Personal Care Assistant

Scope of Practice

  • Taking/recording vital signs and vital signs parameters
  • Measuring and recording height and weight
  • Obtaining/recording FSBS
  • Caring for the patient’s environment
  • Purposeful rounding
  • Providing foley care and maintenance
  • Recognizing abnormal changes in body function and the importance of reporting such changes to a supervisor.
  • Providing post mortem care

Personal Care Skills, including but not limited to, the following

  • Bathing (to include observation for pressure ulcers)
  • Grooming, including mouth care
  • Dressing
  • Toileting
  • Assisting with eating and hydration
  • Proper feeding techniques
  • Skin-care including observation for pressure ulcers and skin tears
  • Transfers, positioning and turning (to include observation for pressure ulcers)

Mental Health and Social Service Needs as follows:

  • Modifying behavior in response to patient’s behavior including depression
  • Awareness of developmental tasks associated with the aging process
  • How to respond to patient’s behavior including depression
  • Allowing residents to make personal choices, providing and reinforcing other behavior consistent with the patient’s dignity
  • Emotional and mental health needs of the patients
  • Spiritual and cultural needs of the patients

Care of Cognitively Impaired Patients as follows:

  • Techniques for addressing the unique needs and behaviors of individuals with dementia (Alzheimer’s and others)
  • Communicating with cognitively impaired patients process
  • Understanding the behavior of cognitively impaired patients
  • Appropriate responses to the behavior of cognitively impaired patients
  • Methods of reducing the effects of cognitive impairments
  • Spiritual and cultural health
  • Monitoring patients 1:1 / patient safety partner

Basic Restorative Services – The patient care assistant should be able to demonstrate skills which incorporate principles of restorative nursing, including but not limited to:

  • Training the patient in self-care according to the patient’s abilities
  • Ambulation with/without a gait belt
  • The use of assistive devices in transferring, ambulation, eating and dressing patients
  • Maintenance of range of motion
  • Proper turning and positioning in bed and chair
  • Bowel and bladder training
  • Care and use of prosthetic/orthotic devices and eyeglasses

Patients Rights – The patient care assistant should be able to demonstrate behavior which maintains patients’ rights, including but not limited to:

  • Providing privacy and maintenance of confidentiality
  • Promoting the patients’ right to make personal choices to accommodate their needs
  • Providing needed assistance in transporting patients
  • Maintaining care and security of patient’s personal possessions
  • Providing care which maintains the patient free from abuse, mistreatment and neglect and reporting any instances of such treatment to appropriate facility staff
  • Avoiding the need for restraints in accordance with current professional standard

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