Observation and Questioning Checklist

Candidate name:
Assessor name:
Assessment Centre
Competency
standards

Caregiving NC II

Unit of competency:

Provide care and support to elderly

Instructions for the assessor:

1. Observe the candidate while assisting in patient mobility.
2. Describe the assessment activity and the date on which it was undertaken.
3. Place a tick in the box to show that the candidate completed each aspect of the activity
to the standard expected in the enterprise.
4. Ask the candidate a selection of the questions from the attached list to confirm his/her
underpinning knowledge
5. Place a tick in the box to show that the candidate answered the questions correctly.
6. Complete the feedback sections of the form.
Date of observation
Description of assessment
activity
Location of assessment activity
The candidate.

If yes, tick the box

Confirm requirements for assisting with patient

mobility with concerned health personnel and care
plan.
Selects equipment according to prescribed plan of
care.
Prepares environment according to established
guidelines.
Explains procedure to patient as required using
appropriate communication techniques.
Carries out patient mobility using safe handling
methods and equipment as required.
Takes appropriate action to ensure patient comfort
and safety throughout positioning or transfer.
Undertakes communication with patients during
movement according to established procedures.
Moves patient to prescribed position and informs
concerned health personnel accordingly.
Cleans equipment in accordance with established
procedures.
Reports equipments working condition immediately in
accordance with established procedures.
Did the candidates overall performance meet the
standard?

Yes

No

Observation and questioning checklist [continued]

Questions

Satisfactory response

The candidate should answer the following questions:

Yes

No

1. What are specific requirements for assisting with patient

mobility in accordance with health personnel and care
plan

2. What are the safe handling methods t be carried out

during patient ambulation when client comes up with a
problem with balance?

3. How should you transfer the patient when exiting the

room?

4. How should you transfer the patient upon entering the

room?

5. What are the safe handling methods t be carried out

during patient ambulation when client comes up with a
problem with balance?

Feedback to candidate:

Assessor signature:
Acceptable Answers:

1.
2.
3.
4.
5.
6.
7
8.
9.
10.

Date:

Observation and Questioning Checklist

Candidate name:
Assessor name:
Assessment Centre
Competency
standards

Caregiving NC II

Unit of competency:

Provide care and support to elderly

Instructions for the assessor:

1. Observe the candidate while performing bed bathing and bed making.
2. Describe the assessment activity and the date on which it was undertaken.
3. Place a tick in the box to show that the candidate completed each aspect of the
activity to the standard expected in the enterprise.
4. Ask the candidate a selection of the questions from the attached list to confirm
his/her underpinning knowledge
5. Place a tick in the box to show that the candidate answered the questions correctly.
6. Complete the feedback sections of the form.
Date of observation
Description of assessment
activity
Location of assessment activity
The candidate.

If yes, tick the box

Confirm requirements for performing bed bathing

and bed making with concerned health personnel
and care plan.
Selects equipment according to prescribed plan of
care.
Prepares environment according to established
guidelines.
Explains procedure to patient as required using
appropriate communication techniques.
Carries out the procedure using safe handling
methods and equipment as required.
Takes appropriate action to ensure patient comfort
and safety throughout positioning or transfer.
Undertakes communication with patients during
movement according to established procedures.
Moves patient to prescribed position and informs
concerned health personnel accordingly.
Cleans equipment in accordance with established
procedures.
Reports equipments working condition immediately in
accordance with established procedures.
Did the candidates overall performance meet the
standard?

Yes

No

Observation and questioning checklist [continued]

Questions

Satisfactory response

The candidate should answer the following questions:

Yes

No

1. What are specific requirements for assisting with patient

mobility in accordance with health personnel and care
plan

2. What are the safe handling methods t be carried out

during patient ambulation when client comes up with a
problem with balance?

3. How should you transfer the patient when exiting the

room?

4. How should you transfer the patient upon entering the

room?

5. What are the safe handling methods t be carried out

during patient ambulation when client comes up with a
problem with balance?

Feedback to candidate:

Assessor signature:
Acceptable Answers:

1.
2.
3.
4.
5.
6.
7
8.
9.
10.

Date: