CNA
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| PATIENT RIGHTS | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Hand washing | |||||
| Personal protective equipment (PPE) | |||||
| Universal precautions |
| ASSISTING WITH POSITIONING | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Contact Lenses | |||||
| Eyeglasses | |||||
| Inserting and Removing an In-The-Ear Hearing Aid | |||||
| Prosthetic (False) Eyes |
| ASSISTING WITH MEALS AND FLUIDS | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Portable Commode | |||||
| Toilet | |||||
| Urinal |
| ASSISTING WITH ELIMINATION | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Automated External Defibrillator (AED) | |||||
| Defibrillator | |||||
| EKG Monitor | |||||
| Glucose Meter | |||||
| Oxygen Saturation Monitor | |||||
| Oxygen Gauge | |||||
| Oxygen Tank | |||||
| Oxygen Flowmeter |
| ELECTRONIC DOCUMENTATION | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Allscripts | |||||
| Care360 | |||||
| Oracle (Cerner) | |||||
| CPSI | |||||
| eCLinicalWorks | |||||
| Eclipsys | |||||
| EPIC | |||||
| MACLAB | |||||
| McKesson/Paragon | |||||
| Meditech | |||||
| PACS | |||||
| Quadramed | |||||
| Soarian |
| AGE-SPECIFIC COMPETENCIES | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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) |