Nurses
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Certified Nursing Assistant Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Proficiency Scale & Legend

1 No experience
2 Independent/works without supervision in most cases
3 Minimal experience/works with supervision
4 Senior/works at a supervisory or teaching level

Ambulation

1
2
3
4

Personal Care

1
2
3
4

1. Bath

2. Skin Care

3. Dress

4. Hair Care

5. Nail Care (fingers & Toes)

6. Oral Hygiene:

7. Shaving: Safety Razor/electric Razor

Nutrition / Hydration

1
2
3
4

Basic Infection Control Procedure

1
2
3
4

Assisting Or Care Of Patient With Bowel & Bladder Elimination

1
2
3
4

Urinary Catheter Care

1
2
3
4

Transfer Techniques

1
2
3
4

Turning / Position Patient

1
2
3
4

Communication

1
2
3
4

Range Of Motion Exercises

1
2
3
4

Take & Record Vital Signs

1
2
3
4

1. Temperature:

2. Pulse:

3. Respirations

4. Blood Pressure

5. Height

6. Weight

Safety Devices

1
2
3
4

Mental Health & Social Service Needs

1
2
3
4

Safety / Emergencies

1
2
3
4

Care Of Prosthetic Devices

1
2
3
4

Specimen Collection

1
2
3
4

Understand And Can Perform

1
2
3
4

Assist The Care Of Patient With

1
2
3
4