CNA LTC Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1 = No theory and/or experience
2 = Limited Experience
3 = Experienced/minimal support needed to perform
4 = Proficient

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CNA LTC Skills Checklist

Age of Patients Cared For
Newborn/Neonate (Birth to 30 days)*
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Infant (1 month to 1 year)*
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Toddler (1 year to 3 years)*
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Preschooler (3 years to 5 years)*
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School Age (5 years to 12 years)*
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Adolescents (12 years to 18 years)*
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Young Adults (18 years to 39 years)*
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Older Adults (64 years to 79 years)*
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Elderly Adults (79 years and up)*
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Oral Care
Provides oral hygiene for both conscious and unconscious residents according to the care plan and infection control procedures*
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Brushes natural teeth gently and thoroughly using appropriate oral care supplies*
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Cleans and cares for full and partial dentures according to facility policy*
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Performs mouth care using oral swabs, moisturizing agents, or lip lubricant as needed*
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Assists with flossing or uses approved interdental cleaning methods when appropriate*
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Nail and Foot Care
Reviews the resident’s care plan for specific nail and foot care instructions before providing care*
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Performs nail and foot care according to facility policy and procedure*
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Trims and files fingernails carefully using clean equipment and infection control practices*
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Observes and reports any abnormalities to the nurse promptly (e.g., discoloration, thickened nails, bruising, redness, swelling)*
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Bathing
Provides showers safely while maintaining resident privacy, comfort, and safety*
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Performs a complete bed bath following the care plan and infection control procedures*
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Performs a partial bed bath for residents who require assistance with specific areas*
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Assists residents with tub baths according to their abilities and safety needs*
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Assists residents with whirlpool baths following facility protocols*
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Shampoos hair safely and comfortably using approved methods (e.g., sink, tub, in bed)*
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Shaving
Reviews the resident’s care plan for special instructions or bleeding precautions before shaving*
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Performs shaving using safe technique and maintains resident comfort and dignity*
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Uses an electric razor safely in accordance with manufacturer instructions and infection control policy*
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Uses a disposable safety razor carefully following facility procedure and proper disposal guidelines*
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Observes the skin for cuts, irritation, and abnormalities and reports findings to the nurse*
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Cleans and stores shaving equipment appropriately to prevent cross-contamination*
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Dressing and Undressing
Encourages the resident to select their own clothing to support independence and personal choice*
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Provides privacy and ensures comfort while assisting with dressing and undressing*
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Assists conscious and unconscious residents with dressing and undressing following the plan of care*
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Dresses and undresses residents with a weak or affected side by dressing the weak side first and undressing it last*
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Assists residents with intravenous lines or medical devices using care to prevent dislodgement and discomfort*
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Handles clothing and linens according to infection control practices (e.g., avoiding contact with the floor, separating soiled items)*
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Applies and removes compression or support stockings according to the care plan and facility policy (e.g., TED hose)*
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Ensures clothing fits properly and promotes resident dignity, safety, and comfort*
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Dressing and Undressing
Follows the resident’s plan of care for toileting routines, bladder and bowel programs, and elimination needs*
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Provides toileting assistance respectfully and maintains resident privacy and dignity at all times*
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Performs perineal and incontinence care using appropriate infection control procedures*
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Assists residents with the use of bedpans, urinals, and bedside commodes safely and comfortably*
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Assists residents to and from the toilet or toilet riser following safety and mobility protocols*
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Performs catheter care for indwelling or condom catheters according to policy and the care plan*
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Empties and measures urinary drainage bags and records output*
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Provides assistance with colostomy care including emptying and cleaning the ostomy bag as directed by nursing staff*
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Observes and reports abnormal findings to the nurse promptly (e.g., changes in urine or stool color, odor, amount, or consistency, discomfort, bleeding)*
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Practices proper hand hygiene and infection control before and after providing toileting and elimination care*
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Skin Care
Inspects skin during care and reports any changes and breakdowns immediately*
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Uses moisture barriers and protects bony prominences as directed*
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Keeps skin clean and dry and manages incontinence promptly*
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Assists in repositioning residents to offload pressure areas*
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Applies prescribed topical treatments and dressings when delegated by nursing staff*
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Mobility and Positioning
Uses the plan of care to determine the transfer method of the resident*
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Transfers resident using safe transfer techniques*
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Transfers using assistive devices (e.g., lift sheets, slide board, gait belt)*
