SHCTC Senior CNA Clinical Chart

EDUCATIONAL SIMULATION
Assigned residentNo resident selected
Room
Diet
Mobility
Precautions

Begin Clinical Assignment

Use only simulated resident information. Verify the care plan, diet, mobility level, and precautions before providing care.

Resident Overview

Review the resident's care plan before beginning.

Care Plan Snapshot

Primary needs

Cognition/communication

Care instructions

    Initial Safety Check

    Activities of Daily Living & Care Provided

    Care areaLevel of assistanceCompletedObservation

    Mobility, Transfer & Positioning

    TimeActivityAssistance / DeviceTolerance

    Nutrition, Fluids & Output

    No intake or output documented.

    Vital Signs, Height & Weight

    TimeT/P/RBPSpO₂WeightNotes

    Skin, Behavior & Resident Observations

    Change in Condition & CNA-to-Nurse Report

    CNA role: Observe, protect the resident, report promptly, and document facts. Do not diagnose or independently change the care plan.

    Junior-Year Clinical Health Review

    Use this area only when assigned by your instructor.

    End-of-Shift Documentation