CNA Skills Checklist

SKILLS CHECKLIST

CNA All the fields are mandatory
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Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below. 
Proficiency : -1 = Never Performed2 = Limited Experience3 = Comfortable Performing4 = Proficient
Frequency : -1 = Never2 = Sometimes3 = Often4 = Always
Documentation Proficiency Frequency
Utilize common medical acronyms and abbreviations
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Report and Document Incidents
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Read and document time correctly, and correctly calculate time intervals
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Utilize common medical terminology such as pulse, oxygen, stat with correct spelling
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Record vital signs
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Record and calculate Intake & Output measurements
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Use of English and Metric conversions to calculate measurements
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Document work-related activities and actions, including writing text
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Methods of documentation Proficiency Frequency
Document using Graphic Notes
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Document using Checklist format
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Document using Narrative format
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Utilize Computerized documentation
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Environment/Safety Proficiency Frequency
Assit with
Suicide Precautions
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Transfer of patient using safe transfer technique
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Ambulation of patient with assistive device such as gait belt or walker
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Use of prosthetic/orthotic device
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Fall Precautions
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Application of protective devices Proficiency Frequency
Wrist restraint
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Mitt restraints
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Vest restraint
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Bed alarms
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Chair alarms
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Procedures Proficiency Frequency
Drains associated with post-operative care of patient (Jackson-Pratt, Hemo-Vac, Wound Vacs, etc.)
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Assist nursing staff during patient, departmental, and facility emergencies
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Perform identification of patient before any procedure using two patient identifiers
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Properly label all specimens
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Removal of indwelling foley catheter
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Removal of external foley catheter
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Set/application of hot/cold packs as directed
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Perform fingerstick for blood glucose
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Replace telemetry leads and change batteries as needed
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Perform administration of enemas such as soap suds/Fleets
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Application of TED/Support Stockings
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Application of K- Pads/Modules
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Bowel/bladder training
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Vaginal douche
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Simple dressing change, if applicable
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Prep patient prior to surgery
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Miscellaneous Proficiency Frequency
AED
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Removal of peripheral IV needle and saline lock
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Preparation and use of EKG equipment
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Post Mortem Care with cultural/spiritual considerations
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CPR
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Specimen Collection Proficiency Frequency
Urine (clean catch)
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Urine(foley)
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Stool
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Emesis
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Blood(fingerstick)
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Provision of Care Proficiency Frequency
Understanding of pain scales
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Maintain patient dignity and privacy at all times
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Prioritize and pace work activities based upon productivity needs
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Patient Identification using Two Patient Identifiers
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Incorporate federal regulatory laws into care (i.e. Patient Bills of Rights, HIPAA, Joint Commission National Patient Safety Goals, SDS)
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Assists with Patient Transport
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Measuring Height and Weight
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Provide Proficiency Frequency
Post-mortem care in accordance with cultural and religious considerations
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Care for Suicidal Patient
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Care for Combative Patient
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Care for Confused Patient
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Care for the dying patient
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Care for patient with DNR order
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Assists with patient admission Proficiency Frequency
Secure patient valuables
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Adjust bed settings/controls
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Equipment Set-up
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Provide notification to nurse of patient arrival
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Provide patient orientation to room
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Provide assistance with hospital gown
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Personal Care Proficiency Frequency
Range of Motion
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Back Care/Massage
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Catheter Care
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Colostomy Care
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Tracheostomy Care
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Shaving a patient
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Perineal care
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Shampoo (in sink, tub, or bed)
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Nail care (clean/file)
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Skin care (preventing pressure areas)
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Shaving patient (safety/electric razor)
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Positioning/Turning
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Perform Proficiency Frequency
Application of Ace Bandage
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Cast Care
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Application Hot/Cold Packs
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Assists with patient discharge Proficiency Frequency
Assist with transport for patient such as a wheelchair/stretcher
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Assist patient with personal belongings
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Communication Proficiency Frequency
Provide appropriate and timely information to team members regarding patient care
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Provide introduction of self to patient and explanation of all actions before they are taken
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Communicate clearly and effectively with others using phone/patient call system or in person
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Communicate and immediately report any change in patient condition to nursing supervisor
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Vital Signs Proficiency Frequency
Oral Temperature
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Axillary Temperature
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Rectal Temperature
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Tympanic Temperature
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Pulse
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Respirations
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Blood Pressure (Manual)
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Blood Pressure Monitor
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Types of bathing Proficiency Frequency
Complete Bed Bath
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Partial Bed Bath
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Tub Bath with assist
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Sitz
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Whirlpool bath
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Shower
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Types of Bedmaking Proficiency Frequency
Unoccupied
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Occupied
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Post Op Surgical
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Oral Hygiene Proficiency Frequency
Brushing Teeth
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Dental care
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Partials
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Mouth Care (swab, lip ointment)
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Assist with nutritional needs Proficiency Frequency
Proper feeding techniques (with/without assistive devices)
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Correct positioning of patient during and after feeding
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Special Dietary requirements
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Preparation of food such as opening containers and packages
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Assist patient with menu selection
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Aspiration Precautions
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Toileting/Elimination (Bowel/Bladder) Proficiency Frequency
Clean patient and patient environment
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Assist patient with bedpan
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Assist patient with urinal
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Assist patient with bedside commode
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Maintenance and care of foley catheter
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Empty foley catheter
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Provide ostomy care and assistance
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Empty Colostomy
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Equipment Proficiency Frequency
Miscellaneous
Use of pneumatic tube system
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Wound vacuums
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Bladder scanner
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Bed Scale
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Walker/Crutches
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Traction
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Sequential compression devices
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Blood Glucose Monitor
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Suction equipment set-up
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Care of oxygen equipment
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Utilize hospital communication/ information systems, such as telephones and patient call systems
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Utilize computer or electronic device at a basic level, including using a keyboard
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General Proficiency Frequency
Care and cleaning of medical equipment
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Proper use of hospital beds Proficiency Frequency
Scales
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Bed Position
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Bed alarm
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Therapeutic beds
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Therapeutic mattresses
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Proper use of mechanical lifts Proficiency Frequency
Hoyer
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HoverJack
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HoverMatt
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Clinical Settings Proficiency Frequency
Acute Care/Hospital
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Surgical Unit
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Private Duty
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Labor & Delivery
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Orthopedic
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Cardiac Unit
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Clinic
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Urology
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Hospice
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Central Supply
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1:1 Patient
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Nursery
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Behavioral Health
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Crisis Intervention
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OB/GYN
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Neuro Unit
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Alzheimers
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Home Care
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Med-Surg
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Geriatric
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Nursing Home/Skilled Nursing Facility
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Infection Control Proficiency Frequency
Hand hygiene
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Standard/Universal Precautions
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Airborne Precautions
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Contact Precautions
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Droplet Precautions
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Personal Protective Equipment
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Age Specific Proficiency Frequency
Infant (Birth to 1year)
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Toddler (1-3 years)
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Pre-school (3-6 years)
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School Age (6-12 years)
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Adolescent (12-18 years)
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Young Adult (18-30 years)
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Mature Adult (30-60 years)
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Elderly(>60 years)
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Work History
Years Experience in Clinical Specialty :
Most recent facility worked at :