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SKILLS CHECKLIST - CNA


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Please fill out the cchecklist for your certification.

Certified Nursing Assistant Skills Checklist
Check skill level
(Code)
(1) Skilled with no assistance required
(2) Minimal experience with assistance required
(3) No training or experience
Last Name
First Name
Date
Check skill level  
   
Ace Bandage
Admitting a Patient
Ambulating a Patient
Back Care
Bed Making (unoccupied)
Bed Making (occupied)
Bed Making (post-op)
Bed Shampoo
Blood Pressure
Cast Care
Charting in Progress Notes
Charting on Graphic
Charting on Flowsheet
Charting on Computer
Choking
Clinitest and Acetest
Colostomy Care
Complete Bed Bath
Decubiti-Care
Discharging a Patient
Douches
Enema (Fleets)
Enema (Other)
Gastrotomy Care
Handwashing
HIPAA (Privacy)
Hoyer Lift
Hypothermia Blanket
Intake and Output
Isolation Techniques
K-Pads
O2 Administration
Oral Hygiene
Oral Suctioning
Partial Bed Bath
Patients Bill of Rights
Perineal Care
Post Mortem Care
Pulse
Range of Motion (Active)
Range of Motion (Passive)
Rectal Tubes
Respirations
Shaving a patient
Showering w/ chair
Showering a patient
Temperature (Apical)
Temperature (Axillary)
Temperature (Centigrade)
Temperature (Fahrenheit)
Temperature (Rectal)
Tracheostomy Care
Traction
Transfer (Bed to Chair)
Transfer (Bed to Commode)
Transfer (Bed to Stretcher)
Transfer (Bed to WC)
Tub Bath
Universal Precautions
Use of Restraints
Weights (Bed Scale)
Weights (Chair Scale)
Weights (Stand Up Scale)


Check each of the following types of facilities worked in:  
   
Hospital
Long Term Care Facility
Ambulatory Clinic
Home Care
Adult Day Care
Pediatric Day Care


Check each of the following types of patients you have work experience with:  
   
Adolescents
Adolescents Mental Health
Adult Medical/Surgical
Adult Mental Health
Alzheimers
Geriatric
Geriatric Mental Health
Pediatrics
Pediatric Mental Health


Check if you have had the following Mental Health experience:  
   
Care of a Combative Patient
Care of a Suicidal Patient
Care of a confused Patient
Behavior Modification
Preventing Patient Harm
Preventing Personal Harm
Obtaining Assistance to Prevent Crisis


Check if you have worked in the following areas:  
   
Mental Health Setting
CNA Sitter
Receptionist/Unit Secretary
Transporter


List any other licenses, certifications, or skills we should know of:s


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