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Assists with transport of resident (e.g., wheelchair)*
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Assists with ambulation of resident with assistive device (e.g., gait belt, walker)*
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Uses prosthetic and orthotic device correctly*
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Uses support devices (e.g., leg/wrist brace, wedge, elastic stockings)*
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Uses assistive devices (e.g., walker, cane, crutches)*
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Uses wheelchair and devices (e.g., brakes, cushions, footrests)*
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Assists resident with range of motion (e.g., active, passive)*
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Ensures call light and personal items are within reach for safety*
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Follows fall prevention and restraint reduction protocols*
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Nutrition and Feeding Assistance
Prepares residents for meals, ensuring dentures and hygiene needs are met*
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Assists residents with eating and drinking according to care plan*
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Maintains dignity throughout meals*
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Uses aspiration precautions and maintains upright positioning during meals*
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Records meal intake and fluid consumption*
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Recognizes and reports swallowing difficulties and changes in appetite*
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Understands special diets*
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Prepares food (e.g., opening containers, cutting up food)*
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Uses assistive devices appropriately (e.g., built-up utensils, plate guard)*
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Personal Assistive Devices
Reviews the residents care plan for assistive devices*
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Provides care of eyeglasses*
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Provides care of prosthetic eye*
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Provides care of contact lenses*
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Provides care of contact lenses*
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Bedmaking Techniques
Handles clean linens appropriately*
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Makes unoccupied beds*
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Makes occupied beds*
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Properly disposes of soiled linen*
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Vital Signs
Measures and records vital signs according to facility policy*
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Obtains oral temperature using proper technique and infection control measures*
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Obtains axillary temperature using proper technique and infection control measures*
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Obtains rectal temperature following nursing direction and facility protocol*
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Obtains tympanic temperature correctly using approved equipment*
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Counts pulse accurately and reports irregularities or concerns to nursing staff*
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Counts respirations without alerting the resident*
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Obtains pulse oximetry readings and reports abnormal values promptly*
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Measures blood pressure manually using proper cuff size and positioning*
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Uses an electronic blood pressure monitor according to manufacturer and facility guidelines*
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Observes for and reports signs or symptoms of pain or discomfort to the nurse*
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Measures and records height and weight accurately following standard procedure*
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Comfort Care
Provides physical comfort measures (e.g., mouth care, repositioning, hygiene)*
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Offers emotional support to residents and families*
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Maintains dignity and respect during end-of-life care*
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Assists with postmortem care as directed by nursing staff*
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Recognizes signs of discomfort or pain and reports promptly*
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Admission and Discharge
Assists with preparing the resident’s room and equipment prior to admission or transfer*
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Orients the resident to their room and environment including use of call light and safety features*
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Inventories and labels the resident’s personal belongings according to facility policy*
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Assists the resident with packing and managing personal belongings during discharge or transfer*
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Assists with safely transporting the resident to another area or facility (e.g., by wheelchair)*
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Standard and Universal Precautions
Performs hand hygiene according to facility policy and CDC guidelines*
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Applies and removes personal protective equipment correctly*
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Handles and disposes of soiled linens and sharps safely*
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Follows standard and transmission-based precautions*
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Reports and isolates residents per infection control procedures when directed*
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Personal Protective Equipment (PPE)
Selects and uses appropriate personal protective equipment such as gloves, gowns, masks, respirators, and eye protection based on the type of care provided*
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Applies and removes gloves correctly to prevent cross-contamination*
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Applies and removes gowns or aprons safely following infection control procedures*
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Applies and removes masks or respirators properly according to facility and CDC guidelines*
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Applies and removes shoe covers as required for isolation or environmental precautions*
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Applies and removes protective eyewear or face shields safely to prevent exposure to body fluids*
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Specimen Collection
Labels specimens*
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Obtains urine specimen (e.g., clean catch)*
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Obtains stool specimen*
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Obtains emesis specimen*
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Dementia and Cognitive Impairment
Provides person-centered care for residents with dementia and cognitive impairment*
