PCT/Patient Care Assistant Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No experience

2 Limited Experience

3 Experienced

4 Highly Skilled

Skills

Perform Hand washing/use of Hand Sanitizer

Perform Heimlich maneuver

Seizures

Falling and Fainting

Apply personal protective equipment (gloves, mask and gown)

Remove personal protective equipment (gloves, mask, and gown)/hand sanitizer

Handle soiled linens

Double bag for isolation precautions

Apply/Remove waist restraint/lap buddy

Apply/Remove ankle/wrist restraint

Apply/Remove vest restraint

Use proper feeding techniques/Hygiene for resident

Provide partial feeding assistance

Use positioning and adaptive feeding devices

Measure/Record Fluid Intake

Measure/Record Solid Intake

Personal Care Skills

Elimination Skills

Vital Sign Skills

Positioning Skills

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.