Home health aide form visit record 2025

1. Click ‘Get Form’ to open the home health aide weekly visit record in the editor.
2. Begin by entering the Employee Name and Patient Name at the top of the form. Ensure accuracy for proper identification.
3. Fill in the Week Beginning Date and mark each day of the week (Monday to Sunday) with the respective dates.
4. Record 'Time In' and 'Time Out' for each day, then calculate and enter 'Total Hours' worked.
5. In the Hygiene/Grooming section, check off all personal care tasks performed, such as bathing assistance and oral care.
6. Document any procedures carried out under the Procedures section, including catheter or ostomy care.
7. Measure and note vital signs in the Vitals section, ensuring to observe for fall risk.
8. Complete the Activity section by detailing mobility assistance provided and any exercises followed per care plan.
9. In Nutrition, indicate meal preparation tasks and any assistance with feeding or grocery shopping.
10. Finally, sign off on each day’s entries under Signatures, ensuring both employee and client signatures are present.

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