Liberty nursing agency inc my response in this checklist represents a true reflection of my experience and comfort level. I hereby certify all statements and claims as true and that any misrepresentation of the facts on this skills checklist is sufficient cause for dismissal at any time without prior notice even if i have been already employed. Clinical skills test checklist during training you learn many skills that are important in caring for residents there are 22 skills that are part of the clinical skills test when you are registered to test a computer will decide which skills will be on your test a clinical skills test consists of five scored skills all candidates taking this test are scored on the handwashing and . Release this certified nursing assistant skills checklist to client facilities of careplus home health inc cna signature date rn signature date rn initials. Page 1 of 3 certified nursing assistant skills evaluation clinical competency assessment 175 e olive ave suite 101 burbank ca 91502 tel 800 554 2230 fax 800 554 7501
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