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CNA

CNA

  • Date Format: MM slash DD slash YYYY
  • Self-Assessment Rating Scale

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assist with admission of patient
    Assist with ambulation
    Assist with bedpan/urinal/commode
    Back rubs/back care
    Basic medical esepsis
    Bathing - Complete/partial/sitz
    Bed cradles
    Bed making - Occupied/unoccupied/surgical
    Bed rails - When/how to use them
    Cast care
    Charting/checklist/graphic charts
    Compresses - Warm/cold
    Coughing/deep breathing
    CPR
    Crutch walking - Assist patient
    Dangling patient
    Diabetic testing
    Dietary restrictions
    Documentation - Vital signs, I&O
    Documentation of patient's belongings
    Douches
    Elastic stockings (AE hose)
    Elimination check and record
    Enemas, rectal tubes, Harris flush
    Fall precautions
    Feed patient
    Foley catheter care and emptying
    Foodboard
    Glucometer
    Hand hygiene
    Height - Measure and record
    Intake and output - Measure and record
    Orthostatic blood pressure
    Transfers
    Use of assistive devices
    Vital signs
    Weight - Measure and record
    Electronic documentation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Routine urine
    Clean catch
    12 and 24 hour specimen
    Stool
    Culture
    Sputum
    From Foley catheter
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Standard universal precautions
    Reverse isolation
    TB/airborne precautions
    MRSA/VRE precautions
    Nourishment for patients
    Observing patients
    Oral hygiene
    Patient safety standards/precautions
    Perineal care
    Prosthetic devices (care of dentures, contact lenses, etc.)
    Range of motion exercises
    Reporting changes of patient condition
    Reporting/recording of patient's pain level
    Restraints
    Skin care