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CNA Skills Checklist
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
Acute Care
1
2
3
4
Adult Day Care
1
2
3
4
Clinic
1
2
3
4
Home Healthcare
1
2
3
4
Hospice
1
2
3
4
LTAC
1
2
3
4
Physician office
1
2
3
4
Skilled Nursing
1
2
3
4
ACTIVITIES OF DAILY LIVING
1
2
3
4
Assist with ambulation
1
2
3
4
Assist with feeding patient
1
2
3
4
Assist with turning and repositioning
1
2
3
4
Bed shampoo
1
2
3
4
Change linens (occupied, unoccupied)
1
2
3
4
Complete Bed bath
1
2
3
4
Decubitus care prevention
1
2
3
4
Foot care
1
2
3
4
Incontinence/ elimination care
1
2
3
4
Mouth care
1
2
3
4
Perineal care male/female
1
2
3
4
Shave patient
1
2
3
4
Shower assistance
1
2
3
4
Skin care
1
2
3
4
EQUIPMENT
1
2
3
4
Antiembolic stockings
1
2
3
4
Bed alarms
1
2
3
4
Bedpan/urinal
1
2
3
4
Bedside commode
1
2
3
4
Breast pumps
1
2
3
4
Call lights
1
2
3
4
Crutches
1
2
3
4
Electronic vital sign equipment
1
2
3
4
Foot cradles
1
2
3
4
Glucometer
1
2
3
4
Heel and elbow protection
1
2
3
4
Hospital beds
1
2
3
4
Hoyer lift
1
2
3
4
Hypothermia blankets
1
2
3
4
Oximeter
1
2
3
4
Oxygen tanks
1
2
3
4
Scales
1
2
3
4
Seizure bumper pads
1
2
3
4
Sequential Compression Device
1
2
3
4
Special beds/air mattresses
1
2
3
4
Stretchers
1
2
3
4
Thermometers
1
2
3
4
Transfer belt
1
2
3
4
Transfer sliding boards
1
2
3
4
INFECTION CONTROL
1
2
3
4
Cleaning of equipment
1
2
3
4
Donning and removing PPE
1
2
3
4
Isolation precautions
1
2
3
4
Proper waste disposal
1
2
3
4
Sharps disposal
1
2
3
4
Standard precautions
1
2
3
4
PROCEDURES
1
2
3
4
24 hour urine collection
1
2
3
4
Application of restraints
1
2
3
4
Condom catheter application
1
2
3
4
Douche application
1
2
3
4
Dressing changes
1
2
3
4
Fluid restrictions
1
2
3
4
Glucose point of care testing
1
2
3
4
Incentive Spirometry assistance
1
2
3
4
Measure/record drain output
1
2
3
4
Measures /record weight
1
2
3
4
Obtain Blood pressure, including orthostatic
1
2
3
4
Obtain patient Respirations
1
2
3
4
Obtain pulse (radial)
1
2
3
4
Obtain Temperature (oral, rectal, axillary, Tympanic)
1
2
3
4
Oral suctioning
1
2
3
4
Ostomy care
1
2
3
4
Post-mortem care
1
2
3
4
Rectal tube care
1
2
3
4
Routine Catheter Care (Indwelling and External Catheters)
1
2
3
4
Sitz bath
1
2
3
4
Sputum collection
1
2
3
4
Stool specimen collection
1
2
3
4
Tap water/saline enema administration
1
2
3
4
Tracheostomy care
1
2
3
4
Turning and positioning patient
1
2
3
4
Urine collection
1
2
3
4
RECORDING AND REPORTING
1
2
3
4
Ambulation/activity
1
2
3
4
Bathing/hygiene
1
2
3
4
Bowel movements
1
2
3
4
Diet intake/calorie count
1
2
3
4
Drain output
1
2
3
4
Hourly rounding
1
2
3
4
Report handoffs
1
2
3
4
Reporting change in patient condition
1
2
3
4
Turning /repositioning
1
2
3
4
Urine output measures and records
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Abnormal Vital sign parameters (Adult and Pedi)
1
2
3
4
Admissions/discharge processes
1
2
3
4
Aspiration precautions
1
2
3
4
Fluid restrictions
1
2
3
4
Inventory/disposition of belongings
1
2
3
4
Labeling specimens and transport
1
2
3
4
Lifting and pulling proper body mechanics
1
2
3
4
Limb restrictions
1
2
3
4
Normal Vital signs parameters (Adult and Pedi)
1
2
3
4
NPO status
1
2
3
4
Passive range of motion
1
2
3
4
Patient Identification methods
1
2
3
4
Recognizing cardiac arrest
1
2
3
4
Recognizing patient needs
1
2
3
4
Rest/sleep/comfort preparation
1
2
3
4
Safe patient transfers
1
2
3
4
Stock Supplies
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed:
*
+
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities.
*
Agree