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CNA > Skills > Flashcards

Skills Flashcards

1
Q

1 Hand Hygiene (Hand Washing)

A

• Skill to be done at the sink
• Keep hands lower than elbows
1. Address client by name
2. Introduces self to client by name
3. Turns on water at sink
4. Wet hands thoroughly
5. Wet wrists thoroughly
6. Applies soap to hands
Lathers all surfaces of hands producing friction for at least 20 seconds
7. Wrists
8. Hands
9. Fingers
10. Keeps hands lower than elbow, fingertips down
11. Cleans fingertips by rubbing against palms of hands
Rinse - keeping hands lower than elbow, fingertips down
12. Wrists
13. Hands
14. Fingers
Use clean, dry paper towels to dry all surfaces of
15. Wrists
16. Hands
17. Fingers
18. Disposes of paper towels in waste basket
19. Then uses clean, dry paper towel to turn off faucet
20. Disposes of paper towel in waste basket
21. Does not touch inside of sink at any time

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2
Q

2 Applies One Knee-High Elastic Stocking

A

• Skill is done at the Manikin Station
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 flat in bed) while stocking is applied
4. Turns stocking inside-out, at least to the heal
5. Places foot of stocking over toes, foot, heel, and leg
6. Pulls top of stocking over foot, heel, leg
7. Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints
Finishes procedure with:
8. No twists or wrinkles in the stocking
9. With heel of stocking centered over heel of foot
10. With opening of toe area either over or under toe area
11. Signaling device is within reach
12. Bed is in low position
13. After competing skill, washes hands

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3
Q

3 Assists to Ambulate Using Transfer Belt

A

•Evaluator will tell the destination

  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible

Before assisting to stand the following steps must be done: (*may be done in any order)

  1. *“Bed is at a safe level” for client to get up
  2. *Checks and/or locks bed wheels
  3. *Client is assisted to a sitting position with feel flat on the floor
  4. *Client is wearing shoes
  5. *Puts on gait belt securely at waist over clothing
  6. Provides instructions to enable client to assist in standing including prearranged signal to alert client to standing
  7. Stands facing client positioning self to ensure safety of candidate and client during transfer
  8. Counts to three (or prearranged signal) to alert client to begin standing
  9. On signal, gradually assist client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in an upward position)
  10. On signal, gradually assist client to stand by maintaining stability of clients legs (your knee touching their knee)
  11. Walks slightly behind and to one side of client for a distance of (10) feet while holding onto the belt. (fingers, hand pointing up)

After ambulation:

  1. Assists client to bed (okay to leaving sitting)
  2. Removes transfer belt
  3. Signaling device is within reach
  4. Bed is in low position
  5. After completing skill, wash his hands

Equipment Needed
Gait Belt

*If your patient is tall you may need to raise the bed. Remember to lower it when the pt is back on bed

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4
Q

4 Assists With Use of Bedpan-Standard Bed Pan

A

• All ‘urine and rinse’ is poured into the toilet

  1. Explains procedure, speaking clearly, slowly, maintaining face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door
    Before handling bedpan:
  3. Head of bed is flat
  4. Put on clean gloves
  5. Places bedpan correctly under clients buttocks
  6. Avoids over exposure of client
  7. Removes gloves without contaminating self
  8. Disposes of gloves into waste container without contaminating self
  9. Washes hands
  10. Raises head of bed after positioning client on bedpan and removing gloves, washes hands
  11. Toilet tissue is within reach
  12. Hand wipe is within reach
  13. Client is instructed to “clean hands with hand wipe when finished”
  14. Signal device is within reach
  15. Client is asked to “signal when finished”

Before removing bedpan

  1. Put on clean gloves
  2. Head of bed is lowered
  3. Avoids over exposure of client while removing bedpan
  4. Empties bedpan in toilet
  5. Rinses bedpan
  6. Pours rinse in toilet
  7. Places bedpan in designated dirty supply area
  8. Removes gloves without contaminating self 24. Disposes of gloves into waste container without contaminating self
  9. Wash hands
  10. Signaling device is within reach
  11. Bed is in low position
Equipment Needed
Toilet paper
Hand wipes
Bedpan
Gloves 2 pair
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5
Q

