Medical Assistant Skills Checklist
   NAME    
   LAST 4 OF SSN      
   DATE    
I hereby certify that ALL information I have provided to FILL IN THE BLANK on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.  
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.  
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

  
       
Rating Stars (Click) General Duties 1 2 3 4  
Awareness of HCAHPS  
Administrative procedures  
MDS Coordinator Admit/discharge patients  
Blood glucose monitoring  
Coordinate scheduling  
Documentation  
Dressing changes  
Familiarity with advanced directives  
HIPPA regulations  
Isolation techniques  
Observe for adverse medication reaction  
Alert licensed staff of medication reaction  
Patient education  
Position/transfer patients  
Prepare reports  
Pulse oximetry  
Lab draw  
Screen/direct provider calls  
Screen/direct patient calls  
Urine dipstick  
Universal precautions  
Vital signs  
Wound care  
  Assist with:    
Patient's health history  
Patient's physical exam  
Patient procedures  
Diagnostic testing and procedures  
Discharge instructions  
Therapeutic procedures  
Rating Stars (Click) Cardiac 1 2 3 4  
Assist with emergency  
Perform 12 lead EKG  
Use of cardiac monitor  
Rating Stars (Click) Vascular 1 2 3 4  
Apply/monitor noninvasive BP monitor  
Intake and output  
Discontinue peripheral IV  
Manual BP  
Phlebotomy draws  
Rating Stars (Click) Pulmonary 1 2 3 4  
Apply nasal cannula/face mask  
Incentive spirometry  
O2 saturation monitor  
Rating Stars (Click) Neurology 1 2 3 4  
Assist with lumbar puncture  
Neurological evaluation  
Seizure precautions  
Rating Stars (Click) Orthopedic 1 2 3 4  
Cast care  
Crutch walking  
Traction  
Rating Stars (Click) Gastrointestinal 1 2 3 4  
Assist with feeding  
Nutritional evaluation  
Instruct/obtain clean catch urine  
Straight/Foley catheter female  
Straight/Foley catheter male  
Rating Stars (Click) Medication Administration 1 2 3 4  
Vitamins, minerals, herbs  
Antibiotics  
Antifungal  
Antiviral  
Psychotropic  
Ophthalmic medications  
Aural medications  
Respiratory system medications  
Cardiovascular system medications  
Gastrointestinal system medications  
Urinary system medications  
Reproductive system medications  
Endocrine system medications  
Musculoskeletal system medications  
Nervous system medications  
  Immunizations    
Intramuscular (IM)  
Subcutaneous (SQ  
Intradermal  
Z-track  
Rating Stars (Click) Age Specific Competencies 1 2 3 4  
Newborn/neonate (birth-30 days)  
Infant (31 days-1 year)  
Toddler (ages 2-3 years)  
Preschool (ages 4-5 years)  
School age (ages 6-12 years)  
Adolescent (ages 13-21 years)  
Young adult (ages 22-39 years)  
Adult (ages 40-64 years)  
Older adult (ages 65-79 years)  
Elderly (ages 80+ years)  
  Please list any Additional Skills:  
1  
2  
3  
4  
  Additional training:  
1  
2  
3  
4  
  Additional training:  
1  
2  
3  
4