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Recognizes signs of agitation, anxiety, and confusion and reports promptly*
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Uses validation, redirection, and calm communication techniques*
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Supports participation in meaningful activities and routines*
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Maintains a therapeutic and safe environment for all residents*
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Evironmental
Identifies the location and basic use of emergency equipment (e.g., fire extinguishers, alarms)*
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Follows facility evacuation procedures during drills or emergencies*
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Stores and handles chemicals safely according to facility protocols*
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Participates in disaster preparedness activities and follows instructions during emergencies*
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Maintains a clean, organized, and hazard-free environment to promote resident and staff safety*
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Precautions
Verifies resident identity using two identifiers before providing care or services*
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Follows bleeding precautions as directed in the plan of care*
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Implements fall prevention measures and maintains a safe environment*
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Follows assigned suicide precaution procedures and promptly reports concerns to nursing staff*
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Applies aspiration precautions during feeding and oral care per care plan*
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Equipment
Adjusts and uses resident beds safely and appropriately according to care needs*
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Uses a bed scale to obtain resident weights when assigned*
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Identifies and applies bed positions per care plan (e.g., Fowler’s, supine, lateral)*
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Activates and responds to bed alarms as directed by facility policy*
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Assists with residents using therapeutic beds or mattresses according to nursing guidance*
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Operates a mechanical transfer equipment following manufacturer instructions and training (e.g., Hoyer lift, sit-to-stand)*
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Documentation
Measures, calculates, and records intake and output according to facility policy*
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Records vital signs and other resident data promptly and correctly*
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Uses English and metric conversions when calculating and documenting measurements*
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Documents care activities and observations using approved forms and electronic systems*
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Uses correct medical terminology and approved abbreviations in documentation*
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Completes safety checklists, observation forms, and precaution documentation as directed*
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Records time when documenting care or events*
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Documents care provided within required timeframes*
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Completes documentation in compliance with state and federal regulations*
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Documents care and observations according to facility policy and procedures*
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Follows organizational policies for computer use, data entry, and confidentiality*
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Uses approved electronic documentation systems correctly and securely (e.g., computers, tablets)*
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Uses checklist and flowsheet documentation tools to record care activities accurately*
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Reporting and Communication
Reports resident, family, and caregiver concerns promptly and according to organizational policy and procedure*
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Reports observations and any changes in a resident’s condition to the nurse immediately*
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Recognizes and reports signs and indicators of possible abuse, neglect, or exploitation following facility policy*
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Observes for and reports signs and symptoms of hypoglycemia or hyperglycemia to nursing staff*
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Recognizes and reports signs and symptoms of infection promptly*
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Follows facility policy and procedure for reporting incidents and events (e.g., falls, injuries, missing personal items)*
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Demonstrates respectful communication and assists in resolving conflicts among residents, families, and team members by following facility policy and reporting unresolved issues to the nurse or supervisor*
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Promotes resident autonomy, choice, and dignity in all aspects of care*
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Protects residents from abuse, neglect, and exploitation*
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Respects privacy and maintains confidentiality at all times*
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Reports suspected abuse and neglect immediately to the nurse*
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Honors cultural and personal preferences in care delivery*
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General Tasks
Follows directions and performs delegated tasks within scope of practice*
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Participates in shift handoffs and interdisciplinary communication*
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Demonstrates dependability, punctuality, and professionalism*
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Engages in required annual training and competency programs*
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Contributes to a positive and collaborative team environment*
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Maintains knowledge of basic life support, abdominal thrust (Heimlich maneuver), and AED*
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Understands basic anatomy, physiology, body systems, and functions*
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Understands basic supportive care of residents with multiple medical conditions*
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*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
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Title

Title

CNA LTC Skills Checklist

CNA LTC Skills Checklist

Age of Patients Cared For

Oral Care

Nail and Foot Care

Bathing

Shaving

Dressing and Undressing

Dressing and Undressing

Skin Care

Mobility and Positioning

Nutrition and Feeding Assistance

Personal Assistive Devices

Bedmaking Techniques

Vital Signs

Comfort Care

Admission and Discharge

Standard and Universal Precautions

Personal Protective Equipment (PPE)

Specimen Collection

Dementia and Cognitive Impairment

Evironmental

Precautions

Equipment

Documentation

Reporting and Communication

General Tasks