5 Cleans Upper or Lower Denture

A
  • Equipment is at Denture Station
  • Skill is done at the Denture Station
  • Moderate means both faucets on
  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. Set dentures on paper towel
  4. Rinses denture cup inside and out
  5. Rinses denture cup lid
  6. Fills denture cup with moderate temperature water
  7. Applies toothpaste to toothbrush
  8. Rinses denture in moderate temperature running water before brushing them (must turn on both faucets)
  9. Brushes all surfaces of denture
  10. Rinses surfaces of denture under moderate temperature running water
  11. Places denture in cup
  12. Places lid on cup
  13. Rinses toothbrush
  14. Places toothbrush and designated toothbrush basin/container
  15. Maintains clean technique with placement of toothbrush (do not put on bare counter)
  16. Maintains clean technique with placement of denture
  17. Sink liner is removed and disposed of appropriately, sink is drained, water off
  18. Removes gloves without contaminating self
  19. Disposes of gloves into waste container without contaminating self
  20. Wash hands

Equipment Needed
Denture set-up (denture cup, dentures, toothpaste, toothbrush)
Paper towels
Gloves

  • When you are finished the denture set up is left at the denture station
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6
Q

6 Counts and Records Radial Pulse

A
  • Tell the evaluator went to “start” and “stop”
  • Count for one full minute
  • May restart if needed
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Signaling devices within reach
  3. Places fingertips on thumb side of clients wrist to locate radial pulse. Say “Start”
  4. Counts beats for one for minute. Say “Stop”
  5. Wash hands
  6. Records pulse within plus or minus 4 beats of evaluators reading

Equipment Needed
Pen
Paper
Watch or clock

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7
Q

7 Counts and Records Resporations

A
  • Only one chance
  • Count for one minute
  • Tell evaluater when to “start” and “stop”
  1. Explains procedure, “for testing purposes” speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Signaling devices within reach
  3. Count respirations for one full minute
  4. Wash hands
  5. Records respiration rate within plus or minus 2 breaths of evaluator’s reading

Equipment Needed
Pen
Paper
Watch or clock with a second hand

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8
Q

8 Donning and Removing PPE (gown & gloves)

A

• Supplies at the PPE Station

  1. Picks up gown
  2. Unfold gown
  3. Facing the back opening of the gown places arms through each sleeve
  4. Fastens the neck opening
  5. Secures gown at waist making sure the back of the clothing is covered by gown (as much as possible)
  6. Puts on gloves
  7. Cuffs of gloves overlap cuffs of down
  8. With one gloved hand, grasps the other glove at the palm
  9. Then remove glove (ball up in gloved hand)
  10. Slips fingers from ungloved hand
  11. Removes glove turning it inside out as it is removed
  12. Disposes of gloves into designated waste container without contaminating self
  13. Unfastens down at neck
  14. Unfastens down at waist
  15. Removes gown without touching outside of gown

While removing gown

  1. Hold gown away from body without touching floor
  2. Turns gown inward
  3. Keeps gown inside out
  4. Disposes of gown in designated container without contaminating self
  5. After completing skill, washes hands

Equipment Needed
PPE gown – yellow
Gloves

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9
Q

9 Dresses Client with Affectes (Weak) Right Arm

A
  • Assist means hands on assistance
  • Okay to raise head of bed
  1. Explains procedure, speaking clearly and slowly, indirectly, 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 (put that shirt closest to the client)
  4. Dress client in shirt of choice
  5. Avoids over exposure of client – (sheet no lower than shoulders)
  6. Remove gown from unaffected side first
  7. Then removes gown from affected side
  8. Disposes of gown into the soiled linen container
  9. Assists to put the right (affected/weak) arms through the right sleeve of the shirt before placing garment on left (unaffected) arm
  10. While putting on shirt, moves body gently and naturally, avoiding force and overextension of limbs and joints
  11. Finishes with clothing in place (do not need to button)
  12. Signaling device is within reach
  13. Bed is in low position
  14. After completing skill, washes hands

