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CNA - Skilled Nursing Facility

CNA - Skilled Nursing Facility

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

APPROPRIATE PPE FOR THE FOLLOWING SCENARIOS

Standard Precautions (PPE to be Worn Based on Anticipated Level of Exposure)
Contact/Contact Enteric Precautions (Gown & Gloves)
Droplet Precautions (Surgical Mask)
Airborne Precautions (N95 where Appropriate)

INTERDISCIPLINARY COMMUNICATION

Communicate with patients and their companions in a courteous manner using age and cultural appropriate methods.
Understand the chain of communication, who to contact, and when.
Listen actively to patient concerns and address them appropriately.
Perform and maintain accurate patient records and documentation related to nursing interventions, plan of care, nursing diagnoses.
Maintain patient confidentiality according to HIPAA guidelines i.e.: status updates to family members.
Implement effective solutions for communication with patients when barriers exist i.e.: physiological, cultural, language.

INFECTION CONTROL

Hand washing
Personal protective equipment (PPE)
Universal precautions

ASSISTING WITH POSITIONING

Fowler's Position 45 degrees
High Fowler's Position 90 degrees
Low Fowler's Position 30 degrees
Modified Side-lying
Prone Position
Side-lying
Sims' Position
Supine Position

ASSISTING WITH TRANSFERRING

Lifting a Person’s Head and Shoulders off the Bed
Moving a Person to the Side of the Bed (One Nurse Assistant)
Moving a Person to the Side of the Bed (Two Nurse Assistants)
Moving a Person Up in Bed (One Nurse Assistant)
Moving a Person Up in Bed Using a Draw Sheet (One Nurse Assistant)
Moving a Person Up in Bed Using a Draw Sheet (Two Nurse Assistants)
Repositioning a Person in a Chair (Two Nurse Assistants)
Transferring a Person from the Bed to a Chair (One or Two Nurse Assistants)
Transferring a Person from the Chair to a Bed (One or Two Nurse Assistants)
Turning a Person onto Her Side (One or Two Nurse Assistants)
Turning a Person Using a Logrolling Technique
Using a Mechanical Lift to Transfer a Person (Two Nurse Assistants)

ASSISTING WITH PERSONAL CLEANLINESS AND GROOMING

Assisting a person with a Complete Bed Bath
Assisting a person with a Shower or Tub Bath
Brushing and Flossing a Patient’s Teeth
Brushing, Combing and Styling the Hair
Caring for the Feet
Caring for the Hands
Giving a Back Rub
Helping a Patient Change Clothes
Helping a Person to Put on Compression Stockings
Mouth Care for a Person Who Is Unconscious
Mouth Care for a Person with Dentures
Mouth Care for a Person with Natural Teeth
Providing Perineal Care
Shampooing the Hair
Shaving with a Safety Razor
Shaving with an Electric Razor

ASSISTING A PATIENT WITH VISION AND HEARING AIDS

Contact Lenses
Eyeglasses
Inserting and Removing an In-The-Ear Hearing Aid
Prosthetic (False) Eyes

ASSISTING WITH MEALS AND FLUIDS

Helping a person in isolation
Helping a Person to Eat
Helping a person who has difficulty swallowing
Helping a person who is visually impaired
Measuring and Recording Fluid Intake
Monitoring Food Intake
NPO Status

ASSISTING THE PERSON TO USE THE

Portable Commode
Toilet
Urinal

ASSISTING WITH ELIMINATION

Applying a Condom Catheter
Caring for a patient with Constipation
Caring for a patient with Diarrhea
Caring for a patient with Fecal Impaction
Caring for a patient with Incontinence
Caring for a patient with Urinary Tract Infections
Caring for a Person with an Indwelling Urinary Catheter
Caring for a Person with an Ostomy Appliance
Emptying the Urine Drainage Bag
Giving a Person an Enema
Handling the Catheter Tubing and Urine Drainage Bag

HELPING A PERSON TO CHANGE POSITION IN A BED OR A CHAIR

Lifting a person’s head and shoulders
Moving a person to the side of the bed
Moving a person up in bed
Repositioning a person in a chair
Turning a person onto her side in bed

PAIN MANAGEMENT

Applying a Warm or Cold Compress
Applying a Warm Water Bottle or Ice Bag
Applying an Aquathermia Pad
Assisting with a Warm Soak
Recognizing/Reporting Pain

SPECIMEN COLLECTION

Collecting Sputum
Collecting Stool: bed pan
Collecting Stool: commode hat
Collecting Urine: 24 Hour
Collecting Urine: Clean catch (midstream) urine specimen
Collecting Urine: Measuring urine output
Collecting Urine: Straining urine

TECHNOLOGY

Telehealth platforms
Smartphones
Tablets
Remote Monitoring Equipment
Electronic Health Record (EHR)
Data Analytics
Artificial Intelligence (AI): Chatbots
Artificial Intelligence (AI): Robots
Patient Engagement Tools
Video Conferencing Software
Secure Messaging Platforms
Clinical Decision Support Systems (CDSS): UpToDate
Clinical Decision Support Systems (CDSS): Zynx Health
Clinical Decision Support Systems (CDSS): VisualDX
Clinical Decision Support Systems (CDSS): Cerner
Clinical Decision Support Systems (CDSS): Epic

USE OF ANCILLARY EQUIPMENTS

Automated External Defibrillator (AED)
Defibrillator
Glucose Meter
Oxygen Saturation Monitor
Oxygen Gauge
Oxygen Tank
Oxygen Flowmeter

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Oracle (Cerner)
CPSI
eCLinicalWorks
Eclipsys
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)