CNA

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale

(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Patient Rights
Communicates and obtains information while respecting the rights and privacy and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involves the patient and family and respects their role in determining the nature of care to be provided, including Advance Directives.
Complies with nursing staff responsibility included in the hospital policy related to Organ Donation.
Meets patient and families needs regarding communication, including interpreter services
Provides accurate information to patient and families in a timely manner.
Vital Signs and Weights
Obtaining and Recording
BP, including Orthostatic
Pulse, Radia
Temperature, Oral
Temperature, Rectal
Temperature, Axillary
Temperature, Tympanic
Respirations
Weight, Pounds and Kilograms
Recognizing Cardiac Arrest
Activating Code Team
Bringing Emergency Equipment to Room
Providing Appropriate Code Support
Automatic BP machine (Dynamap)
Electronic Thermometer
Applying Oximeter
Standing
Chair
Bed
Report Abnormal Findings
Bowel Function
Bladder Function
Tap Water
Fleets
Return Flow
Placing and Removing Bed Pan
Clamping Catheter
Emptying Foley Bag
Placing Condom Catheter
Emptying and Replacing Ostomy Bag (Established Ostomy)
Nutrition
Estimating Intake
Setting up for Meals
Feeding Patients
Aspiration Precautions
Nourishments
Counting Calories
Fluid Restriction
NPO
Specimens
Collecting Stool
Collecting Sputum
Labeling Specimens and Preparing for Transport
Clean Catch
24 Hour
Hygiene /Skin
Risk Factors for Skin Breakdown
Observing Pressure Points for Redness or Breakdown
Bathing (Shower /Tub /Arjo)
Oral Care, Including Patients who are NPO, Comatose, Patients with
Pen Care
Foot Care for Patients with Impaired Circulation or Sensation
Incontinence Care
Shaving and Precautions
Reducing Pressure and Friction
Special Beds/Mattresses
Heels and Elbow Protection
Foot Cradles
Use of Shower Chair
Use of Bath/Shower Boat
Infection Control
Reverse Isolation
Body Substance isolation
TB Precautions
MRSA Precautions
Hand Washing
Infectious/Hazardous Waste Disposal
Supply/Equipment Disposal
Use of Disposable Thermometer
Use of CPR Mask/Bag
Gloves
Gown
Mask / Goggles
Safety and Activity
Determining Patient ID
Identifying Safety Hazards
Determining Need for Additional Help
Assessing Safety and ADL Needs
Recognizing Abuse: Substance, Physical, Emotional, etc
Maintaining Clean, Orderly Work Area
Disposing of Sharps
Handling Hazardous Materials
Proper Body Mechanics
ROM Exercises
Transferring to Bed, WC, Commode, etc
Turning and Positioning
Patient Safety Module
Reporting Broken Equipment
Responding to Safety Hazards
Use of Hoyer Lift (Dextra /Maxi)
Bed Operation
Use of Wheel Locks
Use of Alarms: Bed, Patient, Unit
Use of Call Light
Documenting Use of Restraints
Use of Transfer Belt
Use of Gait Belt for Ambulation
Use of Seizure Pads
Belt Including Seat Belt
Wrist/Ankle
Vest
Care Routines
Inventory and Disposition of Belongings, Use of Checklist
Room Orientation, Call Bell
Transferring into Bed
Call Bell
Assist with Turns
ROM Exercises
Replacing Mask or Nasal Cannula if Needed
Notifying Nurse of Problems
Basic Comfort Measures
Early Bath
Preparing Belongings
Preparing for and Explaining Routines to Patient
Post Mortem Care
Use of Incentive Spirometer
Antiembolic Stockings
Sequential Stockings
Communication
Using Appropriate Abbreviations
Identifying Unusual Patient Incidents that Require Reporting
Reinforcing RN Teaching With Patient
Selecting and Using Forms Appropriately
Using Alternate Communication Tools /Devices
Changes in Patient Condition
Patient Needs, Complaints and Concerns
Unusual Incidents
Vital Signs
Bathing /Hygiene
Turning and Repositioning
Ambulation and Activity
Diet intake, Calorie Count
Bowel Movements
Shift Volumes and Totals
Marking and /or Measuring Amount of Urine, Gastric Fluid, NG Drainage, Emesis, Diarrhea
Age Specific Competencies
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)
Unit Activity
Identifying Unusual Incidents on the Unit that Require Reporting
Locating and Using Appropriate Reference Materials: Hospital, Patient Care and
Charging for Patient Care Items
Completing Risk Management Reports as Needed
Obtaining Needed Supplies and Equipment
Reporting and Following up on Faulty Equipment and Supplies
Using Telephone System