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.
Place a tick in the box to show that the candidate completed each aspect of the activity
3. to the standard expected in the enterprise.
4. Ask the candidate a selection of the questions from the attached list to confirm his/her
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 equipment’s working condition immediately in
accordance with established procedures.
Did the candidate’s overall performance meet the standard?
Ye
No
s
Candidate name:
Assessor name:
Assessment Centre
Competency standards: Caregiving NC II
Unit of competency: Provide care and support to elderly
Instructions for the asses
Date of observation
Description of
assessment activity
Location of assessment
activity Questions Satisfactory
The candidate should answer the following questions: response
Yes No
Confirm requirements for assisting with patient mobility with
1 concerned health personnel and care plan.
Selects equipment according to prescribed plan of
2 care.
Prepares environment according to established
3 guidelines.
Explains procedure to patient as required using
4 appropriate communication techniques.
Carries out patient mobility using safe handling
5 methods and equipment as required.
Takes appropriate action to ensure patient comfort
6 and safety throughout positioning or transfer.
Undertakes communication with patients during
7 movement according to established procedures.
Moves patient to prescribed position and informs
8 concerned health personnel accordingly.
Cleans equipment in accordance with established
9 procedures.
Reports equipment’s working condition immediately in
10 accordance with established procedures.
What are specific requirements for assisting with patient
11 mobility in accordance with health personnel and care
plan

What are the safe handling methods t be carried out

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

How should you transfer the patient when exiting the

13 room?
How should you transfer the patient upon entering the
14 room?
What are the safe handling methods t be carried out
15 during patient ambulation when client comes up with a
problem with balance?
Competency standards: Caregiving NC II
Unit of competency: Providing care and support to infants/toddlers
Questions Satisfactory
The candidate should answer the following questions: YesresponseNo
Tools and equipment prepared according to the need of the
16 infant/toddler
Distressed infants and toddlers responded to based on appropriate
17 methods, activity and non-verbal cues
Infants and toddlers picked-up and cuddled according to procedure
18
Checked the infants and toddlers’ vital signs based on procedure
19
Checked the water quantity and temperature as per requirement.
20
Bathed infants and toddlers according to procedure.
21
Made comforters available to infants and toddlers when needed.
22
Cleaned and sterilized the infants and toddlers’ feeding bottles as
23 needed.
Prepared the milk formula as prescribed.
24
Fed and burped the infant according to established procedure.
25
Infants and toddlers’ crib prepared based on procedure
26
Infants and toddlers’ put to sleep based on procedure
27
Infants and toddlers exposed to family members, relatives and
28 playmates for communication and interaction purposes
Infants/toddlers provided with manipulative or creative toys and
29 games as needed.
Infants/toddlers given exercise activities as required
30

Competency standards: Caregiving NC II

Unit of competency: Providing care and support to children
Questions Satisfactory
The candidate should answer the following questions: response
Yes No

Hygiene practices are explained clearly to children based on

established procedures.
Personal hygiene procedures are demonstrated to children based on
health and safety procedures.
 Children paraphernalia are maintained based on healthy procedure

Children’s vital signs are checked before bathing based on established

procedures
Bathing paraphernalia are prepared as per procedure

Bath water quantity and temperature are checked based on health

requirement of the child
Children are assisted in dressing up according to prevailing weather
condition
Children’ preferences and decisions are acknowledged, respected and
followed whenever appropriate and possible
Children with difficult behavior in bathing are dealt with appropriately
as per procedure
Nutritional requirements of children are determined according to
their developmental stage
Menus prepared in accordance with children’ nutritional and cultural
requirements
Appetizing food and drinks are prepared and served sufficiently and
appropriately according to the child’s health needs and preferences

Children are fed following healthy procedures

Competency standards: Caregiving NC II

Fostering social, intellectual, creative and
Unit of competency: emotional development of children
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Opportunities developed self-help skills and independence provided
as needed.
Children given opportunities to make choice in appropriate ways
taking into consideration their individual differences
Children encouraged to accept responsibility for their own actions

Opportunities created for children to participate in decision making

Children encouraged to express their feelings, ideas and needs based

on social norm
Children provided with activities as means of releasing their feelings
according to their interests and needs.
Children encouraged to respect each other’s individual needs, abilities
and interest
Children encouraged to express their feelings, ideas and needs based
on social norm
 Children provided with activities as means of releasing their feelings
according to their interests and needs.
Children provided with activities as means of releasing their feelings
according to their interests and needs.
Children are encouraged to express their imagination and creativity
based developmental needs
Children are provided with activities that would support awareness of
the range of movements of their own body based on developmental
needs.