Equipment Needed
2 shirts

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10
Q

10 Feeds Client Who Can Not Feed Self

A
  • Have clients it on side of bed
  • The food tray has 2 pieces of fruit and water
  • The meal card will have the clients name on it
  1. Explains procedure, speaking clearly and slowly, and directly, maintaining face-to-face contact whenever possible
  2. Looks at name card on tray
  3. Ask client to state name “Tell me your name”
  4. Client is in an upright sitting position (75-90) degrees (can sit on side of bed)
  5. places tray where the food can be easily seen by client
  6. Candidate sits facing client during feeding
  7. Candidate cleans clients hands with hand wipe before feeding
  8. Tells client what foods are on tray
  9. Asks what client would like to eat first
  10. Using spoon, offers client one bite of each type of food on tray – feed client what they chose first
  11. Tell client the content of each spoonful
  12. Offers beverage at least once during meal
  13. Candidate ask client if they are ready for “The next bite of food or sip of beverage?”

At end of meal

  1. Candidate cleans clients mouth (with napkin)
  2. Candidate cleans clients hands with wipes
  3. Removes food tray
  4. Places tray and designated dirty supply area
  5. Signaling device is within clients reach
  6. After completing skill, washes hands

Equipment Needed
Food tray
Hand wipes
Napkin – from tray

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11
Q 
#11 Gives Modifies Bed Bath
(face & one arm, hand and underarm)
A

• “Air Washing” is an automatic fail

  1. Explains procedure, speaking clearly, maintaining face-to-face contact whenever possible (Place Call Light)
  2. Privacy is provided with a curtain, screen, or door

Before washing client (* can be done in any order)

    • Checks water temperature for safety and comfort
    • Asks client to verify comfort of water (bring basin to pt)
    • Puts on clean gloves before washing client
    • Removes gown, while avoiding overexposure of the client
  5. Places gown in soiled linen container
  6. Begin with eyes, using a wet washcloth (no soap) wash inner to outer aspect
  7. Uses a different area of the washcloth for each stroke
  8. Proceed to wash entire face & nose
  9. Dries entire face with towel
  10. Exposes one arm
  11. Places towel underneath arm keeping rest of body covered
  12. Moves by gently and actually avoiding force and over extension of limbs and joints
  13. Applies soap to wet washcloth
  14. Washes arm
  15. Washes hand
  16. Washes underarm (armpit)
  17. Rinses arm
  18. Rinses hand
  19. Rinses underarm (armpit)
  20. Dries arm
  21. Dries hand
  22. Dries underarm (armpit)
  23. Disposes of linen into soiled linen container
  24. Avoids contact between candidate clothing and used linens
  25. Puts clean gown on client
  26. Empty basin
  27. Rinse basin
  28. Dry basin
  29. Place basin in designated dirty supply area
  30. Remove gloves without contaminating self
  31. Dispose of gloves
  32. Washes hands
  33. Signaling device within reach
  34. Bed is in low position
Equipment Needed
Gloves
Bath basin 
Soap
Clean pt gown
1 hand towel
1 bath towel
3 wash cloths
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12
Q

12 Measures and Records Blood Pressure

A

• The candidates can try B/P two times on each arm

  1. Explains procedure, speaking clearly and slowly, indirectly, maintaining face-to-face contact whenever possible
  2. Wipe bell/diagram of stethoscope with alcohol wipes
  3. Wipe your pieces of stethoscope with alcohol wipes
  4. Positions clients arm palm up
  5. Expose his clients upper arm
  6. Feels for brachial artery on inner aspect of arm, at bend of elbow
  7. Places blood pressure cuff snugly on clients upper arm, with sensor/arrow over break your artery site
  8. Earpieces of stethoscope or in ears
  9. Bell/diagram is over brachial artery site (hold firmly)
  10. Candidate inflates cuff between 160mm Hg to 180mm Hg
  11. Deflates cuff slowly and notes the first sound (systolic reading) and last sound (diastolic reading)(If rounding needed, measurements are rounded up to the nearest 2mm Hg)
  12. Removes cuff
  13. Washes hands
  14. Records both systolic and diastolic pressures each within plus or minus 8mm of evaluators reading
  15. Signaling device is within reach

