[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-364023-105":53,"doc-detail-364023-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","home-health-aidpersonal-care-aide-worksheet-time-sheet","HOME HEALTH AID/PERSONAL CARE AIDE WORKSHEET - TIME SHEET","","Exclusive Home Care Services Inc home health aide worksheet and time sheet for tracking patient care tasks and daily work hours. Includes sections for patient and employee information, activities aligned to the care plan (bathing, mouth care, grooming, toileting), meal preparation, transfers, mobility support, exercises, temperature/pulse/respirations/weight recording, catheter and ostomy care, and household duties. Provides a weekly schedule with start/finish times, total daily hours, patient and employee signatures, plus certification and client notice instructions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/home-health-aidpersonal-care-aide-worksheet-time-sheet/364023/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/home-health-aidpersonal-care-aide-worksheet-time-sheet/364023.png","ImageObject",442,249,{"name":88,"@type":89},"dhado","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-21","2026-09-23",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information fields are included on the worksheet?","Question",{"text":109,"@type":110},"The form collects patient name and address, employee name and last 4 SS#, and an employee I.D. number.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Which care plan tasks does the form list?",{"text":114,"@type":110},"It lists personal care (bathing, mouth care, shampoo, shaving, nail care, skin and foot care, toileting), meal support based on the care plan, transfers and walking assistance, and home exercise-related activities.",{"name":116,"@type":107,"acceptedAnswer":117},"How are work hours verified on this time sheet?",{"text":118,"@type":110},"Each day records start time, finish time, total daily hours, and requires both the patient’s signature and the employee’s signature, with totals for the week.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},364023,1791141581,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},5909893218464,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","EXCLUSIVE HOME CARE SERVICES INC1311 Kings Hwy,2Floor,Brooklyn New York 11229P:(718)-559-0191 F:(718)-676-4511exclusivehcservices@gmail.com  \n# HOME HEALTH AID/PERSONAL CARE AIDE WORKSHEET/TIME SHEET\n\n\n| Patient Name:   |  | Employee Name:   |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Address:   |  | Employee's Last4 SS\\#:   |  |  |  |  |  |  |\n|  |  | I.D.\\#   |  |  |  |  |  |  |\n|  |  | MON   | TUE   | WED   | THU   | FRT   | SAT   | SUN   |\n| Bath1T02  \u003Cbr>Bathing:  \u003Cbr>Shower 10T  \u003Cbr>Tub 100   |  |  |  |  |  |  |  |  |\n| Mouth Care   | 104   |  |  |  |  |  |  |  |\n| Shampoo   | 105   |  |  |  |  |  |  |  |\n| Shave   | 107   |  |  |  |  |  |  |  |\n| Nail Care(do not cut)   | 108   |  |  |  |  |  |  |  |\n| Dress /Undress   | 109   |  |  |  |  |  |  |  |\n| Skin Care   | 110   |  |  |  |  |  |  |  |\n| Foot Care   | 111   |  |  |  |  |  |  |  |\n| Toileting   | 115   |  |  |  |  |  |  |  |\n| Prepare/Serve meal  \u003Cbr>DIET AS PER CARE PLAN   | 200   |  |  |  |  |  |  |  |\n| Breakfast 201  \u003Cbr>Diner 203  \u003Cbr>□Lunch202   |  |  |  |  |  |  |  |  |\n| Assist with feeding   | 205   |  |  |  |  |  |  |  |\n\n# ACTIVITIES:\n\nAS PER CARE PLAN  \n\n| Transfers   |  |  |  | 300   |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Assist with walking   |  |  |  | 301   |  |  |  |  |  |  |  |  |  |\n| Home Exercise Program   |  |  |  | 303   |  |  |  |  |  |  |  |  |  |\n| Turn &Position   |  |  |  | 305   |  |  |  |  |  |  |  |  |  |\n| SPECIAL INSTRUCTIONS:AS PER CARE PLAN   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Record temperature   |  |  |  | 400   |  |  |  |  |  |  |  |  |  |\n| Record Pulse/Respirations   |  |  |  | 401   |  |  |  |  |  |  |  |  |  |\n| Record weight   |  |  |  | 403   |  |  |  |  |  |  |  |  |  |\n| Urinary catheter care(empty foley bag)   |  |  |  | 407   |  |  |  |  |  |  |  |  |  |\n| Ostomy care   |  |  |  | 408   |  |  |  |  |  |  |  |  |  |\n| Medication-remind only   |  |  |  | 409   |  |  |  |  |  |  |  |  |  |\n| Assist with treatment   |  |  |  | 410   |  |  |  |  |  |  |  |  |  |\n| HOUSEHOLD:  \u003Cbr>AS PER CARE PLAN   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Change linens   |  |  |  | 500   |  |  |  |  |  |  |  |  |  |\n| Laundry   |  |  |  | 501   |  |  |  |  |  |  |  |  |  |\n| Light housekeeping   |  |  |  | 502   |  |  |  |  |  |  |  |  |  |\n| Food shopping   |  |  |  | 504   |  |  |  |  |  |  |  |  |  |\n| Maintain clean,safe environment   |  |  |  | 507   |  |  |  |  |  |  |  |  |  |\n| AS PER CARE PLAN  \u003Cbr>OTHER DUTIES:   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Other   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Escort   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| DAY OF  \u003Cbr>WEEK   | DATE   | TIME STARTED   | TIME FINISHED   |  | TOTAL DAILY  \u003Cbr>HOURS   |  |  | PATIENT'S SIGNATURE   |  |  | EMPLOYEE'S SIGNATURE   |  |  |\n| MON   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| TUE   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| WED   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| THU   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| FRI   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| SAT   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| SUN   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| TOTAL HOURS WORKED THIS WEEK   |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nWORKER:I hereby certify I worked these hours and that the client signed for the time worked.Furthermore,I understand that lam to  \ncontact the Coordinator after completing this assignment.  \nIMPORTANT NOTICE TO CLIENTS:Your signature certifies that the hours shown above are correct,work was performed and youunderstand and agree with the Customer Agreement.USE BLACK PEN-PRES HARD,NO CORRECTIONS OR WHITEOUT CAN BE USED","cbCaieAoTW5RVHDP","https://ap.wps.com/l/cbCaieAoTW5RVHDP","pdf",266751,"English","# Patient and Employee Details\n# Bathing and Personal Care\n# Prepare/Serve Meals\n# Activities and Transfers\n# Special Instructions (Care Plan)\n# Record Measurements and Clinical Care\n# Household Duties\n# Weekly Time Schedule\n# Certifications and Notice","[{\"question\":\"What information fields are included on the worksheet?\",\"answer\":\"The form collects patient name and address, employee name and last 4 SS#, and an employee I.D. number.\"},{\"question\":\"Which care plan tasks does the form list?\",\"answer\":\"It lists personal care (bathing, mouth care, shampoo, shaving, nail care, skin and foot care, toileting), meal support based on the care plan, transfers and walking assistance, and home exercise-related activities.\"},{\"question\":\"How are work hours verified on this time sheet?\",\"answer\":\"Each day records start time, finish time, total daily hours, and requires both the patient’s signature and the employee’s signature, with totals for the week.\"}]","HOME HEALTH AID/PERSONAL CARE AIDE WORKSHEET - TIME SHEET | PDF",1790155181]