NURSE AIDE SKILLS PERFORMANCE CHECKLIST - ok 2026

1. Click ‘Get Form’ to open the NURSE AIDE SKILLS PERFORMANCE CHECKLIST - ok in the editor.
2. Begin by entering the Program/Facility Name and City, Town at the top of the form. This information is essential for identifying where the skills performance is being conducted.
3. Fill in the Aide's Name and Instructor/Nurse’s Name. These fields are crucial for accountability and tracking progress.
4. For each skill listed under Infection Control/Safety and Emergency Skills, mark whether it was satisfactorily performed by checking the appropriate box. Ensure that both the Student/Nurse Aide Employee Signature and Instructor/Nurse Supervisor Signature are provided for verification.
5. Repeat this process for all sections including Meal/Feeding Skills, Personal Care Skills, Elimination Skills, Vital Sign Skills, Positioning Skills, Ambulation Skills, and Lifting and Transfer Skills.
6. Finally, complete the Skills Proficiency Completion Statement at the end of the checklist. Both signatures must be obtained to confirm proficiency.

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