Certified Medication Aide Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 Limited experience

2 Basic competency

3 Proficient

4 Highly skilled

Medication Administration

Preparing and administering oral medications

Preparing and administering topical medications

Preparing and administering eye drops/ointments

Preparing and administering ear drops

Preparing and administering nasal sprays

Measuring and administering liquid medications

Administering medications via nebulizer

Assisting with inhaler medications

Administering sublingual medications

Assisting residents with self-administration of medications

Documentation And Recordkeeping

Knowledge Of Medications

Resident Care And Interaction

Infection Control And Safety

Additional Skills

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.