Home Health Aide

Measuring What Matters in

Job Ready Assessment Blueprint

Test Code: 3048 / Version: 01Copyright 2009

Test Type: The Home Health Aide assessment is included in NOCTI’s Job Ready assessment battery. Job Ready assessments measure technical skills at the occupational level and include items which gauge factual and theoretical knowledge. Job Ready assessments typically o�er both a written and performance component and can be used at the secondary and post-secondary levels. Job Ready assessments can be delivered in an online or paper/pencil format.

Revision Team: The assessment content is based on input from secondary, post-secondary, and business/industry representatives from the states of Kentucky, Michigan, New York, Pennsylvania, and South Carolina.

General Assessment InformationWritten Assessment InformationSpeci�c Competencies Covered in the Test

Sample Written ItemsPerformance Assessment InformationSample Performance Job

Blueprint Contents

51.2602 - Home Health Aide/Home Attendant

31-1011.00Home Health Aides

Career Cluster 8 - Health Science

NOCTI Job Ready Assessment

Codecip

In the lower division baccalaureate/associate degree category, 3 semester hours in Home Health Aide

The Association for Career and Technical Education (ACTE), the leading professional organization for career and technical educators, commends all students who participate in career and technical education programs and choose to validate their educational attainment through rigorous technical assessments. In taking this assessment you demonstrate to your school, your parents and guardians, your future employers and yourself that you understand the concepts and knowledge needed to succeed in the workplace. Good Luck!

The American Medical Certification Association (AMCA) established as a division of the American School of Business, offers 14 certification exams for the allied healthcare field. AMCA supports NOCTI's Health Science assessments which are aligned to industry standards. This assessment is an excellent training instrument, in both content and test-mode preparation. Students passing both the NOCTI assessment and AMCA's national certification exam are demonstrating superior knowledge in their field and are outstanding candidates for entry-level positions in the allied healthcare field.

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Home Health Aide

General Assessment Information

NOCTI Job Ready Assessment

Areas Covered

NOCTI written assessments consist of questions to measure an individual’s factual theoretical knowledge.

Administration Time: 3 hoursNumber of Questions: 196Number of Sessions: This assessment may be administered in one, two, or three sessions.

3%

11%

7%

12%

7%

First Aid and Basic Emergency Measures

Abbreviations, Terminology, and Client Observation

Employability Skills

Client Care

Safety

Nutrition and Elimination

Positioning

Client Transfer

Provide Personal Care

Home Maintenance Management

Child Care

Medications

Client Rights

7%

7%

8%

6%

5%

6%

5%

10%

15%

11%

7%

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Wri�en Assessment

Home Health Aide

NOCTI Job Ready Assessment

(Continued on the following page)

First Aid and Basic Emergency Measures • Administer �rst aid for burns, cuts, and bites • Respond correctly to falls and seizures • Recognize and respond to signs/symptoms of medical emergencies • Perform CPR and Heimlich maneuver • Identify diabetic emergencies and take appropriate action

Abbreviations, Terminology, and Client Observation • Use approved abbreviations and terminology with correct spelling • Match physician titles with medical specialty areas • Follow plan of care (nursing/client care plan) as written • Obtain, record, and report vital signs including weight and pain assessment • Report and record LOC (level of consciousness) • Report and record any changes in client condition and report client needs • Assess and support client and family needs

Employability Skills • Demonstrate professional behavior and appearance • Display appropriate work ethics (dependability, initiative, attitude)

Client Care • Obtain specimens for laboratory tests • Observe skin for breakdown and report findings • Apply, and care for clients using, anti-embolic hose and pneumatics • Assist with prosthetics, walkers, wheelchairs, etc. • Apply dry dressing to wounds • Provide hot/cold treatment assistance • Perform active and passive ROM (range of motion) exercises • Assist client with coughing and deep breathing exercises

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Speci�c Competencies and Skills Tested in this Assessment

Home Health Aide

NOCTI Job Ready Assessment

(Continued on the following page)

Safety • Demonstrate safe/appropriate handwashing techniques • Identify and report potential safety hazards • Apply appropriate fire safety principles • Identify and use appropriate PPE (personal protective equipment) • Apply universal precautions/standards to handling of body fluids • Demonstrate knowledge of OSHA requirements • Demonstrate ability to follow protocol for personal safety

Nutrition and Elimination • Assist with meal planning, shopping, and food preparation • Measure/record client intake and output • Describe special diets used with RN direction • Assist client with meeting nutritional needs • Provide care and assistance with elimination needs (toileting, incontinence, enema, ostomy care, bowel/bladder training program, catheter care) Positioning • Assist client into correct position for procedures • Position client for various types of toileting • Follow safety precautions for turning and positioning client • Identify and safely operate hospital or other specialty beds • Assist client for comfort using proper body alignment

Client Transfer • Demonstrate safe client transfer using various assistive devices • Assist ambulatory client with walking • Demonstrate proper body mechanics for client and health care workers

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Speci�c Competencies and Skills (continued)

