Patient Care Technician Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  OBTAINING AND RECORDING:         Rating Stars (Click) 1 2 3 4
  BP  
  including Orthostatic  
  VITAL SIGNS AND WEIGHTS  
  Administering an Enema  
  Applying Ted Hose  
  Asssessing Respirations  
  Assisting with Ambulation  
  Assist with Dressing  
  Colostomy Care  
  Denture Care  
  EKG  
  Incentive Spirometer  
  Isolation Techniques  
  Making an Unoccupied Bed  
  Making an Occupied Bed  
  Massaging  
  Measuring Height  
  Measuring Intake and Output  
  Moving the Patient  
  Mouth Care  
  Perineal Care  
  Phlebotomy  
  Placing Restraints  
  Positioning the Patient  
  Postmortem Care  
  Range of Motion  
  Sterile Technique  
  Transferring the Client  
  Universal Precautions  
  Using a Mechanical Lift  
  Recognizing Cardiac Arrest  
  Activating Code Team  
  Bringing Emergency Equipment to Room  
  Providing Appropriate Code Support  
  GI/GU  
  Report Abnormal Findings  
  Bowel Function  
  Bladder Function  
  Placing and Removing Bed Pan  
  Clamping Catheter  
  Emptying Foley Bag  
  Placing Condom Catheter  
  Emptying and Replacing Ostomy Bag (Established Ostomy)  
  Assessing Pulse         Rating Stars (Click) 1 2 3 4
  Apical  
  Radial  
  Assessing Temperature         Rating Stars (Click) 1 2 3 4
  Axillary  
  Oral  
  Rectal  
  Tympanic  
  Medication Administration         Rating Stars (Click) 1 2 3 4
  Buccal  
  Oral  
  Rectal  
  Topical  
  Vaginal  
  Weighing the Client         Rating Stars (Click) 1 2 3 4
  Chair  
  Bed  
  Sliding Scale  
  Use of Electronic VS Equipment:         Rating Stars (Click) 1 2 3 4
  Automatic BP machine (Dynamap)  
  Electronic Thermometer  
  Applying Oximeter  
  Administering Edemas:         Rating Stars (Click) 1 2 3 4
  Tap Water  
  Fleets  
  Nutrition         Rating Stars (Click) 1 2 3 4
  Return Flow  
  Estimating Intake  
  Setting up for Meals  
  Feeding Patients  
  Aspiration Precautions  
  Nourishments  
  Counting Calories  
  Fluid Restriction  
  NPO  
  Specimens         Rating Stars (Click) 1 2 3 4
  Collecting Stool  
  Collecting Sputum  
  Labeling Specimens and Preparing for Transport  
  Collecting Urine:         Rating Stars (Click) 1 2 3 4
  Clean catch  
  24 hour  
  Hygiene/Skin:         Rating Stars (Click) 1 2 3 4
  Risk Factors for Skin Breakdown  
  Observing Pressure Points for Redness or Breakdown  
  Bathing/Daisy Hygiene:         Rating Stars (Click) 1 2 3 4
  Bathing (Shower/Tub/Arjo)  
  Oral Care  
  including Patients who are NPO  
  Comatose  
  Pen Care  
  Foot Care for Patients with Impaired Circulation or Sensation  
  Incontinence Care  
  Shaving and Precautions  
  Reducing Pressure and Friction  
  Use of Pressure and Friction Reduction Services:         Rating Stars (Click) 1 2 3 4
  Bathing (Shower/Tub/Arjo)  
  Oral Care  
  including Patients who are NPO  
  Comatose  
  Pen Care  
  Foot Care for Patients with Impaired Circulation or Sensation  
  Incontinence Care  
  Shaving and Precautions  
  Reducing Pressure and Friction Special Beds/Mattresses  
  Heels and Elbow Protection  
  Foot Cradles  
  Use of Shower Chair  
  Use of Bath/Shower Boat  
  Infection Control:         Rating Stars (Click) 1 2 3 4
  Reverse Isolation  
  Body Substance Isolation  
  TB Precautions  
  MRSA Precautions  
  Hand washing  
  Infectious/Hazardous Waste Disposal  
  Supply/Equipment Disposal  
  Use of Disposable Thermometer  
  Use of CPR Mask/Bag  
  Proper Use of Specific Barrier, Methods:         Rating Stars (Click) 1 2 3 4
  Gloves  
  Gown  
  Mask/Goggles  
  Safety and Activity:         Rating Stars (Click) 1 2 3 4
  Determining Patient ID  
  Identifying Safety Hazards  
  Determining Need for Additional Help  
  Assessing Safety and ADL Needs  
  Recognizing Abuse: Substance  
  Physical  
  Emotional etc  
  Maintaining clean  
  orderly work area  
  Disposing of Sharps  
  Handling hazardous materials  
  Proper body mechanics  
  ROM Exercises  
  Transferring to bed  
  WC  
  Commode etc  
  Turning and positioning  
  Patient Safety Module  
  Reporting Broken Equipment  
  Responding to Safety Hazards  
  Use of HoyerLift (Dextra/Maxi)  
  Bed Operation  
  Use of Wheel Locks  
  Use of Alarms: Bed  
  Patient  
  Unit  
  Use of Call Light  
  Documenting Use of Restraints  
  Use of Transfer Belt  
  Use of Gait Belt for Ambulation  
  Use of Seizure Pads  
  Application of Restraints:         Rating Stars (Click) 1 2 3 4
  Belt including seat belt  
  Wrist/Ankle  
  Vest  
  AGE SPECIFIC COMPETENCIES         Rating Stars (Click) 1 2 3 4
  Newborn (birth to 30 days)  
  Infant (31 days to 1 year)  
  Toddler (ages 2-3 years)  
  Preschooler (ages 4-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adults (ages 65 -79 years)  
  Elderly (ages 80+ years)