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CNA PERFORMANCE EVALUATION - Advanced Care Staffing

545 Broadway 3rd Floor Brooklyn, NY 11206 (T) 718 305 6700 (F) 718 305 6824 We take Staffing close to our heart. Name: CNA PERFORMANCE EVALUATION Facility: Responsibilities Out- standing Very Good Good Marginal Poor Areas for Improvement I. Clinical Process Performs tasks necessary to help resident in personal hygiene. Assists patients in and out of their beds, baths or showers, eat or drink, and keeps the resident s room clean at all time. II. Communication/Interpersonal Relations Communicates well with the doc- tors and nurses regarding pa- tient s needs. Contributes to meeting the emo- tional, spiritual, and recreational needs of patients by being aware and understanding of their needs. Demonstrates the ability to coop- erate, work and communicate with coworkers, supervisors, sub- ordinates and/or outside contacts.

CNA PERFORMANCE EVALUATION Facility: Responsibilities Out- standing Very Good Good Marginal Poor Areas for Improvement I. Clinical Process Performs tasks necessary to help resident in personal hygiene. Assists patients in and out of their beds, baths or showers, eat or drink, and keeps the resident’s room clean at all time. II.

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