Direct Care Professional Peer Mentor Program

Module 2, page 3

Resource #6 SAMPLE: DIRECT CARE PROFESSIONAL PEER MENTOR NEW STAFF ORIENTATION CHECKLIST Depending upon the setting in which you provide care or support and the clients served, you may choose to list very specific orientation tasks for your DCP Mentors. This is an example of one used by DCP mentors in a nursing home. Use this modifiable tool to add your own tasks. You may want to engage your DCP staff in the development of this checklist. Whatever the expectations, they should be detailed and decided early on in your planning. They must also be consistent with the Direct Care Professional Peer Mentor Job Description you develop. In addition, it will be critical that you ensure that any delegation of duties is in keeping with governmental, corporate, union, and other policies, laws, or regulations governing your industry, as well as educational standards or qualifications of the employees.

Task (Tasks will depend upon the Mentor Mentee Date care/support setting) Initials Initials Assisting with oral hygiene Proper hand washing technique Assisting with toileting Assisting with partial baths Complete bed bath Showering resident Shampooing resident’s hair Giving whirlpool to resident Cleaning whirlpool Peri-care to female residents Peri-care to male residents Proper positioning in bed Proper lifting and moving in bed Transferring residents Safe usage of mechanical lift Catheter care for female residents Catheter care for male residents Obtaining output catheter drainage bag Feeding a resident, adding sugar, salt, etc. Giving male resident a urinal Proper positioning of a bedpan Making a closed bed Making an open bed Nail care and knowing where supplies are kept Proper disposal on incontinent pad Proper placement of dirty linen and clothing Location of oxygen tank and supplies Snack duties and who is responsible Proper hearing aid placement and removal 1 | P a g e Module 2, page 3

Task (Tasks will depend upon the Mentor Mentee Date care/support setting) Initials Initials Supplies in dirty utility room Supplies in clean utility room Proper use of hopper

How to handle and dispose of infectious waste and clothing Filling out list for baths and appointments Ability to take and record vital signs Where to record weights, bowel movements, urinary inputs and outputs Shaving male and female residents How to check care plan for changes Proper use of a weight scale Proper use and storage of wheelchairs Location of blood spill kit Location of backboard, CPR board and CPR mask Proper usage of the phone and how to answer properly Informed of times of bed checks Informed of toileting, check and change list

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