Skills

Question 1

SKILL 1: Hand washing

Answer 1

1.Sanitize/ wash hands and knock on the door

2. Address client by name and introduce yourself

3.Turn on water

4.Wet hands and wrists thoroughly

5.Apply soap to hands

6.LATHERS ALL SURFACES OF WRISTS, HANDS, AND FINGERS PRODUCING FRICTION FOR ATLEAST 20 SECONDS, KEEPING HANDS LOWER THAN THE ELBOWS AND THE FINGERTIPS DOWN

7. Cleans fingernails by rubbing fingertips against palms of opposite hand

8.RINSE ALL SURFACES OF WRISTS, HANDS, AND FINGERS, KEEPING HANDS LOWER THAN THE ELBOWS AND THE FINGERTIPS DOWN

9. Uses clean dry paper towel(s) to turn off faucet then disposes of paper towel(s) into waste container
10. Use paper towel to turn off faucet
11. Don’t touch inside of sink at any time

Question 2

SKILL 2: Applies one knee-high elastic stocking

Answer 2

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
4. Provide privacy by closing the curtain
5. Raise the bed to a comfortable position and lock the bed
6. Client is in supine position (laying flat) while stocking is applied
7. Turn stocking inside-out, atleast to the heal
8. Pulls top of stocking over foot, heel, and leg
9. Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints
10. FINISHES PROCEDURE WITH NO TWISTS/WRINKLES, AND THE HEEL OF THE STOCKING IS OVER THE HEEL AND OPENING IN TOE AREA.
11. Put bed back to low position and make sure call light button is in reach
12. Open curtain, wash hands, record and report

Question 3

SKILL 3: Assist to ambulate using transfer belt

Answer 3

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible

4.Provide privacy with curtain

5. BEFORE ASSISTING TO STAND, CLIENT IS WEARING NON-SKID SHOES/FOOTWEAR
6. Before assisting to stand, bed is at a safe level
7. Before assisting to stand, make sure the bed is locked

8.BEFORE ASSISTING TO STAND, CLIENT IS ASSISTED TO SITTING POSITION WITH FEET FLAT ON THE FLOOR

9. Before assisting to stand, put transfer belt OVER clients clothes and making sure to put TWO fingers between the belt and patient
10. Before assisting to stand, provide instructions for patient before they stand on the count of 3
11. Stand facing client positioning self to ensure safety of candidate and client during transfer. Count to 3 to tell patient to begin standing
12. On signal, gradually assist client to stand by grasping transfer belt on both sides with an upward grasp, and maintaining stability of clients legs by standing KNEE TO KNEE AND TOE TO TOE
13. Walks slightly behind and to the side of client for a distance of 10ft while holding onto the belt
14. Ask client is they are okay/feeling dizzy/in pain
15. Assist client back to bed and make sure the back of their knee is touching the bed before sitting down
16. Remove transfer belt
17. Make sure bed is locked, in low position, and call light is in reach
18. Wash hands, open curtain, record and report

Question 4

SKILL 4: Assist with use of bed pan

Answer 4

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
4. Provide privacy with curtain
5. Lower head of the bed and make sure bed is in comfortable position.
6. Put on clean gloves and lower side rails
7. Put patient to their side
8. Place under pad under the patient, then bed pan correctly
9. Put patient back into supine position and put up side railes
10. Remove gloves correctly and wash hands
11. Raise head of the bed and lower bed to safe position
12. Tissue and hand wipe is within reach and instruct patient to clean hands with hand wipe when finished
13. Instruct patient to signal with call light when finished
14. Sanitize hands, and knock on the door
15. Lower head of the bed, raise bed to comfortable position and lower side rails
16. Put on gloves before removing bed pan
17. Turn patient to their side while also holding onto the bedpan to prevent spillage
18. Remove bedpan and put it to the side in designated dirty area.
19. Put patient back into supine position, Remove gloves and sanitize. Put side rails up, lower bed to safe position
20. Put on clean gloves and clean and rinse bedpan, pour contents into toilet.
21. Place bedpan in dirty supply area
22. Removes gloves and dispose. Wash hands
23. Call light is in reach, bed is in low position, bed is locked, open curtains, wash hands
    record and report

Question 5

SKILL 5: Cleans upper or lower denture

Answer 5

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
4. Puts on clean gloves
5. Put towel at bottom of the sink and partially fill sink with water before denture is held over the sink
6. Rinse denture in moderate temperature running water before brushing the dentures. Place in basin.
7. Apply toothpaste on toothbrush
8. Brush all surfaces of dentures
9. Rinse all surface of dentures under moderate temperature running water. Place in basin
10. Rinses denture cup and lid
11. Place denture in denture cup with moderate temperature water/solution and place lid on cup
12. Rinse toothbrush and place it in designated toothbrush basin/container
13. Maintains clean technique with placement of toothbrush and denture
14. Sink liner is removed and disposed of appropriately and/or sink is drained
15. Removes gloves and wash hands

Question 6

SKILL 6: Counts and records radial pulse

Answer 6

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
4. Close curtain for privacy

6.Place fingertips on thumb side of clients wrist to locate radial pulse

7. Counts beats for one full minute
8. Make sure call light is in reach
9. Wash hands, close curtain, record and report

AVERAGE BPM 60-100

Question 7

SKILL 7: Counts and records respiration

Answer 7

1. Sanitize/wash hands and knock before entering
2. Introduce yourself and check patients wristband
3. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
4. Close curtain for privacy
5. Counts respiration for one full minute
6. Make sure call light is in reach
7. Wash hands, open curtain, record and report

AVERAGE BREATHES PER MINUTE 12-20

Question 8

SKILL 8: Donning and removing PPE (Gown and gloves)

Answer 8

1. Pick up gown and unfold
2. Tie neck ties first, then put arms through the sleeves
3. Make sure the back is overlapping one another and tie back
4. Put on gloves, making sure gloves are over the sleeves of gown

5.BEFORE REMOVING GOWN, WITH ONE HAND, GRAPS THE OTHER GLOVE AT THE PALM AND REMOVE GLOVE

6. SLIPS FINGERS FROM UNGLOVED HAND UNDERNEATH CUFF OF REMAINING GLOVE AT WRIST, AND REMOVES GLOVES TURNING IT INSIDE OUT AS IT IS REMOVED
7. Disposes gloves into garbage without contaminating self
8. Unfasten ties at the back of gown and neck
9. Removes gown at the inside of the collar at the neck, pulling away without touching the outside of the gown.
10. Roll gown away from body, inward and keeping it inside out without touching ground.

11.Disposes gown into designated garbage

12. After completing skill wash hands

Question 9

SKILL 9: Dresses client with affected (Weak right arm)

Question 10

SKILL 10: Feeds client who cannot feed self

Question 11

SKILL 11: Gives modified bed bath (face and one arm, hand and underarm)

Question 12

SKILL 13: Measures and records urinary output

Question 13

SKILL 14: Measures and records weight of ambulatory client

Question 14

SKILL 15: Performs modified passive range of motion for one knee and one ankle

Question 15

SKILL 16: Performs modified passive range of motion for one shoulder

Question 16

SKILL 17: Positions on side

Question 17

SKILLS: 18: Provides catheter care for female

Question 18

SKILL 19: Provides foot care on one foot

Question 19

SKILL 20: Provides mouth care

Question 20

SKILL 21: Provides perineal care

Question 21

SLILL 22: Transfers from bed to wheelchair using transfer belt

Question 22

SKILL 23: Measures and records manual blood pressure