Certified Nursing Assistant

Vital Signs & Weights

Obtaining and Recording:*

1
2
3
4

Blood Pressure*

1
2
3
4

Pulse Radial*

1
2
3
4

Temperature (Oral, Rectal, etc)*

1
2
3
4

Respirations*

1
2
3
4

Weight (Pounds & Kilograms)*

1
2
3
4

Recognizing Cardiac Arrest*

1
2
3
4

Activating Code Team*

1
2
3
4

Provide Appropriate Code Support*

1
2
3
4

Use of Electronic VS Equipment*

1
2
3
4

Applying Oximeter*

1
2
3
4

Scale Use (Standing, Bed, Chair)*

1
2
3
4

GU/GI

Bowel/Bladder Function*

1
2
3
4

Administering Enemas*

1
2
3
4

Placing/Removing Bed Pan*

1
2
3
4

Clamping Catheter*

1
2
3
4

Emptying Foley Bag*

1
2
3
4

Placing Condom Catheter*

1
2
3
4

Emptying/Replacing Ostomy Bag*

1
2
3
4

Nutrition

Estimating Intake*

1
2
3
4

Feeding Patients*

1
2
3
4

Aspiration Precautions*

1
2
3
4

Nourishments*

1
2
3
4

Counting Calories*

1
2
3
4

Fluid Restriction*

1
2
3
4

NPO*

1
2
3
4

Hygiene/Skin

Peri Care*

1
2
3
4

Foot Care*

1
2
3
4

Incontinence*

1
2
3
4

Shaving & Precautions*

1
2
3
4

Infection Control

Use-Gloves/Gown/Masks*

1
2
3
4

Reverse Isolation*

1
2
3
4

Body Substance Isolation*

1
2
3
4

TB Precautions*

1
2
3
4

MRSA Precautions*

1
2
3
4

Hazardous Waste Disposal*

1
2
3
4

Use-Disposal Thermometer*

1
2
3
4

Use-CPR Mask/Bag*

1
2
3
4

Specimens

Collecting Stool*

1
2
3
4

Collecting Sputum*

1
2
3
4

Collecting Urine-Clean Catch/24h*

1
2
3
4

Labeling/Transporting Specimens*

1
2
3
4

Unit Activity

Completing Risk Management Reports*

1
2
3
4

Charting Patient Care Items*

1
2
3
4

Obtaining Needed Supplies*

1
2
3
4

Hygiene/Skin

Risk Factors-Skin Breakdown*

1
2
3
4

Reducing Pressure/Friction*

1
2
3
4

Special Beds*

1
2
3
4

Heel/Elbow Protection*

1
2
3
4

Foot Cradles*

1
2
3
4

Use of Shower Chair*

1
2
3
4

Use of Bath/Shower Boat*

1
2
3
4

Bathing/Daily Hygiene:*

1
2
3
4

Bathing*

1
2
3
4

Oral Care*

1
2
3
4

Care Routines

New Admissions/Transfers*

1
2
3
4

Post-Op Patients:*

1
2
3
4

Transfer to Bed*

1
2
3
4

Assist with Turns*

1
2
3
4

ROM Exercises*

1
2
3
4

Maintaining Oxygen Therapy*

1
2
3
4

Post Mortem Care*

1
2
3
4

Use of Incentive Spirometer*

1
2
3
4

Use-Gait Belt*

1
2
3
4

Use-Transfer Belt*

1
2
3
4

Use-Seizure Pads*

1
2
3
4

Use-Hoyer Lift*

1
2
3
4

Bed Operating*

1
2
3
4

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.

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Magnet Medical to release this Skills Checklist to staffing clients of Magnet Medical. Submit this skills evaluation with your initial application. To be updated annually.

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Date*

skills checklist