Home Health Aide Competency Testing

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Procedure:

Home Health Aide Competency Testing

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___________ Purpose: To ensure that all employed Home Health Aides (HHA) meet minimum standards in their ability to perform client care in accordance with state and federal guidelines. Registered Nurses with two (2) years of experience, one (1) year of which is in home care.

Applies To:

Related Procedures: None Equipment/Supplies: • Transfer belt
2. 3. 4. Introduce yourself and explain the purpose of competency testing, state and federal laws affecting home care, and the forms to be utilized. Have participants complete Skills Assessment Test (form to be completed in one (1) hour). After completion of written test, test scores are evaluated and pass/fail determination made according to agency guidelines. Review agency policies which include but not limited to: a. b. Home Care Bill of Rights Grievance procedure and customer
Assist the client to sitting position by moving his/her lower legs and position self using good body mechanics by the side of the bed 3. Apply transfer belt 4. Position the chair at a 45 degree angle and lock brakes, if using a wheelchair 5. Align your knees with the client’s knees to allow stabilization when the client stands 6. Flex hip and knees 7. Grasp the transfer belt underneath at each side 8. Rock the client to a standing position keeping your knees slightly flexed 9. Maintain stability of client’s weak side with your knee 10. Pivot toward the client’s strong side. 11. Flex hip and knees while lowering the client to chair 12. Assess for proper alignment 13. Position in chair to provide support of extremities as needed. Assess the participant’s ability to recognize the client’s abilities and the reinforcement of the client’s confidence by allowing him or her to do those activities in which the client can safely function independently. j. Range of motion: 1. Follow specific instructions from the RN or therapist 2. Wash hands 3. Expose limb to be exercised 4. Stand on side of bed of the joints being exercised 5. Have the client repeat each movement five (5) times or per specific orders. 6. Discontinue if the client complains of pain, resistance is met or muscle spasm occurs 7. Reposition for comfort 8. Wash hands 9. Record exercise and any difficulties encountered Assess the participant’s technique of following a logical head to toe