Skills Flashcards
Skill 1: Hand Hygiene
- Address client by name, introduce yourself.
- Turn on water @ sink.
- Wet hands up to wrists thoroughly.
- Apply soap to hands.
- Lather all surfaces of wrists, hands, fingers, producing friction for at least 20 seconds, keeping hands lower than elbows and fingertips down.
- Clean fingernails by rubbing fingertips against palms of opposite hand.
- Rinse all surfaces of hands and wrists, keeping hands lower than elbows & fingertips down.
- With clean, dry paper towels, dry all surfaces of hand, wrists and fingertips, then dispose of towels into waste container.
- Use clean paper towel to turn off faucet then dispose of paper towel into waste container. Alternatively, use knee/foot control to turn off faucet.
- Does not touch inside of sink at any time.
Skill 2: Applies one knee-high elastic stocking
- Explains procedure, speaking clearly, slowly, & directly, maintaining face-to-face contact whenever possible.
- Privacy screen is drawn.
- Client is in supine position (lying on back) while stocking is applied.
- Turn stocking inside-out, at least to the heel.
- Place foot of stocking over toes, foot, and heel.
- Pulls top of stocking over foot, heel, and leg
- Moves foot & 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 - Signaling device is within reach and bed is in low position
- After completing skill, wash hands
SKILL 3 — ASSISTS TO AMBULATE
USING TRANSFER BELT
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
10On 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
11Walks slightly behind and to one side of client for a distance
of ten (10) feet, while holding onto the belt
12Assists client to bed and removes transfer belt
13Signaling device is within reach and bed is in low position
14After completing skill, wash hands
SKILL 4 — ASSISTS WITH USE OF BEDPAN
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
8 Toilet tissue is within reach
9 Hand wipe is within reach and client is instructed to clean
hands with hand wipe when finished
10Signaling device within reach and client is asked to signal
when finished
11Puts on clean gloves before removing bedpan
12Head of bed is lowered before bedpan is removed
13Ensures client is covered except when placing and removing
bedpan
14Empties and rinses bedpan and pours rinse into toilet
15Places bedpan in designated dirty supply area
16Removes and disposes of gloves (without contaminating self)
into waste container and washes hands
17Signaling device is within reach and bed is in low position
SKILL 5 — CLEANS UPPER OR LOWER DENTURE
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
10Maintains clean technique with placement of toothbrush
and denture
11Sink liner is removed and disposed of appropriately and/or
sink is drained
12Removes and disposes of gloves (without contaminating self)
into waste container and washes hands
SKILL 6 — COUNTS AND RECORDS RADIAL PULSE
1 Explains procedure, speaking clearly, slowly, and directly,
maintaining face-to-face contact whenever possible
2 Places fingertips on thumb side of client’s wrist to locate
radial pulse
3 Count beats for one full minute
4 Signaling device is within reach
5 Before recording, washes hands
6 Records pulse rate within plus or minus 4 beats of
evaluator’s reading
SKILL 8 — DONNING AND REMOVING PPE (GOWN
AND GLOVES)
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
10After removing gloves, unfastens gown at waist and neck
11After removing gloves, removes gown without touching
outside of gown
12While removing gown, holds gown away from body without
touching the floor, turns gown inward and keeps it inside
out
13Disposes of gown in designated container without
contaminating self
14After completing skill, washes hands
SKILL 7 — COUNTS AND RECORDS RESPIRATIONS
1 Explains procedure (for testing purposes), speaking clearly,
slowly, and directly, maintaining face-to-face contact
whenever possible
2 Counts respirations for one full minute
3 Signaling device is within reach
4 Before recording, washes hands
5 Records respiration rate within plus or minus 2 breaths of
evaluator’s reading
SKILL 9 — DRESSES CLIENT WITH AFFECTED
(WEAK) RIGHT ARM
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
10Signaling device is within reach and bed is in low position
11After completing skill, washes hands
SKILL 10 — FEEDS CLIENT WHO CANNOT FEED
SELF
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
10Offers beverage at least once during meal
11Candidate asks client if they are ready for next bite of food
or sip of beverage
12At end of meal, candidate cleans client’s mouth and hands
13Removes food tray
14Leaves client in upright sitting position (75-90 degrees) with
signaling device within client’s reach
15After completing skill, washes hands
SKILL 11 — GIVES MODIFIED BED BATH (FACE
AND ONE ARM, HAND AND UNDERARM)
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
10Washes fingers (including fingernails), hand, arm, and
underarm keeping rest of body covered
11Rinses and dries fingers, hand, arm, and underarm
12Moves body gently and naturally, avoiding force and overextension of limbs and joints
13Puts clean gown on client
14Empties, rinses, and dries basin
15
15Places basin in designated dirty supply area
16Disposes of linen into soiled linen container
17Avoids contact between candidate clothing and used linens
18Removes and disposes of gloves (without contaminating self)
into waste container and washes hands
19Signaling device is within reach and bed is in low position
SKILL 13 — MEASURES AND RECORDS URINARY
OUTPUT
1 Puts on clean gloves before handling bedpan
2 Pours the contents of the bedpan into measuring container
without spilling or splashing urine outside of container
3 Rinses bedpan and pours rinse into toilet
4 Measures the amount of urine at eye level with container
on flat surface (if between measurement lines, round up to
nearest 25 ml/cc)
5 After measuring urine, empties contents of measuring
container into toilet
6 Rinses measuring container and pours rinse into toilet
7 Before recording output, removes and disposes of gloves
(without contaminating self) into waste container and
washes hands
8 Records contents of container within plus or minus 25
ml/cc of evaluator’s reading
SKILL 14 — MEASURES AND RECORDS WEIGHT OF
AMBULATORY CLIENT
1 Explains procedure, speaking clearly, slowly, and directly,
maintaining face-to-face contact whenever possible
2 Client has non-skid shoes/footwear on before walking to
scale
3 Before client steps on scale, candidate sets scale to zero
4 Asks client to step on center of scale and obtains client’s
weight
5 Asks client to step off scale
6 Before recording, washes hands
7 Records weight based on indicator on scale. Weight
is within plus or minus 2 lbs of evaluator’s reading (If
weight recorded in kg weight is within plus or minus 0.9
kg of evaluator’s reading)
SKILL 15 — PERFORMS MODIFIED PASSIVE RANGE
OF MOTION (PROM) FOR ONE KNEE AND ONE
ANKLE
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
