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Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
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Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
Home
About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
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Personal Care Worker Evaluation
Personal Care Worker Evaluation
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Employee Name:
Employee Name:
Type of Evaluation:
€ 90 day
€ Annual
Outstanding (5): Consistently exceeds job requirements and essential function
Commendable (4): Frequently exceeds job requirements and essential function
Satisfactory (3): Meets job requirements and essential function
Needs improvement (2): Often fails to adequately meet job requirements and essential function
Unsatisfactory (1): Consistently fails to adequately meet job requirements and essential function.
Follows Agency policy on hand washing guidelines
1
2
3
4
5
Follows Agency policy on visit “bag technique”
1
2
3
4
5
Follows the Consumer’s service plan as established.
1
2
3
4
5
Assists in maintaining a healthful, safe environment.
1
2
3
4
5
Plans and prepares nutritious meals per service plan.
1
2
3
4
5
Assist with medications ordinarily self-administered as per service plan
1
2
3
4
5
Notifies the office of changes to Consumer schedule (days or times)
1
2
3
4
5
Completion of adl’s per agency policy.
1
2
3
4
5
Encourages the Consumer to be involved in their services.
1
2
3
4
5
Performance of Household services per the service plan.
1
2
3
4
5
Performance of laundry service as per the service plan.
1
2
3
4
5
Notifies the office/supervisor of Consumer changes in situation.
1
2
3
4
5
Documentation is accurately and appropriately for every Consumer visit.
1
2
3
4
5
Submits weekly paperwork timely.
1
2
3
4
5
Maintains a professional appearance while visiting Consumers.
1
2
3
4
5
Representation of the Agency in a professional manner to Consumers and outside professionals.
1
2
3
4
5
Conducts themselves in a polite, courteous and pleasant manner.
1
2
3
4
5
Follows all the Agency’s policies and procedures.
1
2
3
4
5
Participates in the QA Committee process as requested.
1
2
3
4
5
Notifies Agency of emergencies, sickness, and other imminent occurrences that may affect the caseload asap relative to the event’s occurrence.
1
2
3
4
5
Submits written time requests 2 weeks or more in advance of planned time off.
1
2
3
4
5
Comments:
Goals:
Employee Signature
Date
MM slash DD slash YYYY
Evaluator’s Signature/Title
Date
MM slash DD slash YYYY
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Home
About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
Form