Note: * If beat heard immediately upon cuff deflation, completely deflated cuff. Reinflate cuff to 200mm Hg, they will use this as their systolic number and continue to listen for the diastolic number and a record. If they go over 200 on any attempt they will be given a SAFETY STOP and FAIL

Equipment Needed
B/P cuff
Stethoscope
Alcohol wipes
Pen
Paper
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13
Q

13 Measures &a Records Urinary Output

A
  • Equipment at the ‘Urinary Station’
  • Measuring container will be on counter
  • All ‘urine and rinse’ is poured into toilet
  1. Puts on clean gloves before handling bedpan
  2. Pours the contents of bedpan into measuring container without spilling or splashing urine outside of container
  3. Rinses bedpan
  4. Pours rinse into toilet and put bedpan back where you got it
  5. Measures the amount of urine at eye level with container on a flat surface
  6. Empties contents of measuring container into toilet
  7. Rinses measuring container (hat or graduate)
  8. Pours rinse into toilet-return container to counter
  9. Removes gloves without contaminating self
  10. Disposes of gloves into waste container without contaminating self
  11. Before recording washes hands
  12. Records contents of container within plus or minus 25 ml/cc of evaluators reading
Equipment Needed
Gloves
Pen
Paper
Graduate or hat (at station)

(Bedpans and measuring containers are not usually dried, but it will not be an error if you do so)

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14
Q

14 Measures and Records Weight of Ambulatory Client

A
  • No gait belt
  • Assist means ‘hands on assistance’
  • Weigh client with shoes on
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Client has shoes on before walking to scale
  3. Sets scale to zero – before client steps on
  4. Assist client onto center of scale
  5. After assisting client on scale obtain weight
  6. Assist client off of scale (tell them to go back to bed)
  7. Wash his hands before recording
  8. Records weight based on indicator on scale. Weight is within plus or minus 2 lb of evaluators reading

Equipment Needed
Pen
Paper
Scale -stand up or floor

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15
Q

15 Performs Modified Passive Range of Motion (PROM) for One Knee & 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. Instructs client to inform candidate if pain is experienced during exercise
  4. PROM KNEE – Support leg at the knee
  5. Supports under the ankle while performing PROM for knee (At least 3 times or unless pain is verbalized)
  6. Bends the knee
  7. Then returns leg to clients normal position (extension/flexion)
  8. PROM ANKLE Supports the foot (hand below the toes)
  9. Support under the ankle keep foot close to the bed
  10. Pushes/polls foot forward toward the head of bed (dorsiflexion)
  11. Pushes and pulls foot down, toes point down (plantar flexion) At least 3 times or unless pain is verbalized
  12. While supporting the limb, moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain
  13. Bed is in low position, signal device
  14. After completing skill, washes hands
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16
Q

16 Performs Modified Passive Range of Motion (PROM) for One Shoulder

A

• Do not hold onto the client’s hand

  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 is experienced during exercise
  4. Supports clients upper arm during PROM
  5. Supports clients lower arm during PROM
  6. Racist clients straightened arm from one side position upward toward head to ear level
  7. Returns farm down to side of body (flexion/extension) At least 3 times unless pain is verbalized
  8. Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing if client verbalizes pain
  9. Moves clients straightened arm away from the side of body to shoulder level (abduction)
  10. moves clients straightened arm from the shoulder level and returns to side of body. (abduction/addduction) At least 3 times, discontinuing exercise if client verbalizes pain
  11. Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing if client verbalizes pain
  12. Signaling device is within reach
  13. Bed is in low position
  14. After completing skill, washes hands
17
Q

