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Student Resources

HOME CARE AIDE SKILLS CHECKLIST

The following checklists contain the criteria used by the rater to evaluate each candidate’s performance for each of the skills included in the Skills Exam.

The Washington State Department of Health has determined how many points are required to pass a skill. Their decisions are based on providing public protection.

Candidates are required to pass all five skills to pass the test. But, perfect performance is not required to pass a skill. The value assigned to each checkpoint is and how many points are required to pass a skill are secure test information.

When administering the test, the evaluator watches the candidate perform the skill and compares each candidate’s performance to the checkpoints that make up the skill.

Alert: Your hand washing technique is evaluated at the beginning of the test. The skill is not prompted, which means you will not be told to wash your hands. Home care aides are expected to know to wash their hands before and after physical contact (touching) with the client. Demonstrating when hand washing is necessary is evaluated as a part of Common Care Practices.

Each checkpoint has a different value based on how critical it is to the safe performance of the skill. For example the criteria for locking the wheelchair before transferring the client have a higher point value than the checkpoint for removing the gait belt at the end of the skill.

The evaluator who observes and records your performance does not know the value of each checkpoint or how many points it takes to pass a skill. The evaluator will enter the observations for a candidate’s performance in the computer, and the computer will score the exam.

Summary of Skills Practices:

Handwashing
When the skills test begins, the candidate is evaluated on his/her hand washing technique.

Common Care Practices
Common Practices are behaviors or actions that are part of all care the home care aide (HCA) provides to the client. During the test, Common Care practices are evaluated as a part of every skill the candidate performs.

Feed a Client
The client is sitting at a table when care begins for this skill. The Client is unable to feed himself/herself. The role of the client is played by another candidate.

Help a Client to Walk
The client is seated in a chair when care begins for this skill. The client requires stand-by assistance and does not use assistive device to walk. The role of the client is played by another candidate.

Help a Client to Take Medication
The client is sitting at a table while this care is provided. The client is unable to open the medication bottle or pour his/her medication. The medication bottle contains candies that the candidate will pretend are medication pills for the test. The role of the client is played by another candidate.

Provide Mouth Care to a Client
The client is sitting at a table while this care is provided. The client is unable to brush his/her own teeth. The role of the client is played by another candidate.

Clean and Store a Client’s Denture
Client will hand the candidate a denture cup containing the denture. The role of the client is played by another candidate.

Provide Fingernail and Hand Care to a Client
For the test, the candidate is asked to provide care to only one hand. The role of the client is played by another candidate.

Provide Foot Care to Client
For this test, the candidate is asked to provide care to only one foot. The role of the client will be played by another candidate.

Help Dress a Client who has a Weak Arm
The client already wearing clean T-shirt and underwear, and needs to be dressed in shirt, pants, socks and shoes. The role of the client will be played by another candidate.

Put a Knee-high Stocking on a Client’s Leg.
For this test, the candidate is asked to put the stocking on only one leg. The role of the client will be played by another candidate.

Provide Passive Range of Motion (ROM) Exercises to Client’s Shoulder, Knee and Ankle
For this test, the candidate is asked to provide exercises to only one side of the body. The role of the client will be played by another candidate.

Provide Perineal Care to a Female Client
Perineal care is provided using soap and water. The role of the client will is a female mannequin.

Provide Catheter Care to a Client with an Inserted Urinary Catheter
Catheter care is provided using soap and water. The role of the client is a mannequin.

Transfer a Client from a Bed into a Wheelchair
The client can bear weight but cannot walk. The client’s transfer requires a transfer (gait) belt. The role of the client will be played by another candidate.

Turn and Reposition a Client who must stay in Bed, Onto His/her Side
The client needs help to turn and support to remain in a side-lying position. The role of the client will be played by another candidate.

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FREQUENTLY ASKED QUESTIONS

  • What is the application process for the Core Basic & Adult Family Home Program?
  • What is the home care aide selection process?
  • What is the role of the home care aide?
  • What to expect on the Washington State Home Care Aide Certification test?
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