Medical Assistant



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|Name: |      |Date: |      |

|Please select the column that most accurately describes your proficiency level. NOTE: The checklist is by system, so please review all skills. |

| KEY: 1 - PERFORMS PROFICIENTLY AND INDEPENDENTLY |

|2 - SOME EXPERIENCE (Assistance Required) or CLASSROOM TRAINING (Never Performed) |

|3 - NO TRAINING OR EXPERIENCE |

| |1 |2 |3 | | |1 |2 |3 |

|General Clinical Skills | | | | |OB/GYN | | | |

|Vital Signs | | | | |Assisting with Procedures | | | |

|Obtaining Medical Histories | | | | |Vaginal Exam | | | |

|Height/Weight | | | | |Colposcopy | | | |

|Blood Pressure | | | | |Cryosurgery | | | |

|Peripheral Pulses | | | | |IUD Insertion | | | |

|Draping and Preparing Patients for Exams | | | | |D & C | | | |

|Explaining Treatment Procedures | | | | |Cultures | | | |

|Dressing Changes | | | | |Pap Smears | | | |

|Sterile Technique | | | | |Fetal Doppler | | | |

|Ear Irrigation | | | | |Fetal Non-Stress Test | | | |

|Enemas | | | | |Perineal Care | | | |

|Medication Administration | | | | |Douches | | | |

|Oral | | | | |Use of Contraceptives | | | |

|Injection | | | | |Pediatrics | | | |

|Optic | | | | |Height/Weight | | | |

|Suture Removal | | | | |Head Circumference | | | |

|Autoclave Use | | | | |Immunizations | | | |

| | | | | |Lab Skills | | | |

|Orthopedics | | | | |Venipuncture | | | |

|Ace Wraps | | | | |Urine Dipstick – Routine | | | |

|Casting | | | | |Midstream Urine Analysis Collection | | | |

|Splinting | | | | |Clean Catch Urine Analysis Collection | | | |

|Crutch Assembly | | | | |Urine Drug Screen Collection (legalities) | | | |

|Crutchwaliking Instruction | | | | |Throat Cultures | | | |

|Cane Instruction | | | | |Wound Cultures | | | |

| | | | | |Accucheck | | | |

|Physical Testing | | | | |Front Office | | | |

|EKG | | | | |Scheduling Appointments | | | |

|Visual Screens | | | | |Update & File Medical Records | | | |

|Holter Monitor | | | | |Insurance Forms | | | |

|Peak Flow Meter | | | | |Correspondence | | | |

|Pulmonary Function Test | | | | |Billing | | | |

|Glaucoma Screen | | | | |Bookkeeping | | | |

|Audiometry –Automatic | | | | |Word-processing Skills | | | |

|Audiometry - Manual | | | | |Typing | | | |

|The information I have given is true and accurate to the best of my knowledge. I hereby authorize Favorite Healthcare Staffing to release this skills |

|proficiency checklist to its client facilities in relationship to my employment with that institution. |

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|Employee Signature | |Date | |

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|Branch Representative | |Branch No./Location | |Date |

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MEDICAL ASSISTANT

SKILLS PROFICIENCY CHECKLIST

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