Home Health Aide Duty Sheet Bluelinehccom

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Home health aide duty sheet bluelinehccom

File Name: ENGLISH TIME SHEET_Revised.pdf

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Summary

HOME HEALTH AIDE DUTY SHEET
1825 65th Street • Brooklyn, NY 11204 •Tel: 718-584-6900 • Fax: 718-584-6901
Instructions: Check ( ✓ ) off all completed tasks. Complete all tasks which are either checked or noted on patient Plan of Care

Emp. Name ________________________________________ Pt. Name ________________________________________________
Emp. # ___________________ Coord. __________________ Address ________________________________________________
SS# _______________________ Emp.#____________________ Phone _____________ Year _____________ PT ID #: _______
1. USE BLACK INK ONLY. SAT SUN MON TUES WED THUR FRI
PUT DATE VISITED
IN EACH BOX
2. Fill this form out every day that you visit this patient. TIME ARRIVED IN
PATIENT’S HOME
3. You and the patient must sign daily

TIME LEFT
4. In case of a patient emergency, call 911 and then PATIENT’S HOME
notify Blue Line at (718) 584-6900
TOTAL HOURS
5. Mail or bring this form to your Agency every Friday. WORKED
PERSONAL CARE S S M T W T F TREATMENTS/SPECIAL S S M T W T F
NEEDS
TAKE TEMPERATURE:
BATH TUB ORAL RECTAL
AXILLARY
TOTAL CARE SHOWER TAKE PULSE
ASSIST
BED TAKE RESPIRATIONS
MOUTH CARE/DENTURE CARE
COMB WEIGHT PATIENT
HAIR CARE
SHAMPOO
SHAVE RECORD OUTPUT (URINE/BM)
GROOMING
NAILS ASSIST WITH CATHETER CARE
DRESSING EMPTY FOLEY BAG
SKIN CARE ASSIST WITH OSTOMY CARE
FOOT CARE
TOILETING: REMIND TO TAKE MEDICATION
DIAPER COMMODE
BED PAN/URINAL TOILET ASSIST WITH TREATMENTS
SPECIFY AS WRITTEN ON POC:
NUTRITION PATIENT SUPPORT ACTIVITIES
DIET: REGULAR PRESCRIBED CHANGE OF BED LINEN
PREPARE: BREAKFAST PATIENT LAUNDRY
SNACK
LUNCH DINNER
LIGHT HOUSEKEEPING:
PATIENT ROOM KITCHEN
ASSIST WITH FEEDING BATHROOM
PATIENT CARE EQUIPMENT
RECORD INTAKE: FOOD SHOPPING
FLUID
ACTIVITY
ACCOMPANY PATIENT TO
MEDICAL APPOINTMENT
TRANSFERRING
ASSIST WITH WALKING
DEVICE IN USE:
CANE WALKER CRUTCHES
ASSIST WITH HOME EXERCISE UNIVERSAL/ STANDARD
PROGRAM PRECAUTIONS
ASSIST WITH RANGE OF MOTION MONITOR PATIENT SAFETY
EXERCISE: R ARM L ARM
R FOOT L FOOT NECK
TURNING AND POSITIONING (AT OTHER SPECIFY
LEAST Q2)
PATIENT/ CAREGIVER HHA SIGNATURE PATIENT/ CAREGIVER HHA SIGNATURE
SAT WED
SUN THUR
MON FRI
TUES

HOME HEALTH AIDE DUTY SHEET 1825 65 th Street • Brooklyn, NY 11204 •Tel: 718-584-6900 • Fax: 718-584-6901 Instructions: Check ( ) off all completed tasks. Complete all tasks which …

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Frequently Asked Questions

What are the duties and responsibilities of a home health aide?

Home Health Aide Responsibilities: 1 Help patients with personal hygiene, dressing, bathing, and other daily tasks. 2 Perform basic health care services for patients including checking vital signs or administering prescription medication. 3 Help with general light housekeeping. 4 Make transportation arrangements as needed. More items...

What are the qualifications of a home health aide?

Aides also may be required to obtain certification in first aid and cardiopulmonary resuscitation (CPR). Detail oriented. Home health and personal care aides must adhere to specific rules and protocols to help care for clients. They must carefully follow instructions, such as how to care for wounds, that they receive from other healthcare workers.

How many clients does a home health aide have?

Most home health aides and personal care aides work in clients’ homes; others work in small group homes or larger care communities. Some visit four or five clients in the same day, and others only work with one client all day—in some cases staying with one client on a long-term basis.

Where do home health and personal care aides work?

Many home health and personal care aides work in clients’ homes; others work in group homes or care communities. Some aides work with only one client, while others work with groups of clients.