CNA Step-by-step competencies

The HHA must ensure that all of its HHA aides, including HHA aides trained and evaluated
by another HHA or other organization, are competent to carry out assigned patient care tasks, in a safe,
effective, and efficient manner.

Any state requirement regarding aide education, training, competency evaluations, or certification and
supervision that is more stringent than the corresponding federal requirement takes precedence over the
federal requirement. Likewise, any federal requirement that is more stringent than a corresponding state
requirement takes precedence over the more lenient state requirement.

34 STEP-BY-STEP COMPETENCIES, SKILLS CHECKLIST CONTENTS
Hand Washing
Gloves
Bag Technique
Perineal Care
Shampoo (Bed)
Shaving
Oral Hygiene
Denture Care
Nail Care
Dressing
Positioning
Transfer to wheelchair
Transfer from Chair to Bed
Mechanical Lift
Ambulation
Passive Range of Motion
Make an Occupied Bed
Feeding
Application of Compression Hose
Toileting (bed pan)
Toileting (Commode)
Catheter Care
Administering a Suppository
Digital Stimulation