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CNA Checklist

Temporary Nurse Aide (TNA) Bridge Skills to CNA Checklist
May 2022

To be used for TNAs who have completed AHCA/NCAL’s Temporary Nurse Aide
Training Program and wish to BRIDGE to CNA Certification

CMS DEFINITION

§483.35 “Competency” is a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics that an individual needs to perform work roles or occupational functions successfully. CMS requires that the individual employed as a nurse aide be competent to provide nursing and nursing related services at 42 CFR §483.35(d)(1)(i), and that requirement must be met.

Many factors must be considered when determining whether or not facility staff have the specific competencies and skill sets necessary to care for residents’ needs, as identified through the facility assessment, resident-specific assessments, and described in their plan of care.

All nursing staff must also meet the specific competency requirements as part of their license and certification requirements defined under State law or regulations.

Demonstration of Competency – Competency may not be demonstrated simply by documenting that staff attended a training, listened to a lecture, or watched a video. A
staff’s ability to use and integrate the knowledge and skills that were the subject of the
training, lecture or video must be assessed and evaluated by staff already determined to be competent in these skill areas.

Examples for evaluating competencies may include but are not limited to:

  • Lecture with return demonstration for physical activities;
  • A pre- and post-test for documentation issues;
  • Demonstrated ability to use tools, devices, or equipment that were the subject of training and used to care for residents;
  • Reviewing adverse events that occurred as an indication of gaps in competency; or
  • Demonstrated ability to perform activities that is in the scope of practice an individual is licensed or certified to perform.

Preventing Infection While Providing Personal Care


Skill

Standard Precautions

MM slash DD slash YYYY

Handwashing

MM slash DD slash YYYY

Using Barriers (Gloves, Gowns, Mask, etc.)

MM slash DD slash YYYY

Isolation/Transmission Based Precautions

MM slash DD slash YYYY

Cleaning, Disinfection, Sterilization

MM slash DD slash YYYY

Personal Care Routines (bathing)

MM slash DD slash YYYY

Modified Bed bath (face and one arm, Hand and Underarm)

MM slash DD slash YYYY

Shampooing

MM slash DD slash YYYY

Oral Hygiene/ Dental Care

MM slash DD slash YYYY

Denture Care-clean upper and/or lower plate

MM slash DD slash YYYY

Grooming

MM slash DD slash YYYY

Dresses Resident with Affected (Weak) arm

MM slash DD slash YYYY

Foot Care

MM slash DD slash YYYY

Shaving

MM slash DD slash YYYY

Nail Care

MM slash DD slash YYYY

Personal Safety and Emergency Care


Skill

Dressing/Undressing

MM slash DD slash YYYY

Bloodborne Pathogens

MM slash DD slash YYYY

Body Mechanics

MM slash DD slash YYYY

Choking

MM slash DD slash YYYY

Injury Prevention

MM slash DD slash YYYY

Documentation and Core Nursing Skills


Skill

Documentation

MM slash DD slash YYYY

Bedmaking

MM slash DD slash YYYY

Making an Occupied Bed

MM slash DD slash YYYY

Transferring a Resident using a lift

MM slash DD slash YYYY

Positioning, Moving, and Restorative Care


Skill

Positioning

MM slash DD slash YYYY

Moving Up in Bed When Resident Unable

MM slash DD slash YYYY

Moving a Resident

MM slash DD slash YYYY

Stand, Pivot, Transfer

MM slash DD slash YYYY

Assisting with Walking (ambulation) with and without transfer belt

MM slash DD slash YYYY

Transfers from Bed to Wheelchair using Transfer Belt

MM slash DD slash YYYY

Performs Modified Passive Range of Motion for Knee/ankle

MM slash DD slash YYYY

Performs Modified Passive Range of Motion for one shoulder

MM slash DD slash YYYY

Applies one knee-high Elastic Stocking

MM slash DD slash YYYY

Nutrition and Elimination


Skill

Assisting with Meals

MM slash DD slash YYYY

Feeds Resident who cannot feed self

MM slash DD slash YYYY

Assisting with Elimination (toileting)

MM slash DD slash YYYY

Assisting with Ostomy

MM slash DD slash YYYY

Assists with Perineal care for female

MM slash DD slash YYYY

Assists with Catheter care for female

MM slash DD slash YYYY

Assists with use of bed pan

MM slash DD slash YYYY

Advanced and Specialty Care Environments


Skill

Oxygen Therapy

MM slash DD slash YYYY

Motivate Resident/Stop when Resists

MM slash DD slash YYYY

Specific Behavioral Symptoms

MM slash DD slash YYYY

Counts and Records Radial Pulse

MM slash DD slash YYYY

Counts and Records Respirations

MM slash DD slash YYYY

Measures and Records Blood Pressure

MM slash DD slash YYYY

Measures and Records Weight of Ambulatory Resident

MM slash DD slash YYYY

Measures and records Urinary Output

MM slash DD slash YYYY

Comfort Care and End of Life


Skill

Pain Management

MM slash DD slash YYYY

Promoting Comfort and Sleep

MM slash DD slash YYYY

End of Life Care

MM slash DD slash YYYY

Ethics and the Law in LTC


Skill

Physical Care of Body After Death

MM slash DD slash YYYY
Attestation Statement:
I certify that ________________________________________has been assessed and evaluated by staff and determined to be competent in these skill areas.
MM slash DD slash YYYY
Clear Signature
MM slash DD slash YYYY
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