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CNA Skills > Other Skills > Flashcards

Other Skills Flashcards

1
Q

ASSISTS TO AMBULATE USING TRANSFER BELT

A
  1. Explains procedure, speaking clearly, slowly,and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before assisting to stand, client is wearing non-skid shoes/footwear
  4. Before assisting to stand, bed is at a safe level
  5. Before assisting to stand,checks and/or locks bed wheels
  6. Before assisting to stand, client is assisted to sitting position with feet flat on the floor
  7. Before assisting to stand, applies transfer belt securely at the waist over clothing/gown
  8. Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing
  9. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
  10. On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate’s hands are in upward position), and maintaining stability
    of client’s legs by standing knee to knee, or toe to toe with client
  11. Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt
  12. Assists client to bed and removes transfer belt
  13. Signaling device is within reach and bed is in low position
  14. After completing skill, wash hands
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2
Q

ASSISTS WITH USE OF BEDPAN

A
  1. Explains procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before placing bedpan, lowers head of bed
  4. Puts on clean gloves before placing bedpan under client
  5. Places bedpan correctly under client’s buttocks
  6. Removes and disposes of gloves (without contaminating self) into waste container and washes hands

7.After positioning client on bedpan and removing gloves, raises head of bed

  1. Toilet tissue is within reach
  2. Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished
  3. Signaling device within reach and client is asked to signal when finished

11.Puts on clean gloves before removing bedpan

  1. Head of bed is lowered before bedpan is removed
  2. Ensures client is covered except when placing and removing bedpan
  3. Empties and rinses bedpan and pours rinse into toilet
  4. Places bedpan in designated dirty supply area
  5. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
  6. Signaling device is within reach and bed is in low position
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3
Q

CLEANS UPPER OR LOWER DENTURE

A
  1. Puts on clean gloves before handling denture
  2. Bottom of sink is lined and/or sink is partially filled with water before denture is held over sink
  3. Rinses denture in moderate temperature running water before brushing them
  4. Applies denture toothpaste to toothbrush
  5. Brushes all surfaces of denture
  6. Rinses all surfaces of denture under moderate temperature running water
  7. Rinses denture cup and lid
  8. Places denture in denture cup with moderate temperature water/solution and places lid on cup
  9. Rinses toothbrush and places in designated toothbrush basin/container
  10. Maintains clean technique with placement of toothbrush and denture
  11. Sink liner is removed and disposed of appropriately and/or sink is drained
  12. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
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4
Q

DONNING AND REMOVING PPE (GOWN
AND GLOVES)

A
  1. Picks up gown and unfolds
  2. Facing the back opening of the gown places arms through each sleeve
  3. Fastens the neck opening
  4. Secures gown at waist making sure that back of clothing is covered by gown (as much as possible)
  5. Puts on gloves
  6. Cuffs of gloves overlap cuffs of gown
  7. Before removing gown, with one gloved hand, grasps the other glove at the palm, remove glove
  8. Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed
  9. Disposes of gloves into designated waste container without contaminating self
  10. After removing gloves, unfastens gown at waist and neck
  11. After removing gloves, removes gown without touching outside of gown
  12. While removing gown, holds gown away from body without touching the floor, turns gown inward and keeps it inside out
  13. Disposes of gown in designated container without contaminating self
  14. After completing skill, washes hands
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5
Q

APPLIES ONE KNEE-HIGH ELASTIC
STOCKING

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Client is in supine position (lying down in bed) while the stocking is applied
  4. Turns stocking inside-out, at least to the heel
  5. Places foot of stocking over toes, foot, and heel
  6. Pulls top of stocking over foot, heel, and leg
  7. Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints
  8. Finishes procedure with no twists or wrinkles and heel of stocking, if present, is over heel and opening in toe area (if present) is either over or under toe area; if using a mannequin, candidate may state stocking needs to be wrinkle-free
  9. Signaling device is within reach and bed
  10. After completing skill, wash hands
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6
Q

DRESSES CLIENT WITH AFFECTED
(WEAK) RIGHT ARM

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Asks which shirt he/she would like to wear and dresses him/ her in shirt of choice
  4. Avoids overexposure of client by ensuring client’s chest is covered
  5. Removes gown from the left (unaffected) side first, then removes gown from the right (affected/weak) side
  6. Before dressing client, disposes of gown into soiled linen container
  7. Assists to put the right (affected/weak) arm through the right sleeve of the shirt before placing garment on left (unaffected) arm
  8. While putting on shirt, moves body gently and naturally, avoiding force and over-extension of limbs and joints
  9. Finishes with clothing in place
  10. Signaling device is within reach and bed is in low position
  11. After completing skill, washes hands
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7
Q

