Transcription of CNA Skills Checklist - birdinthehandstaffing.com
1 CNA Skills ChecklistPrint Name:Signature:SKILL LEVELSDate:0 = no experience, theory only1 = Limited, supervision required2 = Acceptable proficiency3 = Independently proficientSKILL LEVELSKILL LEVELAGE SPECIFIC0123 VITAL SIGNS0123 Neonates - birth to 30 daysOral TemperatureInfants - 30 days to 1 yearRectal TempuratureToddlers - 1 to 3 yearsAxillary TemperaturePreschool - 3 to 5 yearsTypanic TemperatureOlder Children 5 to 12 yearsCarotid PulseAdolescents 12 to 18 yearsApical PulseYoung Adults 18 to 39 yearsRespirationsMiddle Adults 39 to 64 yearsManual Blood Pressure Geriatrics 64+ yearsDigital Blood PressureTelemetryEXPERIENCEMed/SurgMEDIC ATION ADMINISTRATIONT elemetryRectalIndicate Clinical Skill
2 Competency/Level of Proficiency for ALL procedures/equipment in last 12 :\Forms\Application Forms\Current Forms in MS Word\CNA Skills ChecklistTelemetryRectalOncologyOralSurg icalFeeding TubeOrthopedicsERTRANSFERSS killed Care1 - person assistCBRF2 - person assistAlzheimersHoyer LiftAssisted LivingEZ LiftGroup HomeGurneeNursing HomeHome CarePHLEBOTOMYH ospiceBlood DrawsClinicAccu - CheckHospitalISOLATION - STANDARD & PERSONAL CARESUNIVERSAL PRECAUTIONSBack RubStrictFoley Catheter CareDropletCondom CatheterGownApply OstomyMaskChange OstomyGlovesPeri CareStandard TechniqueDenture CareOral CareShavingHair wash trayROMsP1X.
3 \Forms\Application Forms\Current Forms in MS Word\CNA Skills ChecklistSKILL LEVELBATHING0123 WhirlpoolPlease use this space to list any other Skills or experienceBed Bathyou believe is relevant:Sitz BathTub BathTub with LiftShowerAMBULATIONCaneCrutchesWalkerTr ipod CaneGait BeltINTAKE/OUTPUT RECORDINGL iquidsUrineDrainsFoley CatheterFEEDING/DIETM echanical softPureedTube FeedingRecording %'sRestricted Na+DiabeticLiquid DietNPOX:\Forms\Application Forms\Current Forms in MS Word\CNA Skills ChecklistNPOWEIGHTSD igitalStandingLift ScaleChair ScaleCPRB asic Life SupportInfantChildAdultPrint Name:Signature:Date:p2X:\Forms\Applicati on Forms\Current Forms in MS Word\CNA Skills Checklist
