Certified Medical Assistant Skills Checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreOut of 4Name(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyGeneral DutiesAwareness of HCAHPS(Required) 1 2 3 4 Administrative procedures(Required) 1 2 3 4 MDS Coordinator Admit/discharge patients(Required) 1 2 3 4 Blood glucose monitoring(Required) 1 2 3 4 Coordinate scheduling(Required) 1 2 3 4 Documentation(Required) 1 2 3 4 Dressing changes(Required) 1 2 3 4 Familiarity with advanced directives(Required) 1 2 3 4 HIPPA regulations(Required) 1 2 3 4 Isolation techniques(Required) 1 2 3 4 Observe for adverse medication reaction(Required) 1 2 3 4 Alert licensed staff of medication reaction(Required) 1 2 3 4 Patient education(Required) 1 2 3 4 Position/transfer patients(Required) 1 2 3 4 Prepare reports(Required) 1 2 3 4 Pulse oximetry(Required) 1 2 3 4 Lab draw(Required) 1 2 3 4 Screen/direct provider calls(Required) 1 2 3 4 Screen/direct patient calls(Required) 1 2 3 4 Urine dipstick(Required) 1 2 3 4 Universal precautions(Required) 1 2 3 4 Vital signs(Required) 1 2 3 4 Wound care(Required) 1 2 3 4 Assist with patient's health history(Required) 1 2 3 4 Assist with patient procedures(Required) 1 2 3 4 Assist with patient's physical exam(Required) 1 2 3 4 Assist with diagnostic testing and procedures(Required) 1 2 3 4 Assist with discharge instructions(Required) 1 2 3 4 Assist with therapeutic procedures(Required) 1 2 3 4 CardiacAssist with emergency(Required) 1 2 3 4 Perform 12 lead EKG(Required) 1 2 3 4 Use of cardiac monitor(Required) 1 2 3 4 VascularApply/monitor noninvasive BP monitor(Required) 1 2 3 4 Intake and output(Required) 1 2 3 4 Discontinue peripheral IV(Required) 1 2 3 4 Manual BP(Required) 1 2 3 4 Phlebotomy draws(Required) 1 2 3 4 PulmonaryApply nasal cannula/face mask(Required) 1 2 3 4 Incentive spirometry(Required) 1 2 3 4 O2 saturation monitor(Required) 1 2 3 4 NeurologyAssist with lumbar puncture(Required) 1 2 3 4 Neurological evaluation(Required) 1 2 3 4 Seizure precautions(Required) 1 2 3 4 OrthopedicCast care(Required) 1 2 3 4 Crutch walking(Required) 1 2 3 4 Traction(Required) 1 2 3 4 GastrointestinalAssist with feeding(Required) 1 2 3 4 Nutritional evaluation(Required) 1 2 3 4 Instruct/obtain clean catch urine(Required) 1 2 3 4 Straight/Foley catheter female(Required) 1 2 3 4 Straight/Foley catheter male(Required) 1 2 3 4 Medication AdministrationVitamins, minerals, herbs(Required) 1 2 3 4 Antibiotics(Required) 1 2 3 4 Antifungal(Required) 1 2 3 4 Antiviral(Required) 1 2 3 4 Psychotropic(Required) 1 2 3 4 Ophthalmic medications(Required) 1 2 3 4 Aural medications(Required) 1 2 3 4 Respiratory system medications(Required) 1 2 3 4 Cardiovascular system medications(Required) 1 2 3 4 Gastrointestinal system medications(Required) 1 2 3 4 Urinary system medications(Required) 1 2 3 4 Reproductive system medications(Required) 1 2 3 4 Endocrine system medications(Required) 1 2 3 4 Musculoskeletal system medications(Required) 1 2 3 4 Nervous system medications(Required) 1 2 3 4 Immunizations(Required) 1 2 3 4 Intramuscular (IM)(Required) 1 2 3 4 Subcutaneous (SQ)(Required) 1 2 3 4 Intradermal(Required) 1 2 3 4 Z-track(Required) 1 2 3 4 Age Specific CompetenciesNewborn/neonate (Birth - 30 days)(Required) 1 2 3 4 Infant (31 days - 1 year)(Required) 1 2 3 4 Toddler (ages 2-3 years)(Required) 1 2 3 4 Preschooler (ages 4-5 years)(Required) 1 2 3 4 School age (ages 6-12 years)(Required) 1 2 3 4 Young Adults (ages 22-39 years)(Required) 1 2 3 4 Adolescents (ages 13-21 years)(Required) 1 2 3 4 Adults (ages 40-64 years)(Required) 1 2 3 4 Older Adults (ages 65-79 years)(Required) 1 2 3 4 Elderly (ages 80+ years)(Required) 1 2 3 4 Additional SkillsList any Additional SkillsAdditional TrainingList any Additional TrainingAuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically. You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below. Scope of Consent By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below. 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In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below. Withdrawing your consent, requesting a paper copy, or updating your contact information You always have the ability to download and print any documents sent to you through our electronic signature system. 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