inserting an enema<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying a prescription cream or ointment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Assisting with oxygen needs<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">General precautions for safe use of oxygen<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with setting up oxygen therapy machine<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Application and removal of nasal prongs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Dealing with oxygen tubing<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Turning on and off the nebulizer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Using supplies and equipment<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Organizing equipment and supplies to efficiently complete care activities<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Checking equipment for safety and functionality<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Cleaning equipment after use and returning to appropriate place<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Restocking supplies<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reporting equipment malfunction<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Home management<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying agency policies and procedures<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing the home for safety risks<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Fire hazards and safety precautions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintaining safety and medical asepsis in the home setting<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using common cleaning agents, following Workplace Hazardous Materials Information Systems (WHMIS) plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using body mechanics in a home environment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Dealing with emergencies in the home<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1\n\nReviewed by:\n\nDate:<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nInstructor Name&nbsp;<span style=\"text-decoration: underline;\" aria-label=\"blank\"> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span> Instructor Signature <span style=\"text-decoration: underline;\" aria-label=\"blank\"> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span> Date <span style=\"text-decoration: underline;\" aria-label=\"blank\"> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span>\n\nStudent Name <span style=\"text-decoration: underline;\" aria-label=\"blank\"> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span> Student Signature <span style=\"text-decoration: underline;\" aria-label=\"blank\"> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span> Date <span style=\"text-decoration: underline;\" aria-label=\"blank\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/span>\n\n&nbsp;\n","rendered":"<p>This checklist aligns with the suggested course assessment 1 included in the <a href=\"https:\/\/opentextbc.ca\/hcasupplement\/chapter\/practice-experience-in-multi-level-and-or-complex-care\/\">Practice Experience in Multi-Level and\/or Complex Care<\/a> course.<\/p>\n<p>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.<\/p>\n<p>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.).<\/p>\n<h1>Completion Criteria and HCA Care Activity Summary Checklist<\/h1>\n<p><em>Student Name: <span style=\"text-decoration: underline;\" aria-label=\"blank\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/span> has demonstrated completion of the following personal care and assistance skills.<\/em><\/p>\n<ul>\n<li>A check indicates that the skill was completed safely and efficiently in accordance with established procedures and criteria.<\/li>\n<li>Reviewed by identifier \u2013 Full name to be provided for first instances along with initials may be used thereafter for repeat reviewer.<\/li>\n<\/ul>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 6468px;\">\n<tbody>\n<tr style=\"height: 15px;\">\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">HCA Care Activity Summary List<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Peer Review (in Lab)<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Instructor Review (in Lab)<\/th>\n<th style=\"width: 25%; height: 15px;\" scope=\"col\">Instructor Review (in Clinical)<\/th>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Problem solving while carrying out care activities<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Plan and implement care based on the client\u2019s needs, the established care plan, and agency policies<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">View and access the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observe the client and the situation prior to commencing care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Identify unsafe environments or situations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Establish priorities for care with consideration to client acuity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Seek assistance, if necessary, to maintain the safety of the client and care provider<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintain client privacy and dignity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Tidy the client&#8217;s environment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Evaluate the effectiveness of the procedure and care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Report and record actions, results, and observations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Complete appropriate flow sheets<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Contribute observations and information to care planning<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Respond appropriately to emergency situations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Asepsis and prevention of infection<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintain medical asepsis<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Hand sanitizer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Hand washing<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Glove application and removal<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Following isolation precautions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Donning and doffing PPE<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Double bagging<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting comfort and rest<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Helping admit a client to a care facility<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using aids to promote comfort, sleep, and rest<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting personal hygiene<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Oral hygiene<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Denture care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Partial bath<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Complete bed bath<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Tub baths and showers<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 216px;\">\n<td style=\"width: 25%; height: 216px;\">Perineal care<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/p>\n<p>\u25a1 Perineal care of the vulva<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/p>\n<p>\u25a1 Perineal care of the vulva<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 216px;\">\u25a1 Perineal care of the penis<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/p>\n<p>\u25a1 Perineal care of the vulva<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with dressing (changing clothing)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Morning care and evening care<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Back massage<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assist client to maintain intact skin by washing, drying, and applying non-prescription creams<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observe for and report changes in skin integrity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Moving, positioning, and transferring a client<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using body mechanics when assisting clients<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Turning and moving a client in a hospital or regular bed<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using positioning devices<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed &#8211; supine<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed &#8211; lateral<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Positioning a client in bed &#8211; Fowlers<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting a client to sit on the side of the bed<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Transferring a client; one-person transfer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Transferring a client; hemi transfer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a sit-to-stand transfer device<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a mechanical lift<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Use of a ceiling lift<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Moving and positioning a client in a