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Certified Nursing Assistant Skills Checklist

A Tribute To Nurses

 

The purpose of the following checklist is to assist in matching your skills with available assignments in order to meet both your needs and the needs of our client facilities. Please select the appropriate number for each skill level, patient care situation, or type of equipment.

Level of Experience:

  1. Theory, No Practice
  2. Intermittent Experience
  3. One/Two Year Consistent Experience
  4. Very Experienced, Able to Perform Without Supervision
HealthCare Staffing Network - Dedication Makes The Difference     

AGE SPECIFIC CARE
Please indicate the level of experience with which you provide care for each age group in this specialty area.

 
A
B
C
D
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-School (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

 

SKILLS
A
B
C
D
Ambulating Bowel and Bladder (Elimination)        
  Cane
  Walker
  Bed Pan/Urinal & Fracture Pan
  Bedside Commode
  Standby Assistant
  Measure & Record Output
  Foley Catheter Care
  External Catheter Care
  Enemas: Tap, H20, Fleet
  Soap Suds
 
Personal Care        
  Bath-Bed
  Bath-Tub
  Bath-Shower
  Skin Care-Back rub, Applying Lotion
  Shampoo
  Nail Care
  Oral Hygiene
  Shaving: Safety / Electrical Razor
  Dressing-Assisting
  Dressing-Complete
  Perineal Care-Male
  Perineal Care-Female
 
Transfer Techniques        
  Lotion, Decubitus Care
  Gait Belt
  Weight Bearing
  Hoyer
  2 Person Transfer
  Slide Board
  Wheelchair
 
Positioning / Turning        
  Supine
  Side Laying
  Use of Draw Sheet
  Range of motion exercise
  In chair
 
Environment        
  Linen Change-Occupied Bed
  Linen Change Unoccupied Bed
  Light Housekeeping
  Meal/Snack Preparation
 
Take & Record Vital Signs        
  Temperature-Axillary
  Temperature-Oral
  Temperature-Rectal
  Pulse-Radial
  Pulse-Brachial
  Respirations
  Blood Pressure
  Height & Weight
 
Nutrition/Hydration        
  Encourage Fluids
  Assist in Feeding
  Feeding Techniques
  Measure & Record Input & Output
 
Infection Control        
  Handwashing
  Universal Precautions
 
Communication/Oxygen Therapy        
  Verbal & Non Verbal With Flow Rate
  Cognatively Impaired Pts
  Water to Humidifier
  Cannula / Mask Placement
 
Specimen Collections/Medication Reminders        
  Urine
  Stool
  Sputum
  Inquire if Med has been taken
  Verbal Prompts
 
Observation/Reporting/Documentation Safety Devices        
  Change in body Functions
  Change in Behavior
  Change in Routines
  Vest Restraints
  Soft Ankle Restraints
  Wrist Restraints
  Padded Side Rails
 
MISCELLANEOUS        
1. Care of the patient with:        
  Anaphylactic shock
  Disseminated intravascular coagulation (DIC)
  Hypovolemic shock / Septic shock
  Multi - System organ failure
  Organ/tissue donation

I affirm that the above information is an accurate summary of my current clinical asd.
Name: Date:

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