17 Positions on Side

A

• Assist means hands on

  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen or door
  3. Lowers head of bed, (Evaluators mark “Yes” If head of bed is already lowered)
  4. racist side rail on side to which client will be turned
  5. Uncover client – (fanfold sheet)
  6. Assist client to turn toward real
  7. Slowly assist to roll onto side as one unit toward raised side rail
  8. Places or adjusts pillow under head for support
  9. Places supportive device behind clients back
  10. Places supportive device between legs with top knee flexed, knee and ankle supported
  11. Supports top arm with supportive device
  12. Candidate positions client so that client is not lying on arm (untuck lower shoulder)
  13. Cover client with sheet
  14. Signaling device is within reach, bed is low
  15. Washes hands

Equipment Needed
4 pillows total

18
Q

18 Provides Catheter Care for Female

A

• Manikin will have catheter inserted

  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact whenever possible
  2. Signaling device is within reach
  3. Privacy is provided with a curtain, screen or door

Before washing

  1. Checks water temperature for safety and comfort
  2. Ask client to verify comfort of water - bring basin to clients
  3. Put on clean gloves
  4. Places linen protector under perineal area
  5. Exposes area surrounding catheter while avoiding over exposure of client
  6. Applies soap to wet washcloth
  7. While holding catheter at meatus (rest hand on pubic bone)
  8. Without tugging
  9. Moving in only one direction (away from the meatus)
  10. Using a clean area of the cloth for each stroke (only 1 stroke needed)
  11. Clean catheter at least 4 inches moving away from meatus
  12. While holding catheter at meatus (rest hand on pubic bone)
  13. Without tugging
  14. Moving in only one direction (away from the meatus) using a clean area of the cloth for each stroke (only 1 stroke needed)
  15. rinse catheter at least 4 inches moving away from the meatus
  16. While holding catheter at meatus (rest hand on pubic bone)
  17. Without tugging
  18. Moving in only one direction (away from the meatus)
  19. dry catheter at least 4 inches moving away from meatus (only 1 stroke needed)
  20. Disposes of linen into soiled linen container
  21. Disposes of bed protector appropriately
  22. Avoid contact between candidate clothing and used linen
  23. Empties basin
  24. Rinses basin
  25. Dries basin
  26. Places basin in designated dirty supply area
  27. Remove gloves without contaminating self
  28. Dispose of gloves
  29. Washes hands
  30. Signaling device within reach/bed low

Equipment Needed
Gloves
3 Bath basin of water
1 Hand towel

19
Q

19 Provides Foot Care on One Foot

A

• Client can sit at bed or stay in the bed

  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact whenever possible
  2. Privacy is provided with curtain, screen, or door
  3. Checks temperature of water for safety and comfort
  4. Asked client to verify comfort of water
  5. Puts on clean gloves
  6. Basin is on a protective barrier
  7. Basin is in a comfortable position for client (bend knee)
  8. Clients bare foot is placed into the water
  9. Applies soap to wet washcloth
  10. Lifts foot from water
  11. Washes foot (not above ankle)
  12. Washes between toes
  13. Rinse foot – can put back into basin
  14. Rinse in between the toes

Put foot back on towel and put basin on over bed table

  1. Dries foot
  2. Dries between toes
  3. Applies lotion to top of foot – do not ask
  4. Apply lotion on bottom of foot – NOT in between the toes, remove excess with towel
  5. Disposes of used linen in soiled linen container
  6. Empties basin
  7. Rinses basin
  8. Dries basin
  9. Places basin in designated dirty supply area
  10. Removes gloves without contaminating self
  11. Disposes of gloves into waste container
  12. Wash hands
  13. Signaling device is within reach/bed low
Equipment Needed
Gloves
Bath basin
Soap
Lotion
2 wash cloths 
1 hand towel
1 bath towel
20
Q

20 Provides Mouth Care

A
  • Screened for dental procedures/surgery
  • No tongue rings
  • Client can sit on side of bed
  • Must actually provide mouth care
  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact whenever possible
  2. Privacy is provided with curtain, screen, or door

Before providing mouth care (*can be done in any order)