wheelchair<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Bedmaking<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Making unoccupied (closed and open) beds<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Making occupied beds<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Promoting exercise and activity<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with ambulation<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with walking devices, including safe use of walkers with resting seats<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with wheelchairs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Preventing and responding to falls<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with range of motion exercises<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Assisting with dietary intake<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Serving meals in ways that encourage normalizing interactions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with eating and drinking as per their care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Position client for safe eating and drinking<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with modified diets of pre-made thickened fluids using straws, covered drinking cups, and nosey cups<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using techniques and strategies to safely assist clients experiencing biting, chewing, or swallowing difficulties<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting clients with safe eating and drinking using adaptive utensils and aids<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing and recording intake and output<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Provides elimination assistance<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Application of continence products (1 piece\/2 piece)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with bedpans and urinals<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with toilets and commodes<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply and remove condom catheter<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Provide perineal care to someone with an established catheter<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply, empty, clean\/change urinary drainage bag<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Make reportable observations such as colour, clarity, strong odour, and amount<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Ostomy care: Observe and report skin integrity and stoma condition<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Clean established ostomy site (change bag, dispose of bag)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Empty ostomy bag<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assist with bath for client with established ostomy (shower, clean skin)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Collecting urine specimens<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Collecting stool specimens<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\"><\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Hand and foot care<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing for any changes and reporting to the supervisor<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Nail clipping for clients without chronic diseases like diabetes, swollen feet, or compromised skin or skin integrity<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Soaking, massaging, and applying lotion to hands and feet as per the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\">Compression stocking<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Apply and remove compression stockings (&gt;20 mmHg of pressure)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Wash and dry stockings as per care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Clients measurements and vital signs<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Height and weight<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Measure body temperature (excluding rectal temperature)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Pulse and respirations<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reporting and recording client measurements and vital signs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Heat and cold applications<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Safety consideration and checks regarding heat and cold applications<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\">\n<th style=\"width: 25%;\" colspan=\"4\" scope=\"colgroup\"><strong>Medication assistance<\/strong><\/p>\n<ul>\n<li>Students may have limited opportunities to practice assisting with medications in practice education settings due to legislative and regulatory limitations on student practice.<\/li>\n<\/ul>\n<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Medication reminders<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reading medication label to the client<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Providing medication container to the client<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Opening blister packs or dosettes<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Loosening or removing container lids<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Recapping the device or closing the medication container or bottle<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Placing the medication in the client\u2019s hand<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Steadying the client\u2019s hand while the client places medication in their mouth or administers own eye drops, nasal sprays, or other medication<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using an enabler (such as a medicine cup, spoon, or oral syringe) to assist the client in getting the medication to their mouth<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Supervising the client during self-administration<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Providing the client with water or other fluids for rinsing their mouth or to help them swallow medication<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing the client for unexpected effects (recognizing what is not normal for the client and reporting it)<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Documentation as required by the care plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\"><strong>Medication administration<\/strong><\/p>\n<ul>\n<li>Students may have limited opportunities to practice medication administration in practice education settings due to legislative and regulatory limitations on student practice.<\/li>\n<\/ul>\n<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying a transdermal patch<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Administering prescription ear drops<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Administering prescription eye drops<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Inserting a rectal suppository<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Inserting an enema<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying a prescription cream or ointment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Assisting with oxygen needs<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">General precautions for safe use of oxygen<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Assisting with setting up oxygen therapy machine<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Application and removal of nasal prongs<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Dealing with oxygen tubing<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Turning on and off the nebulizer<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Using supplies and equipment<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Organizing equipment and supplies to efficiently complete care activities<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Checking equipment for safety and functionality<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Cleaning equipment after use and returning to appropriate place<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Restocking supplies<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Reporting equipment malfunction<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 21px;\">\n<th style=\"width: 25%; height: 21px;\" colspan=\"4\" scope=\"colgroup\">Home management<\/th>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Applying agency policies and procedures<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Observing the home for safety risks<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Fire hazards and safety precautions<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Maintaining safety and medical asepsis in the home setting<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using common cleaning agents, following Workplace Hazardous Materials Information Systems (WHMIS) plan<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; height: 108px;\">Using body mechanics in a home environment<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<td style=\"width: 25%; height: 108px;\">\u25a1<\/p>\n<p>Reviewed by:<\/p>\n<p>Date:<\/td>\n<\/tr>\n<tr style=\"height: 108px;\">\n<td style=\"width: 25%; 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