Nursing Assistant Certified

Candidate:

Discipline:

Checklist:

Date Signed:

Ernest Kamara

CNA,Med Aide

Certified Nursing Assistant

**/**/****

Limited Experience

Mid-level Experience

Advanced-level Experience

1

2

3

Assessment/Patient Care

General 1.9

Cardiovascular 0.3

Pulmonary 1.8

Neurology 0.6

Gastrointestinal 1.0

Genitourinary 2.0

Musculoskeletal 0.7

Immunology/Hematology/Oncology 0.3

Endocrine Not Applicable

Wounds/Integument Not Applicable

EMR Software Not Applicable

Medications/Therapeutic Interventions

Oxygen Administration 2.0

Nutritional Therapy 2.0

Procedures/Equipment

General 2.0

Specimen Collections 1.2

Age Group Experience

Age Groups Not Applicable

Clinical Settings Not Applicable

Ernest Kamara, CNA,Med Aide Certified Nursing Assistant

[1] Limited [2] Mid-level [3] Advanced-level

Assessment/Patient Care

General

Cardiovascular

Assist with Oral Hygiene 2

Assist with Toileting

Activities

3

Assist/ Perform Bathing 1

Complete/ Total Assist

Bed Bath

2

Discharge Patients Not Applicable

Documentation 3

Postmortem Care 3

Pre-Operative Care/ Prep 3

Restraints Not Applicable

Cardiac Monitoring Not Applicable

Apical Pulse Not Applicable

Peripheral Pulses Not Applicable

Acute MI Not Applicable

Congestive Heart Failure Not Applicable

Pre/ Post Cardiac Surgery Not Applicable

Vital Signs 2

Pulmonary

Neurology

Gastrointestinal

Genitourinary

Musculoskeletal

Rate and Work of

Breathing

1

Asthma/ COPD 2

Tracheostomy 2

Pulse Oximetry 2

Orientation 3

Seizure Precautions Not Applicable

CVA Not Applicable

Spinal Cord Injury Not Applicable

Dementia/ Alzeheimer''s Not Applicable

Monitoring Bowel

Movements

2

Ostomy Care 2

Abdominal Wounds Not Applicable

Gastrointestinal Bleed Not Applicable

Renal Failure 2

Intake and Output 2

Ernest Kamara, CNA,Med Aide Certified Nursing Assistant

[1] Limited [2] Mid-level [3] Advanced-level

Musculoskeletal (cont.)

Immunology/Hematology/Oncology

Endocrine

Wounds/Integument

EMR Software

Pulse/ Circulation Checks 2

Traction Not Applicable

Total Joint Replacement Not Applicable

Cancer 1

AIDS/ HIV Not Applicable

Isolation Patients Not Applicable

Diabetics Not Applicable

Finger Stick Blood Sugars Not Applicable

Positioning Not Applicable

Wound Care Not Applicable

Skin Breakdown Not Applicable

Meditech Not Applicable

Allscripts Not Applicable

Athenahealth Not Applicable

eClinicalWorks Not Applicable

EMR Software (cont.)

Medications/Therapeutic Interventions

Oxygen Administration

Nutritional Therapy

Procedures/Equipment

General

Specimen Collections

EPIC Not Applicable

CERNER Not Applicable

Sorian Not Applicable

Nasal Cannula 2

Portable Oxygen 2

Assist/Feed Patient 2

Care of Patient Receiving

Tube Feedings

2

Specialty Beds Not Applicable

Bed Scales Not Applicable

Dressing Changes 3

Hoyer Lift 3

Positioning/ Transferring 3

Telemetry Lead

Placement

3

Ernest Kamara, CNA,Med Aide Certified Nursing Assistant

[1] Limited [2] Mid-level [3] Advanced-level

Specimen Collections (cont.)

Age Group Experience

Age Groups

Clinical Settings

Clean Catch Urine 2

Dipstick Urine Not Applicable

Finger Stick Not Applicable

Stool 2

Sterile Urine 2

0 - 30 Days Not Applicable

30 Days - 1 Year Not Applicable

1 - 3 Years Not Applicable

3 - 5 Years Not Applicable

5 - 12 Years Not Applicable

12 - 18 Years Not Applicable

18 - 39 Years Not Applicable

39 - 64 Years Not Applicable

64+ Years Not Applicable

Hospital Not Applicable

LTC Not Applicable

Clinical Settings (cont.)

LTAC Not Applicable

Rehab Not Applicable

SNU Not Applicable

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