Free Nursing Home Clinical Skills Checklist

Name of Nurse/Nursing Assistant: | [Nurse/Nursing Assistant Name] |
Date of Assessment: | [Assessment Date] |
Instructions: Please check each skill as if the nurse/nursing assistant can perform the task competently, and leave the checkbox blank if they cannot.
1. Basic Nursing Skills
Able to take patient's vital signs and report abnormalities.
Can assist patients with personal hygiene needs.
Experienced in wound dressing and care.
Can assist in bed transfer and patient mobility.
Able to feed patients and ensure proper nutrition.
2. Medication Administration
Knows how to prepare and administer oral and injectable medication.
Can manage medication charts and monitor side effects.
Experienced in managing pain relief techniques.
Able to administer medication through intravenous line.
Can work with pharmacists to ensure proper medication management.
3. Patient Record Management
Able to maintain accurate patient records and charts.
Can ensure privacy and confidentiality of patient data.
Able to clearly document patient behavior and symptoms.
Can maintain and organize patient records for easy retrieval.
Experienced with electronic record-keeping systems.
4. Communication Skills
Able to communicate effectively with patients and families.
Can work well in a team and communicate with other healthcare professionals.
Experienced in breaking down medical jargon for patients and families.
Can demonstrate empathy and patience in difficult situations.
Able to handle complaints and concerns professionally.
5. Emergency Response
Able to respond effectively to emergency situations.
Can perform CPR and basic life support procedures.
Able to use AED defibrillators and other emergency equipment.
Can recognize signs of distress and act promptly.
Has knowledge of evacuation protocols.
- 100% Customizable, free editor
- Access 1 Million+ Templates, photo’s & graphics
- Download or share as a template
- Click and replace photos, graphics, text, backgrounds
- Resize, crop, AI write & more
- Access advanced editor
Ensure comprehensive assessment of clinical skills with Template.net's Nursing Home Clinical Skills Checklist Template. Easily editable in our AI Editor Tool, this customizable template provides a structured format for evaluating nursing home staff proficiency in various clinical tasks such as wound care, medication administration, vital sign monitoring, and patient assessments.
You may also like
- Cleaning Checklist
- Daily Checklist
- Travel Checklist
- Self Care Checklist
- Risk Assessment Checklist
- Onboarding Checklist
- Quality Checklist
- Compliance Checklist
- Audit Checklist
- Registry Checklist
- HR Checklist
- Restaurant Checklist
- Checklist Layout
- Creative Checklist
- Sales Checklist
- Construction Checklist
- Task Checklist
- Professional Checklist
- Hotel Checklist
- Employee Checklist
- Moving Checklist
- Marketing Checklist
- Accounting Checklist
- Camping Checklist
- Packing Checklist
- Real Estate Checklist
- Cleaning Checklist Service
- New Employee Checklist
- Food Checklist
- Home Inspection Checklist
- Advertising Checklist
- Event Checklist
- SEO Checklist
- Assessment Checklist
- Inspection Checklist
- Baby Registry Checklist
- Induction Checklist
- Employee Training Checklist
- Medical Checklist
- Safety Checklist
- Site Checklist
- Job Checklist
- Service Checklist
- Nanny Checklist
- Building Checklist
- Work Checklist
- Office Checklist
- Training Checklist
- Website Checklist
- IT and Software Checklist
- Performance Checklist
- Project Checklist
- Startup Checklist
- Education Checklist
- Home Checklist
- School Checklist
- Maintenance Checklist
- Planning Checklist
- Manager Checklist
- Wedding Checklist
- Vehicle Checklist
- Travel Agency Checklist
- Vehicle Inspection Checklist
- Interior Design Checklist
- Backpacking Checklist
- Business Checklist
- Legal Checklist
- Nursing Home Checklist
- Weekly Checklist
- Recruitment Checklist
- Salon Checklist
- Baby Checklist
- Equipment Checklist
- Trade Show Checklist
- Party Checklist
- Hospital Bag Checklist
- Evaluation Checklist
- Agency Checklist
- First Apartment Checklist
- Hiring Checklist
- Opening Checklist
- Small Business Checklist
- Rental Checklist
- College Dorm Checklist
- New Puppy Checklist
- University Checklist
- Building Maintenance Checklist
- Work From Home Checklist
- Student Checklist
- Application Checklist