User's Manual

Competency Check-off Sheet

Learner: ______________________________________ Date: ____________________________

The following skills will demonstrate the learner’s basic competency using the Motion C5 Mobile Clinical

Assistant. The leader should complete the self assessment and see the instructor for additional practice

if unable to answer Yes. Select N/A if the skill was not covered in your training session.

Skill Validation:

Circle appropriate

answer

I am able to competent to perform the following skills on the tablet:

Calibrate the Motion pen Yes No N/A

Change the brightness of the screen

Yes No N/A

Use the Motion pen to navigate via point/click Yes No N/A

Use the Motion pen to navigate via drop down menu Yes No N/A

Use the Motion pen to navigate via radio buttons

Yes No N/A

Enter free text using handwriting recognition in the writing pad Yes No N/A

Enter free text using handwriting recognition in the character pad Yes No N/A

Enter free text using the onscreen keyboard

Yes No N/A

Check the battery power levels on the Motion C5 Yes No N/A

Change the battery in the Motion C5

Yes No N/A

Dock and undock the Motion C5 Yes No N/A

Use the bar code reader on the Motion C5 Yes No N/A

Use the RFID reader on the Motion C5

Yes No N/A

Use the camera on the Motion C5 Yes No N/A

Clean the Motion C5 in a clinical environment Yes No N/A

My signature below indicates that I have practiced using the Motion C5 Mobile Clinical Assistant and am

competent in the basic skills needed to use it in a clinical environment.

_______________________________________________________________________

Learner’s signature

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