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CNA Skills Checklist

SKILLS CHECKLIST - CNA

This self evaluation is for assessing your experience in specific clinical areas. This self evalutaion will not be a determining factor in accepting your application to become an employee.

0 = Not Applicable
1 = Not Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced

SKILL 0 1 2 3 4 5
Assist with Admission of Patient
Assist with Ambulation
Assist with bedpan/urinal/commode
Backrubs/ Back care
Basic Medical Asepsis
Bathing: complete/partial Sitz
Bed Cradles
Bed Making- occupied/unoccupied/surgical
Bed Rails: when/how to use them
Cast Care
Charting/ Checklist/ Graphic Charts
Compress: Warm/Cold
Coughing/ deep breathing
CPR
Crutch Walking: Assist Patient
Dangling Patient
Dietary Restrictions
Documentation: vital signs, I & O
Documentation of Patient's Belongings
Douches
Elastic Stockings (AE hose)
Elimination Check & record
Enemas, Rectal Tubes, Harris Flush
Feed Patient
Foley Catheter Care & Emptying
Footboard
Hand Hygiene
Height: Measure & Record
Intake & Output Measure & Record
Infection Control Precautions
Standard Universal Precautions
Reverse Isolation
TB/ Airborne Precautions
MRSA/ VRE Precautions
Nourishment for Patients
Observing Patients
Observing Patients
Oral Hygiene
Patient Safety Standards/Precautions
Perineal Care
Positioning Patients
Prosthetic Devices (care of dentures, contact, lenses, etc)
Range of Motion Excercises
Reporting Changes of Patient Condition
Restraints
Skin Care
Specimen Collection
Routine Urine
Clean Catch
12 & 24-hour Specimen
Stool
Culture
Sputum
From Foley Catheter
Vital Signs
SIGNATURE
Clear

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