Home Health Aide

NOCTI Job Ready Assessment

(Continued on the following page)

Provide Personal Care • Make occupied and unoccupied bed • Give a complete and/or partial bed bath • Administer bed, tub, and shower shampoo • Provide foot and nail care • Provide (or assist with) oral hygiene and/or denture care • Assist client with ADLs (activities of daily living) • Provide skin care, including perineal care

Home Maintenance Management • Clean client environment appropriately • Report unsanitary conditions within the home • Assist client/family with sanitary environmental practices • Demonstrate problem-solving behavior

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Speci�c Competencies and Skills (continued)

Home Health Aide

Child Care • Provide care appropriate to developmental level of the child • Support family structure • Report child abuse/neglect

Medications • Follow prescribed medication plan • Report deviation from plan • Report untoward reaction to medications • Store medications correctly/safely

Client Rights • Support client’s right of choice • Maintain confidentiality and client privacy • Support client’s right to lodge complaint • Describe and discuss the use of approved safety restraints • Report suspected client abuse/neglect

NOCTI Job Ready Assessment Page 7 of 12

Speci�c Competencies and Skills (continued)

Home Health Aide

NOCTI Job Ready Assessment

(Continued on the following page)

A patient with diabetes is likely referred to a/an A. endocrinologist B. oncologist C. podiatrist D. cardiologist

Which can cause skin tears? A. keeping nails trim and smooth B. dressing the client in soft clothing C. wearing rings and bracelets D. padding wheelchair footplates

Clean blood spills immediately using A. soap and water B. 1 to 10 dilution of bleach/water C. ammonia D. alcohol

A client on a low sodium diet may consume A. tomato juice B. canned soup C. fresh vegetables D. bacon

When making the bed, place the soiled linen A. on the bedside table B. on the overbed table C. in a laundry bag/basket D. on the floor

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Sample Questions

Home Health Aide

NOCTI Job Ready Assessment

When the client complains of cold feet, the aide should A. provide socks to wear B. apply a hot water bottle C. soak the feet in hot water D. apply a heating pad

A wound appears red and swollen. The area around it is warm to touch. These are signs of the _______ phase of wound healing. A. proliferative B. inflammatory C. maturation D. secondary

The goal of bladder training is to A. increase the cost of care B. decrease urinary incontinence C. prevent embarrassing accidents D. reduce linen changes

When caring for a client who is in a hospital bed, the aide should A. return the bed to the lowest position when care is complete B. leave the side rails down while the bed is in the highest position C. unlock the wheels while giving care D. put bed in lowest position while giving care

When assisting with activities and daily living skills (ADLs), the aide should A. provide all the care B. let clients do as much as they can C. place needed supplies out of the client's reach D. encourage family involvement

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Sample Questions (continued)

Home Health Aide

NOCTI Job Ready Assessment

(Continued on the following page)

NOCTI performance assessments allow individuals to demonstrate their acquired skills by completing actual jobs using the tools, materials, machines, and equipment related to the technical area.

Administration Time: 2 hours and 10 minutesNumber of Jobs: 6

Areas Covered:

15% Obtain and Record Vital Signs Assemble equipment, wash hands, enter room and identify self, identify client and explain procedure, interview client, take oral temperature, radial pulse, respiration, and time to complete procedure.

6% Therapeutic Diet Meal PlanningHandwashing, meal plan selection, list food exchanges, selection of food models or photos, presentation of food, and time to complete procedure.

37% Bathing and Personal Care of Adult Assemble equipment, handwashing, room entry and self identi�cation, client identi�cation, provision for privacy and warmth, preparation of bed, removal of top linen, water temperature, client positioning, bathing including nail care, changing water, assisting client with dressing, replacement of bed linens, securing bed, and time to complete procedure.

21% Occupied BedmakingSelection of linen, handwashing, room entry and self identi�cation, client identi�cation and procedure explanation, provision for privacy and warmth, preparation of bed, removal/replacement of linen, positioning of client, securing bed, and time to complete procedure.

13%

8%

21%

15%

6%

37%

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Performance Assessment

Home Health Aide

NOCTI Job Ready Assessment

Areas Covered (continued)

8% First Aid for BleedingApplying gloves, applying pressure to slow/stop blood flow, applying dry dressing, cleaning up blood spill, removing gloves, duty to client, and time to complete procedure. 13% Transfer Client from Bed to Wheelchair Consulting client’s plan of care, handwashing – beginning of procedure, room entry and self identification, client identification and procedure explanation, preparing wheelchair, preparing bed, assisting client to sitting position, assisting client to standing position, assisting client into wheelchair, client comfort and security in chair, handwashing, and time to complete procedure.

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Home Health Aide

First Aid for Bleeding

Maximum Time: 20 minutes

Participant Activity: The participant will demonstrate �rst aid practices for controlling the flow of blood from an extremity wound using blood-borne pathogen (OSHA) precautions, apply a dry dressing, and clean up the blood spill.

NOCTI Job Ready Assessment Page 12 of 12

Sample Job

Home Health Aide