CNA Skills Checklist

    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 below to describe your experience/expertise in each area listed below.
    Proficiency Scale:

    1 = No Experience (Theory or observation only during the past 12 months)

    2 = Limited Experience (Performed less than 12 times within the past 12 months and may need a review)

    3 = Experienced (Performed at least once per month within the past 12 months and may need minimal assistance)

    4 = Highly Skilled (Performed on at least a weekly basis over the past 12 months; proficient)

    Rating Stars (Click) Vital Measurements
    Blood Glucose Monitoring
    Measure and Record I & O
    Measure Blood Pressure
    Measure Orthostatic BP
    Measure Pulse
    Measure Respirations
    Measure Temperature – Axillary
    Measure Temperature – Oral
    Measure Temperature – Rectal
    Measure Temperature - Tympanic
    Rating Stars (Click) Patient Care and ADL’s
    Administer Enemas
    Bed Making Occupied
    Bed Making Unoccupied
    Bedside Commode
    Care of a Combative Patient
    Care of a Confused Patient
    Care of a Suicidal Patient
    Complete Bed Bath
    Denture Care
    Foley Care
    Foot Care
    Oral Hygiene
    Post Mortem Care
    Provide Perineal Care
    Range of Motion
    Shower with Assistance
    By submitting this checklist, I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.