Ams Cna Skills Checklist

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Certified Nursing Assistant
Proficiency Skills Checklist
Please check the appropriate boxes to describe your experience level with each skill listed below.
Name: ____________________________
Date: _____________________________
1-No Experience, 2-Limited Experience, 3-Experienced, 4-Highly Experienced
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2
3
4
Patient Rights
Communicates and obtains information while respecting the rights and privacy and
confidentiality of information in accordance with the Health Insurance Portability and
Accountability Act of 1996 (HIPAA).
Involves the patient and family and respects their role in determining the nature of care to be
provided, including Advance Directives.
Complies with nursing staff.
Meets patient and families needs regarding communication, including interpreter services.
Provides accurate information to patient and families when necessary in a timely manner.
Personal Care
Complete bed bath
Partial bed bath
Tub Bath
Shower
Dressing
Shampoo in shower
Shampoo in bed
Combing hair
Shaving male patient/resident with electric razor
Shaving male patient/resident with safety razor
Assisting patient/resident brushing teeth
Special mouth care
Use of bed pan
Placing a urinal
Assisting patient/resident to bathroom
Comfort Measures
Skin Care
Massages
Turning & Positioning patients/residents
Heel protectors
Elbow protectors
Use of footboards

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