Materials and experiences are provided that would stimulate their

various senses based on their interests.
Experiences that develop and enhance imagination and creativity are
provided based on their interests
Opportunities provided for children to experience their individual
strengths and needs
Acknowledgement and positive support given based on child
experience negative feeling (frustration, aggression, depression, fear,
and anxiety)

Activities that present a challenge within the child’s needs and

capabilities provided based on developmental stage.
Individual differences acknowledged and respected based on child’s
development stage
Children’s achievements acknowledged and appreciated based on
preference
Children’s positive self-worth and self-esteem enhanced.

Competency standards: Caregiving NC II

Unit of competency: Fostering physical development of children
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Children provided with tools and equipment based on physical
development needs
Children given exercise or activities based on needs.

Children are provided opportunities to develop their physical skills

based on development needs.
Children are given the opportunities to develop themselves physically
in accordance with resources available
Equipment and tools are made available based on needs

Opportunities for physical development are provided based on child’s

stage of growth and development
Children are monitored and encouraged to develop healthy sleeping
patterns and practices based on physical needs
 Experiences provided which will develop and enhance physical fitness

Encouragement given to children to learn to develop habit forming

physical activities
Ways and means for the child to participate in physical fitness
communicated, modeled and practiced
Competency standards: Caregiving NC II
Unit of competency: Providing care and support to elderly
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Self-introduction by the caregiver to the elderly client done based on
established procedures
Appropriate attitudes such as confidentiality, privacy, courtesy and
respect adhered to and demonstrated towards the elderly based on
established procedures.

The elderly’s own interest, rights, freedom and decision-making

supported and respected based on established procedures.
Short interpersonal exchanges with the elderly in establishing,
developing, and maintaining rapport encouraged.
All support provided to the elderly in accordance with the elderly’s
needs, rights, self-determination and individual differences

The elderly encouraged and supported to participate in ceremonial,

cultural, educational, recreational, religious, social, and spiritual
activities as appropriately planned.

Assistance provided at all times in order to maintain a safe and

healthy environment, including minimizing physical dangers and risk
of infections based on established procedures.

Proper response to situations of risks to health and safety provided

and maintained based on established procedures.
Personal preferences identified in consultation with the elderly and a
plan for execution is mapped out based on established procedures

The elderly supported and encouraged in exercising their rights and

personal preferences without comprising their safety and those of
others and in accordance with established procedures

Short interpersonal exchanges, clarifying meaning and maintaining

interaction to identify the elderly’s preferences conducted based on
established procedures.

Time scheduled to effectively listen to the elderly’s preferences to

maximize his / her well-being.
The elderly’s personal care needs (aids to daily living) are identified
and assistance provided.
 Specific concerns and difficulties in meeting some personal care
needs are identified, clarified, and modified with the elderly in order
to effectively address such concerns and problem needs

Assistive devices for providing assistance for the elderly are identified
and used as appropriate.
Organizational policies and practices for reporting are followed as
appropriate.
The elderly’s self-esteem and confidence are enhanced

Provisions for interaction between the elderly and the community are
researched and developed.
Developmental and progressing personal care needs are identified,
acknowledged and provided for as appropriate.
Empathy is demonstrated in supporting and caring for the elderly’s
feelings or grief and loss.
Competency standards: Caregiving NC II
Providing care and support to people with
Unit of competency: special needs
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
All dealings with people with special needs are aimed at generating a
trusting relationship which includes protecting confidentiality, privacy,
individual choices and the right to decision making.

All dealings with people with special needs are aimed at generating a
trusting relationship which includes protecting confidentiality, privacy,
individual choices and the right to decision making.

Support for the interests, rights and decision making of people with
special needs is demonstrated in all dealings.
People with special needs are actively encouraged and supported to
communicate ideas, feelings and preferences
All support to people with special needs are provided in accordance
with their needs, rights and self determination
Assistance is provided to people with disabilities according to the
employment organization guidelines.
Information required by people with special needs are identified and
provided
Reactions and limitations regarding differences are recognized and
appropriate assistance is sought to ensure that the rights of people
with special needs are upheld.

Maintaining well-being of people with special needs

 People with special needs to identify and meet their needs

People with special needs in maintaining an environment that enables

maximum independent living
Competency standards: Caregiving NC II
Unit of competency: Maintaining healthy and safe environment
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Cleaning occurs as an ongoing process as per regulation.

Used suitable cleaning agents, tools, and equipment in accordance to

established procedures.
Followed infection control procedures according to established
procedures.
Maintained adequate ventilation, lighting, and heating/cooling.

Adhered to personal hygiene/health procedures at all times.

Cleaned beds and beddings to conform to health hygiene and safety

requirements as relevant.
Organizational and environment protection policies and procedures
on safety are implemented as required
Tools, equipments, toys and games appropriate to the age of the child
are identified
Equipment is selected, checked and maintained to ensure safety

Area is checked for hazards and risks reduction strategies are

implemented
Fire exits are kept unobstructed.

