HHA Supervision Competency Rool
HHA Supervision Competency Tool
A one-visit field supervision and competency validation tool for the Home Health Aide, used by the RN supervisor during the required aide supervisory visit. Yes/No/N/A checklist sections cover pre-visit preparation (paraprofessional plan of care review, patient confirmation call, supplies), visit activities (following the care plan, personal care as ordered, additional assigned duties, safe and effective practice, age-appropriate care, ID badge and dress code), infection control (asepsis, hand hygiene, bag technique, equipment care, disposal of soiled materials, influenza-season mask compliance), health teaching reinforcement and communication, and case management surveillance. A skills observed checklist lets the supervisor mark specific tasks including transfer techniques, toileting and elimination, bathing type, assistive devices, safe environment, emergency preparedness, and communication skills. Includes employee name, visit date, patient record and primary diagnosis fields, a reason-for-supervision selector (orientation, 30-day post-orientation, quarterly, annual, performance improvement), supervisor and employee comment blocks with signature and date lines, and the standard disclaimer. A branded, editable Word form ready to customize with your agency name.