FEEDS CLIENT WHO CANNOT FEED SELF

A
  1. Explains procedure to client, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Before feeding, looks at name card on tray and asks client to state name
  3. Before feeding client, client is in an upright sitting position (75-90 degrees)
  4. Places tray where the food can be easily seen by client
  5. Candidate cleans client’s hands before beginning feeding
  6. Candidate sits in a chair facing client during feeding
  7. Tells client what foods and beverage are on tray
  8. Asks client what he/she would like to eat first
  9. Using spoon, offers client one bite of each type of food on tray, telling client the content of each spoonful
  10. Offers beverage at least once during meal
  11. Candidate asks client if they are ready for next bite of food or sip of beverage
  12. At end of meal, candidate cleans client’s mouth and hands
  13. Removes food tray
  14. Leaves client in upright sitting position (75-90 degrees) with signaling device within client’s reach
  15. After completing skill, washes hands
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8
Q

GIVES MODIFIED BED BATH (FACE AND ONE ARM, HAND AND UNDERARM)

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Removes gown and places directly in soiled linen container while ensuring client’s chest and lower body is covered
  4. Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
  5. Puts on clean gloves before washing client.
  6. Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each stroke, washing inner aspect to outer aspect then proceeds to wash face
  7. Dries face with dry cloth towel/washcloth
  8. Exposes one arm and places cloth towel underneath arm
  9. Applies soap to wet washcloth
  10. Washes fingers (including fingernails), hand, arm, and underarm keeping rest of body covered
  11. Rinses and dries fingers, hand, arm, and underarm
  12. Moves body gently and naturally, avoiding force and over-extension of limbs and joints
  13. Puts clean gown on client
  14. Empties, rinses, and dries basin.
  15. Places basin in designated dirty supply area
  16. Disposes of linen into soiled linen container
  17. Avoids contact between candidate clothing and used linens
  18. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
  19. Signaling device is within reach and bed is in low position
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9
Q

PERFORMS MODIFIED PASSIVE RANGE OF MOTION (PROM) FOR ONE KNEE AND ONE ANKLE

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Ensures that client is supine in bed and instructs client to inform candidate if pain is experienced during exercise
  4. While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  5. While supporting the foot and ankle close to the bed, pushes/pulls foot toward head (dorsiflexion), and pushes/ pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  6. Signaling device is within reach and bed is in low position
  7. After completing skill, washes hands
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10
Q

PERFORMS MODIFIED
PASSIVE RANGE OF MOTION (PROM
FOR ONE SHOULDER

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Instructs client to inform candidate if pain experienced during exercise
  4. While supporting arm at the elbow and at the wrist, raises client’s straightened arm from side position upward toward head to ear level and returns arm down to side of body (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joint gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  5. While supporting arm at the elbow and at the wrist, moves client’s straightened arm away from the side of body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST 3 TIMES unless pain is verbalized). Moves joint gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  6. Signaling device is within reach and bed is in low position
  7. After completing skill, washes hands
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11
Q

POSITIONS ON SIDE

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before turning, lowers head of bed
  4. Raises side rail on side to which body will be turned
  5. Candidate assists client to slowly roll onto side toward raised side rail
  6. Places or adjusts pillow under head for support
  7. Candidate repositions arm and shoulder so that client is not lying on arm
  8. Supports top arm with supportive device
  9. Places supportive device behind client’s back
  10. Places supportive device between legs with top knee flexed; knee and ankle supported
  11. Signaling device is within reach and bed is in low position
  12. After completing skill, washes hands
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12
Q