Disposing of waste materials is conducted in a safe and hygienic way.

Cleaning materials are stored safely

Environment is set-up to ensure safety of the client

Clients are supervised in accordance with the legal requirements and

regulations
Rules for safe play are explained, modeled and implemented

Direct contacts with individuals,/group is maintained

Potential risks are identified and acted upon to prevent or minimize

risk
 Hazards and potential hazards in the environment are identified and
clients are informed accordingly
Emergencies and evacuation procedures are discussed and practiced
with clients
Supervision is used as an opportunity to interact with clients

Competency standards: Caregiving NC II

Unit of competency: Responding to emergencies
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Exclusion guidelines for children and others suffering from an
infectious condition are followed
Hygiene and health principles are implemented in care practice

Infection control guidelines are followed

Signs of potential illness are reported

Medical assistance is sought as necessary according to policies and

procedures
Clients and relatives are informed as soon as possible

Client is comforted and settled

The safety of self and others are ensured

Immediate first aid is provided as required

Strategies to calm, reassume and comfort clients are implemented

Details of emergency are recorded and reported accurately

Information is provided to others according to established policies

Emergencies and accidents are responded according to the

established guidelines and legislative requirements
Medication is administered according to organizational policies and
legislative requirements
Medication is stored according to requirements

Medication is checked for name, instruction and use by date

All administered medication are documented in accordance with

requirements
Remove client from threat/danger or remove threat/danger from
client
The level of immediate danger is assessed and the situation is
reported to an appropriate person
Appropriate emergency procedure are implemented to ensure the
safety of children and workers
Appropriate removal/cleaning equipment, supplies, materials,
procedures and techniques are used in accordance with soil and litter
types and established procedures.

All wastes are removed from surface based on procedures.

Suitable maintenance procedures is selected and applied based on

identified floor types and surface textures.
Cleaning, polishing and sweeping are performed according to
standard operating procedures.
Cleaning, polishing and sweeping equipment, supplies and materials
are used following safety procedures and manufacturer’s
specifications.

Cleaning/polishing equipment are cleaned after use in accordance

with relevant safety procedures and manufacturer’s instructions.

All cleaning, polishing, sweeping materials and equipment are stored

as per standard operating procedures (SOPs).
Routine maintenance is carried out as per SOPs.

Furnishings and fixtures are cleaned in accordance with standard

operating procedures.
Furniture positioned based on comfort and convenience and room lay
out.
Equipment is cleaned after use in accordance with relevant safety and
manufacturer’s instructions.
All cleaning materials and equipment are stored following SOPs.

Routine maintenance is carried out or arranged as per standard

operating procedures.
Mattress is aired, freed from and vacuumed in accordance with SOPs.

Soiled linens and pillowcases are replaced in accordance with SOPs.

Linens are centered and mitered when replaced as per SOPs.

Beds and cots are made-up according to prescribed procedure.

Ceilings and walls are cleaned in accordance with standard operating

procedures and techniques.
Window edges and sills are wiped clean in accordance with standard
operating procedures.
Bath tub, lavatory and toilet bowls are scrubbed and disinfected in
accordance with standard operating procedures and techniques.

Accessories are washed and cleaned in accordance with standard

operating procedures and techniques.
Bathroom supplies are replenished and defective accessories replaced
as per SOPs.
Equipment is cleaned after use in accordance with manufacturer’s
instruction.
All cleaning materials and equipment are stored in a safe place as per
SOPs.
Routine maintenance is carried out or arranged as per standard
operating procedures.
Sanitizing agents are 100% accurately measured and mixed in
accordance with relevant safety regulations.
Excess mixtures of sanitizing agents are disposed according to
environmental requirements.
Rooms are sanitized in accordance with standard operating
procedures.
Equipment is cleaned after use in accordance with manufacturer’s
instructions.
All cleaning materials and equipment are stored in a safe place as per
SOPs.
Routine maintenance is carried out or arranged as per standard
operating procedures.
All equipment and cleaning paraphernalia are checked and
maintained according to manufacturer’s instructions.
All wastes are removed and disposed of in accordance with
employer’s requirements.
All movable furniture and fittings are shifted to allow access to hidden
dust/waste/dirt and as per SOPs.
Rooms are checked regularly for orderliness/tidiness in accordance
with employer’s requirements.
Soiled dishes, pots, pans and linen are washed in accordance with
standard operating procedures.
Cleaned/dried dishes, pots and pans are stored as per standard
operating procedures.
Kitchen appliances are cleaned in accordance with standard operating
procedures.
Kitchen fixtures, tables and chairs are wiped in accordance with
standard operating procedures.
Floor is mopped and dried in accordance with standard operating
procedures.
 Kitchen supplies are inspected and replenished in accordance with
standard operating procedures.
Competency standards: Caregiving NC II
Unit of competency: Washing and ironing clothes, linen and fabric
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Soiled clothes, linen and fabrics are sorted according to texture, color,
size and defects.
Sorted items are prioritized according to the cleaning process required
ad the urgency of the item.
Defective clothing, linen and fabric are sewn/darned using
appropriate threads and stitches.
Personal protective paraphernalia are worn in accordance with
standard operating procedures (SOPs).
Stain removing agents and chemicals are used in accordance with
manufacturer’s instruction.
Stains are treated and removed using correct chemicals or agents.