    • Client is in upright sitting position
    • Puts on clean gloves
    • Places clothing protector across chest
    • Secures (get) cup of water
    • Moistens toothbrush
  6. Applies toothpaste to moistened toothbrush
  7. Cleans mouth and surface of teeth, using gentle motions
  8. Cleans tongue
  9. Maintains clean technique with placement of toothbrush (put on paper towel not bare table)
  10. candidate offers water and holds emesis basin to chin while client rinses mouth
  11. Candidate wipes mouth
  12. Candidate removes clothing protector
  13. Disposes of used linen in soil linen container
  14. At sink, first rinse toothbrush, put on paper towel
  15. After rinsing toothbrush, empty basin
  16. Rinses basin
  17. Dries basin
  18. Put toothbrush in dried basin
  19. Places basin and toothbrush in designated dirty supply area
  20. Removes gloves without contaminating self
  21. Disposes of gloves into waste container
  22. Wash hands
  23. Signaling device is within reach
  24. Bed is in low position
Equipment Needed
Gloves
Emesis Basin
Toothpaste
Tooth brush (wrapped)
Cup of water
Paper towel
1 hand towel
21
Q

21 Perineal Care (PeriCare) for Female

A

•Care provided on Manikin

  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact whenever possible
  2. Privacy is provided with a curtain, screen, or door (signal devices within reach)

Before washing client (*can be done in any order)

    • Checks water temperature for safety and comfort
    • Ask client to verify comfort of water (bring basin to pt)
    • Puts on clean gloves before washing client
    • Places pad/linen protector under perineal area
  5. Exposes perineal area while avoiding over exposure
  6. Applies soap to wet washcloth
  7. Washes genital area, moving from front to back
  8. While using a clean area of the washcloth for each stroke (1 stroke okay)
  9. Using clean washcloth, rinses soap from genital area, (1 stroke okay)
  10. Moving from front to back
  11. While using a clean area of the washcloth for each stroke (1 stroke okay)
  12. Dries genital area from front to back with towel

After washing genital area

  1. Turns manikin to side
  2. Washes rectal area
  3. Moving from front to back
  4. Using a clean area of washcloth for each stroke (1 stroke okay)
  5. Rinses rectal area
  6. Moving from front to back
  7. Using a clean area of washcloth for each stroke (1 stroke okay)
  8. Dries with a towel (front to back)
  9. Dispose of dirty linen and bed protector – repositions client on to back
  10. Empty basin
  11. Rinse basin
  12. Dry basin
  13. Place basin in designated dirty supply area
  14. Remove gloves without contaminating self
  15. Dispose of gloves
  16. Washes hands
  17. Signaling device within reach
  18. Bed is in low position
Equipment Needed
Gloves
Bath basin
Soap
4 wash clothes
2 hand towel 
1 bath towel
22
Q

22 Transfers from Bed to Wheelchair Using Transfer Belt

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintain face-to-face contact
  2. Privacy is provided with a curtain, screen, or door

Before assisting to stand (*all must be done before client is standing)

    • Wheelchair is positioned a long side of bed, at head of bed, facing foot of bed or at foot of bed facing the head of bed
    • Footrests are folded up or removed
    • Locks wheels on wheelchair
    • “Bed is at safe level” for client to stand
    • Locks bed wheels (push on bed)
    • Client is assisted (hands-on) to sitting position with feet flat on floor
    • Client is wearing shoes
    • Applies transfer belt securely at waist over clothing/down
    • Provides instruction to enable client to assist in transfer including prearranged signal to alert when to begin standing
  10. Stands facing client positioning self to ensure safety of candidate and client during transfer
  11. Knee to knee, counts 1, 2, 3 to alert client to begin standing
  12. Gradually assist client to stand, grasping transfer belt on both sides with an upward grasp
  13. Maintaining stability of clients legs (knee touching)
  14. Assists client to turn to stand in front of wheelchair
  15. The back of the clients legs are touching the seat of the wheelchair
  16. Lowers client into wheelchair
  17. Positions client with “hips touching back of wheelchair”
  18. Transfer belt is removed
  19. Positions feet on foot rests
  20. Signaling device is within reach
  21. After completing skill, washes hands

Equipment Needed
Gait Belt
Wheelchair

CNA (5 decks)

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