Certified Medical Assistant Skills Checklist Personal InformationName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) Date 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 1 2 3 4 Administrative procedures 1 2 3 4 MDS Coordinator Admit/discharge patients 1 2 3 4 Blood glucose monitoring 1 2 3 4 Coordinate scheduling 1 2 3 4 Documentation 1 2 3 4 Dressing changes 1 2 3 4 Familiarity with advanced directives 1 2 3 4 HIPPA regulations 1 2 3 4 Isolation techniques 1 2 3 4 Observe for adverse medication reaction 1 2 3 4 Alert licensed staff of medication reaction 1 2 3 4 Patient education 1 2 3 4 Position/transfer patients 1 2 3 4 Prepare reports 1 2 3 4 Pulse oximetry 1 2 3 4 Lab draw 1 2 3 4 Screen/direct provider calls 1 2 3 4 Screen/direct patient calls 1 2 3 4 Urine dipstick 1 2 3 4 Universal precautions 1 2 3 4 Vital signs 1 2 3 4 Wound care 1 2 3 4 Assist with patient's health history 1 2 3 4 Assist with patient procedures 1 2 3 4 Assist with patient's physical exam 1 2 3 4 Assist with diagnostic testing and procedures 1 2 3 4 Assist with discharge instructions 1 2 3 4 Assist with therapeutic procedures 1 2 3 4 CardiacAssist with emergency 1 2 3 4 Perform 12 lead EKG 1 2 3 4 Use of cardiac monitor 1 2 3 4 VascularApply/monitor noninvasive BP monitor 1 2 3 4 Intake and output 1 2 3 4 Discontinue peripheral IV 1 2 3 4 Manual BP 1 2 3 4 Phlebotomy draws 1 2 3 4 PulmonaryApply nasal cannula/face mask 1 2 3 4 Incentive spirometry 1 2 3 4 O2 saturation monitor 1 2 3 4 NeurologyAssist with lumbar puncture 1 2 3 4 Neurological evaluation 1 2 3 4 Seizure precautions 1 2 3 4 OrthopedicCast care 1 2 3 4 Crutch walking 1 2 3 4 Traction 1 2 3 4 GastrointestinalAssist with feeding 1 2 3 4 Nutritional evaluation 1 2 3 4 Instruct/obtain clean catch urine 1 2 3 4 Straight/Foley catheter female 1 2 3 4 Straight/Foley catheter male 1 2 3 4 Medication AdministrationVitamins, minerals, herbs 1 2 3 4 Antibiotics 1 2 3 4 Antifungal 1 2 3 4 Antiviral 1 2 3 4 Psychotropic 1 2 3 4 Ophthalmic medications 1 2 3 4 Aural medications 1 2 3 4 Respiratory system medications 1 2 3 4 Cardiovascular system medications 1 2 3 4 Gastrointestinal system medications 1 2 3 4 Urinary system medications 1 2 3 4 Reproductive system medications 1 2 3 4 Endocrine system medications 1 2 3 4 Musculoskeletal system medications 1 2 3 4 Nervous system medications 1 2 3 4 Immunizations 1 2 3 4 Intramuscular (IM) 1 2 3 4 Subcutaneous (SQ) 1 2 3 4 Intradermal 1 2 3 4 Z-track 1 2 3 4 Age Specific CompetenciesNewborn/neonate (Birth - 30 days) 1 2 3 4 Infant (31 days - 1 year) 1 2 3 4 Toddler (ages 2-3 years) 1 2 3 4 Preschooler (ages 4-5 years) 1 2 3 4 School age (ages 6-12 years) 1 2 3 4 Adolescents (ages 13-21 years) 1 2 3 4 Young Adults (ages 22-39 years) 1 2 3 4 Adults (ages 40-64 years) 1 2 3 4 Older Adults (ages 65-79 years) 1 2 3 4 Elderly (ages 80+ years) 1 2 3 4 Additional SkillsList any Additional SkillsAdditional TrainingList any Additional TrainingAuthorizationsSignature(Required)The information I have given is true and accurate to the best of my knowledge. I hereby authorize Hired by Matrix, Inc. to release this Case Management Skills Checklist to Client facilities of Hired by Matrix, Inc. in consideration of my assignment to work at those facilities.