Carer Shadowing Form This form is your record of shadowing from your perspective and how you found the experience and how prepared you are to commence your own rota - please be honest in your answers. Please note, your shadowing cannot be paid until HR receive this review form and your shadowing timesheet AND feedback from your senior carer.Name* First Last Email:* ensure your email is entered correctly - you will receive a completed copy of this form.Date form completed:* DD slash MM slash YYYY Job Title:Home Care WorkerYour Manager:*Carol SavageRachel DeeryArea you work:*For example Newcastle, Belfast, Ballynahinch etc.. How many hours of shadowing did you complete?* Shadowing hours are capped at 16 hours MAX.Please list the names of carers/seniors you completed your shadowing hours with:*Please upload your shadowing timesheet by taking a photo or uploading the word document - if you cannot print the form or unable to complete please contact HRMax. file size: 80 MB.Please give examples of clients you visited where you completed the tasks listed below. Please use several client examples to ensure your shadowing has been robust.1. Care plan and tasks to be completed:*Please give at least 2 client examples you have read and understood the care plan and tasks to be completed detail how you found this.2. Personal Care*Please give at least 2 client examples you have performed personal care with. Detail how performing personal care was and if you are comfortable with this task.3. Moving & Handling*Please give at least 2 client examples you have performed Moving and handling MUST include use of hoist and or sliding sheet. Detail transfers completed.4. Understanding Medication*Please give at least 2 client examples you have performed medication tasks with detail the process and if prompting how you found this.5. Preparing Food*Please give at least 2 client examples you have performed prepared food for - you can detail the food made and how you found this task.6. Completion of care notes and items to be reported*Please give at least 2 client examples you have completed care notes for detail the notes and what you included and if you had to report anything why it needs to be reported.7. Donning & Doffing PPE*Please give at least 2 client examples in which you donned and doffed your PPE - You will be wearing PPE in all calls but please provide examples. How did you find the process and do you understand its importance?8. Additional*Is there any tasks you haven't completed or anything further you need shadowing on? It could be a task not listed above or something you feel would help make you a better carer.Do you feel competent in your shadowing/training to begin independent work?* Yes No If no please detail:*I confirm that I have completed this form & to the best of my knowledge all information I have provided is true & correct. I understand that any false information or deliberate omission may render me liable to dismissal. Signature*Please either draw using the pen with your mouse or if you are completing on your mobile or handheld device use your finger or stylus to sign your name.
