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1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
CNA – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Skill
Assist with Admission of Patient
*
0
1
2
3
4
5
Assist with Ambulation
*
0
1
2
3
4
5
Assist with bedpan/urinal/commode
*
0
1
2
3
4
5
Backrubs/Back Care
*
0
1
2
3
4
5
Basic Medical Asepsis
*
0
1
2
3
4
5
Bathing: Complete/Partial/Sitz
*
0
1
2
3
4
5
Bed Cradles
*
0
1
2
3
4
5
Bed Making - Occupied/Unoccupied/Surgical
*
0
1
2
3
4
5
Bed Rails: When/How to Use Them
*
0
1
2
3
4
5
Cast Care
*
0
1
2
3
4
5
Charting/Checklist/Graphic Charts
*
0
1
2
3
4
5
Compresses: Warm/Cold
*
0
1
2
3
4
5
Coughing/Deep Breathing
*
0
1
2
3
4
5
CPR
*
0
1
2
3
4
5
Crutch Walking: Assist Patient
*
0
1
2
3
4
5
Dangling Patient
*
0
1
2
3
4
5
Diabetic Testing
*
0
1
2
3
4
5
Dietary Restrictions
*
0
1
2
3
4
5
Documentation: Vital Signs, I & O
*
0
1
2
3
4
5
Documentation of Patient's Belongings
*
0
1
2
3
4
5
Douches
*
0
1
2
3
4
5
Elastic Stockings (AE Hose)
*
0
1
2
3
4
5
Elimination Check & Record
*
0
1
2
3
4
5
Enemas, Rectal Tubes, Harris Flush
*
0
1
2
3
4
5
Fall Precautions
*
0
1
2
3
4
5
Feed Patient
*
0
1
2
3
4
5
Foley Catheter Care & Emptying
*
0
1
2
3
4
5
Footboard
*
0
1
2
3
4
5
Glucometer
*
0
1
2
3
4
5
Hand Hygiene
*
0
1
2
3
4
5
Height: Measure & Record
*
0
1
2
3
4
5
Intake & Output Measure & Record
*
0
1
2
3
4
5
Orthostatic Blood Pressure
*
0
1
2
3
4
5
Transfers
*
0
1
2
3
4
5
Use of Assistive Devices
*
0
1
2
3
4
5
Vital Signs
*
0
1
2
3
4
5
Weight: Measure and Record
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Specimen Collection
Routine Urine
*
0
1
2
3
4
5
Clean Catch
*
0
1
2
3
4
5
12 & 24 - hour Specimen
*
0
1
2
3
4
5
Stool
*
0
1
2
3
4
5
Culture
*
0
1
2
3
4
5
Sputum
*
0
1
2
3
4
5
From Foley Catheter
*
0
1
2
3
4
5
Infection Control Precautions
Standard Universal Precautions
*
0
1
2
3
4
5
Reverse Isolation
*
0
1
2
3
4
5
TB/Airborne Precautions
*
0
1
2
3
4
5
MRSA/VRE Precautions
*
0
1
2
3
4
5
Nourishment for Patients
*
0
1
2
3
4
5
Observing Patients
*
0
1
2
3
4
5
Oral Hygiene
*
0
1
2
3
4
5
Patient Safety Standards/Precautions
*
0
1
2
3
4
5
Perineal Care
*
0
1
2
3
4
5
Positioning Patients
*
0
1
2
3
4
5
Prosthetic Devices (Care of Dentures, Contact Lenses, ect)
*
0
1
2
3
4
5
Rage of Motion Exercises
*
0
1
2
3
4
5
Reporting Changes of Patient Condition
*
0
1
2
3
4
5
Reporting/Recording of Patient's Pain Level
*
0
1
2
3
4
5
Restraints
*
0
1
2
3
4
5
Skin Care
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*