Breadcrumb Home Other Checklists Medical Assistant Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently General Duties Awareness of HCAHPS * Pancreas Administrative Procedures * MDS Coordinator Admit/Discharge Patients * Blood Glucose Monitoring * Coordinate Scheduling * Documentation * Dressing Changes * Familiarity with Advanced Directives * HIPAA Regulations * Isolation Techniques * Observe for Adverse Medication Reaction * Alert Licensed Staff of Medication Reaction * Patient Education * Position/Transfer Patients * Pulse Oximetry * Lab Draw * Screen/Direct Provider Calls * Screen/Direct Patient Calls * Urine Dipstick * Universal Precautions * Vital Signs * Wound Care * Patient's Health History * Patient's Physical Exam * Patient Procedures * Diagnostic Testing and Procedures * Discharge Instructions * Therapeutic Procedures * Cardiac Assist with Emergency * Perform 12 Lead EKG * Use of Cardiac Monitor * Vascular Apply/Monitor Noninvasive BP Monitor * Intake and Output * Discontinue Peripheral IV * Manual BP * Phlebotomy Draws * Pulmonary Apply Nasal Cannula/Face Mask * Incentive Spirometry * O2 Saturation Monitor * Neurology Assist with Lumbar Puncture * Neurological Evaluation * Seizure Precautions * Orthopedic Cast Care * Crutch Walking * Traction * Gastrointestinal Assist with Feeding * Nutritional Evaluation * Instruct/Obtain Clean Catch Urine * Straight/Foley Catheter Female * Straight/Foley Catheter Male * Medication Administration 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 * Intramuscular (IM) * Subcutaneous (SQ) * Intradermal * Z-track * Age Specific Competencies 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) *