THE SCHOOL OF KHANYA
Holistic Training
CAREGIVER STUDENT: PRACTICAL SKILLS FORM
Student Name: Ms Bulelwa Dlepu
Student Number: SoK1998
EACH SKILL OR PROCEDURE MUST BE RECORDED BY THE STUDENT AND SIGNED OFF BY THE RELEVANT PERSON IN CHARGE OF THE STUDENT, ONCE THAT PERSON IS SATISFIED THAT THE STUDENT IS COMPETENT WITH THAT PARTICULAR SKILL / PROCEDURE SKILL / PROCEDURE DATE
SUCCESSFULLY
COMPLETED
STUDENT
SIGNATURE
SIGNATURE BY
RESPONSIBLE
PERSON FOR
STUDENT
Assessment of the patient's basic needs
Maintenance and promotion of the
patient's health
Promoting communication with the
patient and their family
Assisting with the patient's physical
comfort, rest and sleep
Assisting in the prevention / possible
cure of bed / pressure sores
Understanding the role of the caregiver
Have an awareness of all safety aspects
Measuring and assessing a patient's
urine
Care of a patient with a urinary catheter
Measuring and assessing a patient's
stool
Assisting in dressing and undressing of a
patient
Assisting with the patient's basic
hygiene - bathing
Assisting with the patient's basic
hygiene - hair care
Assisting with the patient's basic
hygiene - foot care
Assisting with the patient's basic
hygiene - mouth care
Assisting with the patient's basic
hygiene - nail care
Assisting with bed making
Assisting with feeding the patient
SKILL / PROCEDURE DATE
SUCCESSFULLY
COMPLETED
STUDENT
SIGNATURE
SIGNATURE BY
RESPONSIBLE
PERSON FOR
STUDENT
Caring for a patient that requires close
supervision
Observations of the patient
Appropriate reporting of the
observations made of the patient
Assisting in providing pain relief for the
patient
Transfer of the patient in and out of bed
Measuring of inputs and outputs of the
patient
Assisting the patient with physical
therapy
The Caregiver:
Adhering to all policies, rules and
procedures of the institution
Polite and well mannered
Has a pleasant and positive attitude
Appropriately dressed / Adhering to the
dress code of the institution
Has good communication skills
Compassionate and kind
Shows respect to other staff
Respects the privacy of patients and their
property
Honest
Dependable
Punctual
Helpful and willing to assist
Reliable
Conscientious work ethic
Kind, showing empathy and compassion
Exercising patience
Acceptances of differences
Respect of herself and maintaining
personal hygiene
Asks for help and support
SKILL / PROCEDURE DATE
SUCCESSFULLY
COMPLETED
STUDENT
SIGNATURE
SIGNATURE BY
RESPONSIBLE
PERSON FOR
STUDENT
Perseverance
Handles a crisis or medical emergency
Washing of hands thoroughly and
frequently
Limiting of private telephone calls when
on duty
General comments by the responsible person for the student Signature: Exit date of student
The School of Khanya (K2017098267 (SOUTH AFRICA) (2017/ 098267/07)) Cosmo Junction, Corner South Africa Drive and Tennessee Avenue, Cosmo City, Roodepoort Black Chain Centre, Corner Patrick and Chris Hani Road, Diepkloof Zone 6, Soweto Website: www.caregivingschoolofkhanya.co.za
Maria De Olmi-Johnston - Tel No 082-***-****/083-***-****