Healthcare Career Advancement Program (HCAP)

On-the-job Training

• Maintain Clean and Safe Environment
  • Infection Control Activities - Hand Washing
  • Infection Control Activities - Use OSHA and CDC guidelines (such as handling Blood Borne Pathogens)
  • Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
  • Infection Control Activities - Use of personal protective equipment (PPE) and devices including gloves, gown, mask and goggles
  • Physical Environment Maintenance - Perform visual check of resident’s living area and resolve potential safety Issues (secure hazardous materials; clear pathways; etc.)
  • Physical Environment Maintenance - Check resident’s alarm; make sure call light is within resident’s reach; secure patient’s bed
  • Physical Environment Maintenance - Take care of cleaning needs in resident’s room
  • Physical Environment Maintenance - Follow isolation procedures in the disposal of soiled linen and clothing
  • Physical Environment Maintenance - Make unoccupied bed
  • Physical Environment Maintenance - Make occupied bed
  • Safety Procedures - Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills)
  • Safety Procedures - Properly use safety tools (such as an ABC fire extinguisher)
  • Safety Procedures - Maintain and operate back up equipment as needed
  • Safety Procedures - Apply and monitor safety devices
  • Safety Procedures - Able to administer the Heimlich Maneuver and other lifesaving assistance
  • Safety Procedures - Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
• Communicate Effectively, While Following Regulations with Residents, Family, Medical Team and Other Authorized Persons
  • Interact with residents in a respectful way regarding their culture, their needs and preferences, while respecting their privacy
  • Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
  • Write report and document issues and events in clear concise language, within regulatory requirements
  • Report physical changes, mental changes, abuse, any changes to the medical team or authorized persons that they should be aware of
  • Understand and follow legal requirements on reporting and documentation (HIPAA)
• Basic Nursing Assistant Skills
  • Measure/record respiration and obtain other vital signs
  • Measure/record oral temperature (non-digital thermometer)
  • Measure/record rectal temperature (non-digital thermometer)
  • Measure/record radial pulse
  • Measure/record height
  • Measure/record weight (balance scale/chair scale)
  • Collect urine specimen
  • Collect stool specimen
  • Measure/record food and fluid intake
  • Measure/record urinary output
  • Provide post-mortem care
  • Assist nursing staff with any additional duties as assigned within scope of practice
• Personal Care Skills and Activities of Daily Living
  • Assist resident with bathing or dressing if needed
  • Give complete bed bath
  • Give partial bed bath
  • Provide AM and PM care
  • Give shower
  • Give bath/whirlpool bath
  • Provide hair care including shampooing, grooming, brushing, combing
  • Provide mouth care for residents with natural teeth
  • Provide mouth care for residents with no natural teeth
  • Provide denture care
  • Shave resident
  • Provide hand and nail care
  • Provide foot care
  • Dress resident, including care of eyeglasses and hearing aides
  • Perineal care -female
  • Perineal care - male
  • Perineal care – incontinent resident
  • Assist with bedpan (offer/remove/ clean)
  • Assist with urinal (offer/remove/ clean)
  • Use bedside commode
  • Urinary catheter care
  • Care of / emptying of urinary drainage bag
  • Provide ostomy care
  • Feed resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
  • Provide skin care, including back rub
  • Position resident in chair
  • Move resident up in bed
  • Position resident on side in bed
  • Transfer resident: one assist, two assist, mechanical lift, transfer belt, and lift sheets
• Promote Resident’s Developmental, Mental Health and Social Service Needs
  • Able to effectively and supportively deal with abusive residents
  • Respect patient privacy (knock before entering)
  • Promote resident’s social interaction, recreation
  • Encourage self- advocacy and promote resident’s self-esteem
  • Demonstrate techniques for communicating effectively to residents
  • Provide companionship; assists resident with correspondence
  • Encourage health eating choices
  • De-escalate disputes between residents
  • Coordinate resident’s appointments
  • Encouraging family and friends as a source of emotional support of resident
• Care of Cognitively Impaired Residents
  • Able to effectively communicate with cognitively impaired residents
  • Provide appropriate assistance with Activities of Daily Living to maximize independence and well-being, understanding impairment issues and client preference
  • Incorporate expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically
• Basic Restorative Skills/Services
  • Encourage patient self-care as appropriate and safe
  • Assist with ambulation using gait belt
  • Easing resident (about to fall) to floor during ambulation
  • Utilize ambulation assistive devices and adaptive equipment correctly and safely
  • Assist resident with feeding adaptive equipment as needed
  • Under nurse’s care, assist with improving the resident’s range of motion to upper extremities and to lower extremities
  • Assist the resident in the use of positioning devices in bed and in chair
  • Assist residents in the proper use of prosthetic/orthotic devices
  • Apply hand splint
  • Use all transfer and other equipment in a manner to make the resident feel safe
  • Implement turning, repositioning and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
  • Provide exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
  • Provide bowel and bladder training as needed
• Resident’s Rights
  • Respond to resident’s call lights promptly and forwards requests if unable to take care of the request
  • Provide privacy doors or pulling curtain around resident when providing care
  • Respect resident individuality, preferences as much as safely possible
  • Respect and maintain the confidentiality of the resident always adhering to HIPAA and other guidelines
  • Notify nurse, family member or other team members of the resident of needed equipment or personal supplies
  • Avoid the need for restraints if possible
• Perform Administrative Tasks
  • Complete all required reports and documentation
  • Understand and implement all policies and procedures, including new ones
  • Participate in agency/staff/medical team meetings
  • Maintain all professional licensing up to date, including requirements for vaccinations