Staff Shadowing Review form

Shadowing Review Form for DCA
Individuals Name
Individuals Name
First
Last
The individual demonstrated good use of knowledge around (Select all that apply)
The individual demonstrated good use of personal hygiene support in (if appropriate- select all that apply))
The individual demonstrated good housekeeping support through (select all that apply)
The individual demonstrated good ability and practice with manual handling techniques and equipment showing (select all that apply)
The individual demonstrated good communication skills by (select all that apply)
The individual demonstrated a good knowledge of infection control by (select all that apply)
Safeguarding (select all the apply)
Does the individual know and understand how to document care appropriately and in detail in the care record notes?
Supervisor name
Supervisor name
First
Last
Area Manager name
Area Manager name
First
Last
Start Over