CMA Skills Checklist

Skills

Taking and Recording Ht. And Wt.*

1
2
3
4

Recording of History*

1
2
3
4

Blood Pressure*

1
2
3
4

TPR*

1
2
3
4

Recording Vital Signs*

1
2
3
4

Blood collection by venipuncture/phlebotomy*

1
2
3
4

Blood collection by capillary stick*

1
2
3
4

Knowledge of colors of test tube*

1
2
3
4

Urine collection/urinalysis*

1
2
3
4

Specimen handling and labeling*

1
2
3
4

Ability to perform EKG*

1
2
3
4

Injection:*

1
2
3
4

Intramuscular*

1
2
3
4

Subcutaneous*

1
2
3
4

Intradermal*

1
2
3
4

Wound dressing and changing*

1
2
3
4

Sterile technique*

1
2
3
4

Assisting in biopsies*

1
2
3
4

Assisting in suture or staple removal*

1
2
3
4

Knowledge of Universal Precaution*

1
2
3
4

Assisting in telephone triage*

1
2
3
4

Assisting in clerical duty*

1
2
3
4

Physician Practice

Cosmetic Surgery*

1
2
3
4

Dermatology*

1
2
3
4

Family practice*

1
2
3
4

Internal medicine*

1
2
3
4

Geriatrics*

1
2
3
4

OB-GYN*

1
2
3
4

Oncology*

1
2
3
4

Ophthalmology/Optometrist*

1
2
3
4

Orthopedic*

1
2
3
4

Pediatrics*

1
2
3
4

Psychiatry*

1
2
3
4

Urology*

1
2
3
4

Age of Patients Cared for:

Newborn/Neonate (Birth to 30 days)*

1
2
3
4

Infant (1 month to 1 year)*

1
2
3
4

Toddler (1 year to 3 years)*

1
2
3
4

Preschooler (3 years to 5 years)*

1
2
3
4

School Age (5 years to 12 years)*

1
2
3
4

Adolescents (12 years to 18 years)*

1
2
3
4

Young Adults (18 years to 39 years)*

1
2
3
4

Middle Adults (39 years to 64 years)*

1
2
3
4

Older Adults (64 years to 79 years)*

1
2
3
4

Elderly Adults (79 years and up)*

1
2
3
4

Please list the EMR systems you have used*

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.*

Your Recruiter*

Name*

First Last

Email*

Phone*

TODAY'S DATE*

CMA Skills Checklist