PROVIDES CATHETER CARE FOR
FEMALE

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
  4. Puts on clean gloves before washing
  5. Places linen protector under perineal area including buttocks before washing
  6. Exposes area surrounding catheter (only exposing client between hip and knee)
  7. Applies soap to wet washcloth
  8. While holding catheter at meatus without tugging, cleans at least four inches of catheter from meatus, moving in only one direction, away from meatus, using a clean area of the washcloth for each stroke
  9. While holding catheter at meatus without tugging, using a clean washcloth, rinses at least four inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of the washcloth for each stroke
  10. While holding catheter at meatus without tugging, dries at least four inches of catheter moving away from meatus using a dry cloth towel/washcloth
  11. Empties, rinses, and dries basin
  12. Places basin in designated dirty supply area
  13. Disposes of used linen into soiled linen container and disposes of linen protector appropriately
  14. Avoids contact between candidate clothing and used linen
  15. Removes and disposes of gloves (without contaminating self ) into waste container and washes hands
  16. Signaling device is within reach and bed is in low position
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13
Q

PROVIDES FOOT CARE ON ONE FOOT

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
  4. Basin is in a comfortable position for client and on protective barrier
  5. Puts on clean gloves before washing foot
  6. Client’s bare foot is placed into the water
  7. Applies soap to wet washcloth
  8. Lifts foot from water and washes foot (including between the toes)
  9. Foot is rinsed (including between the toes)
  10. Dries foot (including between the toes) with dry cloth towel/washcloth
  11. Applies lotion to top and bottom of foot (excluding between the toes) removing excess with a towel/washcloth
  12. Supports foot and ankle during procedure

13.Empties, rinses, and dries basin

14.Places basin in designated dirty supply area

  1. Disposes of used linen into soiled linen container
  2. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
  3. Signaling device is within reach
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14
Q

PROVIDES MOUTH CARE

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before providing mouth care, client is in upright sitting position (75-90 degrees)
  4. Puts on clean gloves before cleaning mouth
  5. Places cloth towel across chest before providing mouth care
  6. Secures cup of water and moistens toothbrush
  7. Before cleaning mouth, applies toothpaste to moistened toothbrush
  8. Cleans mouth (including tongue and all surfaces of teeth), using gentle motions
  9. Maintains clean technique with placement of toothbrush
  10. Candidate holds emesis basin to chin while client rinses mouth
  11. Candidate wipes mouth and removes clothing protector
  12. Disposes of used linen into soiled linen container
  13. Rinses toothbrush and empties, rinses, and dries basin
  14. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
  15. Signaling device is within reach and bed is in low position
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15
Q

PROVIDES PERINEAL CARE
(PERI-CARE) FOR FEMALE

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
  4. Puts on clean gloves before washing perineal area
  5. Places pad/ linen protector under perineal area including buttocks before washing
  6. Exposes perineal area (only exposing between hips and knees)
  7. Applies soap to wet washcloth
  8. Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke
  9. Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke
  10. Dries genital area moving from front to back with dry cloth towel/washcloth
  11. After washing genital area, turns to side, then washes rectal area moving from front to back using a clean area of washcloth for each stroke.
  12. Using clean washcloth, rinses soap from rectal area, moving from front to back, while using a clean area of the washcloth for each stroke
  13. Dries rectal area moving from front to back with dry cloth towel/washcloth
  14. Repositions client
  15. Empties, rinses, and dries basin
  16. Places basin in designated dirty supply area
  17. Disposes of used linen into soiled linen container and disposes of linen protector appropriately
  18. Avoids contact between candidate clothing and used linen
  19. Removes and disposes of gloves (without contaminating self) into waste container and washes hands
  20. Signaling device is within reach and bed is in low position
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16
Q

TRANSFERS FROM BED TO
WHEELCHAIR USING TRANSFER BELT

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
  3. Before assisting to stand, wheelchair is positioned alongside of bed, at head of bed facing foot or foot of bed facing head
  4. Before assisting to stand, footrests are folded up or removed
  5. Before assisting to stand, locks wheels on wheelchair
  6. Before assisting to stand, bed is at a safe level
  7. Before assisting to stand, checks and/or locks bed wheels
  8. Before assisting to stand, client is assisted to a sitting position with feet flat on the floor
  9. Before assisting to stand, client is wearing shoes

10.Before assisting to stand, applies transfer belt securely at the waist over clothing/gown

  1. Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing
  2. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
  3. On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in upward position) and maintaining stability of client’s legs by standing knee to knee, or toe to toe with the client
  4. Assists client to turn to stand in front of wheelchair with back of client’s legs against wheelchair
  5. Lowers client into wheelchair
  6. Positions client with hips touching back of wheelchair and transfer belt is removed
  7. Positions feet on footrests
  8. Signaling device is within reach
  9. After completing skill, washes hands

CNA Skills (2 decks)

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