All stain removing agents and chemicals are stored following safety
procedures.
Laundry area is cleaned and made ready at all times.

Laundry supplies and materials are prepared and made available at all
times.
Washing machine is checked and prepared for operation per manual
procedures
Correct laundry method is selected as per SOPs.

Clothes, linen and fabric are washed according to the labeling codes
and washing instructions.
Laundry equipment is used in accordance with manufacturer’s
instruction.
Clothing, linen and fabric are freed from stain, dirt and unpleasant
odor after washing based on procedures.
Washed clothes, linen and fabric are sun-dried/machine dried as per
instructions.
Dried clothes, linen and fabric are freed from unpleasant odor and
static cling.
Washing area is cleaned in accordance with safety and health
procedures.
Equipment is cleaned after use in accordance with manufacturer’s
instructions.
All cleaning materials and equipment are stored following safety
procedures.
 Routine maintenance is carried out or arranged as per standard
operating procedures.
Washed clothes, linen and fabric are dried according to procedures.

Drying machine is prepared according to procedure.

Dried clothes, linen and fabric are removed when dryer bell rings or
stops to prevent wrinkles and to minimize need for ironing.

Clothes, linen and fabric are dried without wrinkles according to

procedures.
Ironing is done in accordance to the standard procedures

Ironed clothes, linens and fabrics are folded, placed in a hanger and
stored in designated cabinets as per instructions.
Ironing equipment and materials are stored in the appropriate area
following safety procedures.
Competency standards: Caregiving NC II
Unit of competency: Preparing hot and cold meals
Questions Satisfactory
response
The candidate should answer the following questions: Yes No
Prepare ingredients according to recipes

Ingredients are purchased in accordance with purchase list.

“Mise en place” is checked as per SOPs.

Thawing is prepared according to thawing procedures.

Meat are prepared according to procedures and prescribed recipe.

Vegetables are prepared according to the manner of preparation.

Seafood’s are prepared according to method of preparation.

Soup is cooked as per menu.

Vegetable dishes are cooked according to recipe.

Meat dishes are cooked according to culinary Method.

Poultry and game dishes are cooked according to recipe.

Sea food dishes are cooked according to recipe

Egg dishes are cooked according to client’s preference

Pasta grain and farinaceous dishes are cooked according to recipe

Serving portion is standardized.

Presentation of cooked dishes are developed and corrected in

accordance with SOPs.
Food quality is maintained and checked as per SOPs.

Time and temperature condition of foods is ensured before serving

based on freezing temperature.
Materials, equipment/utensils are prepared prior to preparation of
sauces, dressings and garnishes as per SOPs.
Sauces, garnishes, hot and cold dressing are prepared as per SOPs.

D’oeuvres are prepared according to requirement and preference of

client.
Canape’s are prepared according to requirement for preference of
client.
Finger foods are prepared according to requirement or preference of
client.
Materials, equipment/utensils used for cooking are prepared as per
SOPs.
Materials, equipment/utensils used for cooking are prepared as per
SOPs.
Fruit desserts are prepared as per prescribed procedures.

Pastry desserts are prepared as per prescribed procedures.

Mousse is prepared as per prescribed procedures.

Cold salads and molded salads are prepared as per prescribed

procedures.
Hot sandwiches are prepared as per SOPs.

Cold dressings are prepared as per SOPs.

Hot sauces are prepared as per SOPs.

Cold sauces are prepared as per SOPs

Unconsumed foods are stored according to procedures.

Excess ingredients are stored according to client’s requirement.

Proper method of refrigeration and proper storing of dry food is

implemented as per SOPs.
Wet and dry food ingredients are properly stored as per SOPs.

Unconsumed cooked food is converted/ transformed into new dishes

as per SOPs.
Unconsumed cooked food is store/frozen at temperature of zero
degrees and in accordance with SOPs.
Packed/wrapped uncooked foods are frozen at zero degrees F
temperature and in accordance with SOPs.
Packed/wrapped food for storage is prepared as per SOPs.

Uncooked food is maintained at proper temperature and as per SOPs.