C.N.A. / G.N.A. HOME HEALTH AIDE SKILLS CHECK LIST

Skills Inventory (Circle areas appropriately in which you perform independent(I), or have had training(T).
 
Perform Independently

Have had Training

Adolescent Care
Adult Care
Geriatric Care
Pediatric Care
Private Home Care
Meal Preparation
Special Diets
Spinal Cord Injury
Mental Retardation Care
AIDS Care
Oncology / Hospice Care
CVA
Transfer ROM
Bathing
TPR
Blood Pressure
Dressing Change Un-Sterile
Ostomy Care
Foley Care
G-Tube Maintenance
Input / Output
Specimen Collection
Test Diabetic Urine
Supervise Medications
Record Keeping / Documentation Skills

R.N. Supervisor Signature:

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