Skills

Question 1

Handwashing

Answer 1

1. Watch off or slide up wrist
2. Turn water on
3. Wet hands
4. Apply Soap
5. Create lather
6. Wash by scrubbing with friction (20 sec)
   
   • Front of hands
   • Back of hands
   • Between fingers
   • Wrists
   • Cuticles
   • Under nails
7. Rinse hands and wrists
8. Tap fingertips over sink to remove excess water
9. Paper towels to dry (new paper towel as needed)
   
   1. Fingertips
   2. Fingers
   3. Hands
   4. Wrists
10. Paper towel to turn off Hot water
11. Paper towel to turn off Cold water
12. Dispose of each paper towel after use

Skill Complete

Replace watch on wrist

Question 2

Ambulate Resident using Gait Belt

Answer 2

1. Great resident
   
   1. Ask how feeling
   2. Close privacy curtain
   3. Wash hands
   4. Gather supplies
2. Provide explanation
3. Apply gait belt
4. Signal or cue before standing
5. Assist to standing position
6. Ask how resident feels upon standing
7. Walk resident
   
   1. Stand to side
   2. Slightly behind
8. Provide support
   
   1. Arm behind resident
   2. Hand holding gait belt
9. Ask how resident feels during ambulation
10. Walk (at least 10 steps)
11. Assist resident to turn
    
    1. Back of legs against chair prior to sitting
12. Provide support to sit resident in chair
13. Ask how resident feels upon sitting
14. Remove gait belt
    
    1. without harm
    2. without pulling
15. Proper body alignment
    
    1. Hips against back of seat
    2. Sitting upright
16. Comfort or needs
    
    1. Call button within reach
    2. Ask if resident needs anything
    3. Open privacy curtain
    4. Gather supplies
    5. Wash hands

Skill Complete

Question 3

Supplies:

Ambulate Resident

Answer 3

• Gait belt
• Depending on Care Plan
  • Walker
  • Cane

Question 4

Assist Resident needing to use Bedpan

Answer 4

1. The Opening
2. Privacy blanket over resident
3. Top sheet to foot of bed
4. Roll barrier with clean side toward you
5. Open drawer for bedpan
6. Gloves on
7. Tuck barrier under buttocks
   
   1. Bring heels toward buttocks
   2. Lift buttocks off bed
8. Position bedpan under resident
9. Remove gloves
10. Raise head of bed
11. Supply toilet paper and call button
12. Inform resident you will be right outside if they need anything
13. Return to resident
14. Lower head of bed
15. Gloves on
16. Remove bedpan and barrier
    
    1. cover bedpan with barrier
17. Empty bedpan in toilet
18. Rinse bedpan and empty in toilet again
19. Clean bedpan
    
    1. Rinse
    2. grab edge with paper towel
    3. paper towel to dry inside
    4. paper towel to dry outside
    5. paper towel to put supplies away and open cabinet
20. Place toilet paper in bedpan
21. Bedpan back in cabinet
22. Throw paper towels away
23. Remove gloves
24. Offer wipe to resident
25. Use paper towel to collect and throw away wipe
26. Remove privacy blanket
    
    1. Place in dirty linens basket
27. The Closing

Skill Complete

Question 5

Supples:

Bedpan

Answer 5

• (2) Barriers
• (2) Gloves
• Privacy Blanket
• Bedpan
• Toilet paper
• Wipes

Question 6

Supplies:

Mouth Care with Dentures

Answer 6

• Barrier
• (2) Gloves
• Denture brush
• Toothette (Swab Sponge)
• Denture Paste
• Toothpaste
• Emesis basin
• Cup of water
• Washcloth
• Towel

Question 7

Mouth Care

Answer 7

1. Great resident
   
   1. Ask how feeling
2. Provide Explanation
3. Raise head of bed
   
   1. Position pillow lower on back
4. Close privacy curtain
5. Wash hands
6. Gather supplies
7. Barrier on table
8. Prepare toothbrush
   
   1. Wet
   2. Toothpaste
   3. Place in basin
9. Towel across chest
10. Gloves on
11. Brush teeth
    
    1. Back Bottom
    2. Back Top
    3. Front
    4. Tongue
12. Rinse and spit
13. Wipe mouth area with towel
14. Offer another Rinse
15. Dispose wrapper, toothbrush and cup
16. Remove towel
17. Clean basin
    
    1. Dump
    2. Rinse
    3. Place in sink
    4. Paper towel to hold basin
    5. Paper towel to dry inside
    6. Paper towel to dry outside
    7. Paper towel to gather supplies
       
       1. Place toothpaste in basin
       2. Open drawer
18. Place basin and toothpaste in drawer
19. Dispose barrier
20. Remove gloves
21. Comfort or needs
    
    1. Call button within reach
    2. Ask if resident needs anything
       
       1. Sitting up or lay back down
    3. Open privacy curtain
    4. Gather supplies
    5. Wash hands

Skill Complete

Question 8

Measure and Record Radial Pulse

Answer 8

1. The Opening
2. Explain you will be taking the resident’s vitals
   
   1. Ask to remain still
3. Hold resident’s wrist
4. Use two fingers
5. Count the thumps you feel under your fingers for one full minute
6. The Closing
7. Document findings

Question 9

Measure and Record Respirations

Answer 9

1. The Opening
2. Explain you will be taking the resident’s vitals
   
   1. Ask the resident to remain still
3. Lay alcohol prep pad on chest (if needed)
4. Hold the wrist as if you were taking their pulse
   
   1. Do not stand over the patient, staring without touching
5. Count how many times the abdomen rises and falls
6. The Closing
7. Document findings

Question 10

Range of Motion:

Hip, Knee, Ankle

Answer 10

1. The Opening
2. Explain the exercise
3. Ask resident to inform if any pain or discomfort
4. Hip & Knee (climbing stairs)
   
   1. Support hand under knee and ankle
   2. Lift and bend all the way up
   3. Lower and straighten all the way back down
   4. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
5. Ankle (gas pedal)
   
   1. Support ankle
   2. Flex up
   3. Flex down
   4. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
6. The Closing

Question 11

Range of Motion:

Shoulder

Answer 11

1. The Opening
2. Explain the exercise
3. Ask resident to inform if any pain or discomfort
4. Shoulder (overhead)
   
   1. Support wrist and elbow
   2. Lift arm all the way above head
   3. Lower arm all the way back down
   4. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
5. Should (snow angle)
   
   1. Support wrist and elbow
   2. Rotate arm all the way up (abduction)
   3. Rotate arm all the way back down (adduction)
   4. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
6. The Closing

Question 12

Range of Motion:

Elbow, Wrist

Answer 12

1. The Opening
2. Explain the exercise
3. Ask resident to inform if any pain or discomfort
4. Elbow (making a muscle)
   
   1. Support wrist
   2. Lift and bend wrist to shoulder
   3. Lower and straighten all the way back down
   4. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
5. Wrist (revving motorcycle)
   
   1. Support wrist
   2. Close resident’s hand into fist
   3. Bend all the way forward
   4. Bend all the way backward
   5. Ask if any pain or discomfort
      
      1. Perform 3 sets of movements
6. The Closing