PCA Time and Activity Documentation - mrciworksource 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your phone number and employee number at the top of the form. This information is essential for identification.
  3. Fill in the week of service, specifying the start and end dates from Sunday to Saturday.
  4. In the activities section, check off all relevant tasks performed during each day of the week, such as dressing, grooming, and health-related activities.
  5. For each visit, indicate the staff-to-recipient ratio and shared care location. Record the time in and time out for each visit, ensuring to circle AM or PM appropriately.
  6. Calculate daily totals for hours worked and enter your wage. Sum up total hours for the week at the bottom of the form.
  7. Finally, both you and the recipient must sign to acknowledge that all information is accurate before submission.

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PCA (Personal Care Assistance) services provide assistance to an individual with a disability who needs help with activities of daily living (ADLs). In general, activities of daily living are those activities which need to be performed in order for a person to take care of oneself.
How to use this weekly planner Fill in the date range. At the top of the sheet, next to From and To, write the start and end dates for the week youre planning. Add fixed events first. Block time for deep work. Add admin tasks and recurring work. Dont forget breaks. Leave a few blank blocks. Update it as the week goes on.
To begin with, managers can fill in the basic details and share the timesheets with their employees to key in their work hours. Step 1: Enter the Employees Name. Step 2: Add a Date Range. Step 3: Add Project Details. Step 4: Add Work Hours for Each Workday. Step 5: Determine Total Work Hours. Step 6: Add Notes, if Required.

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PCAs are required to keep daily written records and to report any changes in the condition of the recipient to the agency. A PCA can provide a maximum of 310 hours of care each month per the Department of Human Services. This number does not change regardless of how many clients and/or agencies the PCA works for.
Time cards should be completely filled in and signed by both the employee and consumer the last day worked in the pay period. Do not sign before last day worked. If you do not know your UMPI number or your consumer Subscriber IDplease call the office and we will provide you with this information.
What should a time log include? Date. Clearly mark the date for each entry. Start and end times. Record the exact start and end times for each task. Task description. Provide a brief description of the task youre working on. Duration. Note the total time spent on each task. Priority level.
How to Fill Out a Timesheet? Step 1 - Name and Surname. The name field in a timesheet should be filled with the name and surname of the team member filling out the timesheet. Step 2 - Date. Step 3 - Project Details. Step 4 - Add Working Hours. Step 5 - Calculate the Hours. Step 6 - Notes. Step 7 - Approval.

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