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LNA > Skills > Flashcards

Skills Flashcards

All the skills for Testing

1
Q

Washes Hands

A
  1. Addresses client (if in the room), introduces self
  2. Turns on Water at sink
  3. Wets hands and wrists
  4. Applies soap
  5. Lathers all surfaces (wrists, hands, and fingers) (keep hands lower than elbows and fingertips down)
  6. Cleans fingernails by rubbing fingertips against palms of the opposite hand
  7. Rinse all surfaces (wrists, hands, and fingers) (keep hands lower than elbows and fingertips down)
  8. Uses clean, dry paper towel(s) to dry (wrists, hands, and fingers). Disposes of towel in waste container
  9. Uses clean, dry paper to turn off faucet then dispose of paper into waste container
  10. DOES NOT TOUCH INSIDE OF SINK AT ANY TIME
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2
Q

Applies One Knee-High Elastic Stocking

A
  1. Explain the procedure, speak clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. Privacy is provided
  3. Client is in supine position (lying down in bed) while stocking is applied
  4. Turns stocking inside out (at least to heel area)
  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 procedures with: NO TWISTS OR WRINKLES, THE HEEL OF STOCKING (if present) IS OVER HEEL, AND OPENING ( if present) IS EITHER OVER OR UNDER TOE AREA
  9. Signaling device in within reach, and bed is in low position
  10. After completing skill WASH HANDS
    :
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3
Q

Assists to AMBULATE using transfer belt

A
  1. Explains procedure, speak clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. BEFORE assisting to stand, CLIENT IS WEARING SHOES say “put on shoes”
  3. BEFORE assisting to stand, BED IS AT SAFE LEVEL
  4. BEFORE assisting to stand, CHECKS AND/OR LOCKS BED WHEELS
  5. BEFORE assisting to stand, CLIENT IS ASSISTED TO SITTING POSITION WITH FEET FLAT ON THE FLOOR
  6. BEFORE assisting to stand, applies transfer belt over at the waist over the clothing/gown
  7. BEFORE assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing
  8. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or used prearranged signal) to alert client to begin standing
  9. 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
  10. Walks slightly behind and to one side of client for a distance of 10 feet WHILE holding onto belt
  11. AFTER ambulation, assists client to bed, and removes belt
  12. Signaling device is within reach and bed is low position
  13. AFTER completing skill, washes hands.
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4
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 the head of the bed
  4. Puts on clean gloves BEFORE handling bedpan.
  5. PLACES BEDPAN CORRECTLY UNDER CLIENT’S BUTTOCKS
  6. Removes and disposes of gloves into waste container, and WASHES HANDS
  7. AFTER positioning client on bedpan and removing gloves, raises head of bed
  8. Toilet paper is within reach
  9. Hand wipe is within reach, client is instructed to clean hands with hand wipe when finished
  10. Signaling device is within reach, client is asked to signal when finished
  11. Puts on clean gloves BEFORE removing bedpan
  12. Head of bed is lowered BEFORE bedpan is removed
  13. Avoids overexposure of client
  14. Empties and rinses bedpan and pours rinse into toilet
  15. AFTER rinsing bedpan, places bedpan in designated dirty supply area
  16. AFTER placing bedpan in designated dirty supply area, remove gloves and disposes into waste container and washes hands
  17. Signaling device is within reach and bed is in low position
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5
Q

Cleans Upper or Lower Denture

A
  1. Puts on clean gloves BEFORE handling denture
  2. Bottom of sink is lined and/or sink partially filled with water BEFORE dentures is held over sink
  3. Rinses denture in tepid/moderate temperature running water BEFORE brushing them
  4. Applies toothpaste to toothbrush
  5. Brushes surfaces of denture
  6. Rinses surfaces of dentures under tepid/moderate temperature water
  7. BEFORE placing denture into cup, rinses denture cup and lid
  8. Places denture into cup with moderate (tepid) 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. AFTER rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contaminating self) into waste container and washes hands
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6
Q

Counts and Records Radial Pulse

A
  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. AFTER obtaining pulse by palpating in radial artery position, records pulse rate within plus or minus 4 beats of evaluator’s reading
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7
Q

Counts and Records Respirations

A
  1. Explains procedure, 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. Washes hands
  5. RECORDS respiration rate within plus or minus 2 breaths of evaluator’s reading
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8
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, removes glove
  8. Slips finger from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning inside out as it is removed
  9. Disposes of gloves into designated waste container without contaminating self
  10. AFTER removing gloves, unfastens gown at neck and waist
  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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9
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
    Asks which shirt he/she would like to wear and dresses him/her in shirt of choice
  3. WHILE avoiding overexposure of client, removes gown from the unaffected side first, THEN removes gown from the affected side and disposes of gown into soiled linen container
  4. ASSISTS to put the right (affected/weaker) arm through the right sleeve of the shirt BEFORE placing garment on left (unaffected) arm
  5. WHILE putting shirt, moves body gently and naturally, avoiding force and over-extension of limbs and joints
  6. Finishes with clothing in place
  7. Signaling device is within reach and bed is in low position
  8. After completing skill, washes hands
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10
Q

Feeds Client who Cannot Feed Self

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. BEFORE feeding, candidate looks at name card on tray and asks client to state name
  3. BEFORE feeding client, client is in upright sitting position (75-90 Degrees)
  4. Places tray where the food can be easily seen by client
  5. Candidate cleans client’s hands with hand wipe BEFORE beginning feeding (hand wipe may be washcloth, paper napkin, does not have to be wet)
  6. Candidate sits facing client DURING feeding
  7. Tells client what foods are on tray and asks what client would like to eat first
  8. Using spoon, offers client one bite of each type of food on tray, telling client the content of each spoonful
  9. Offers beverage at least once during meal
  10. Candidate asks client if they are ready for next bite of food or sip of beverage
  11. At end of meal, candidate cleans client’s mouth and hands with wipes
  12. Removes food tray and places tray in designated dirty supply area
  13. Signaling device is within client’s reach
  14. After completing skill, washes hands
    * *Steps #5 and #11 can be same wipe
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11
Q

Gives Modified Bed Bate

Face, 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 in soiled linen container, WHILE avoiding overexposure of client
  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 towel
  8. Exposes one arm and places towel (barrier) underneath arm
  9. Applies soap to wet washcloth
  10. Washes arm, hand, and underarm keeping rest of body covered
  11. Rinses and dries arm, hand, 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. AFTER rinsing and drying basin, 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. AFTER placing basin in designated dirty supply area, and disposing of used linen, 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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12
Q

Measures and Records Blood Pressure

A
  1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
  2. BEFORE using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
  3. Client’s arm is positioned with palm up and upper arm is exposed
  4. Feels for brachial artery on inner aspect of arm, at bend of elbow
  5. Places blood pressure cuff snugly on client’s upper arm, with sensor/arrow over brachial artery site
  6. Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site
  7. Candidate; Inflates cuff between 160 mm Hg to 180 mm Hg. (If beat heard immediately upon cuff deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg)
  8. 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 2 mm of Hg)
  9. Removes cuff
  10. Signaling device is within reach
  11. BEFORE recording, washes hands
  12. AFTER obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator’s reading.
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13
Q

Measures and Records Urinary Output

A
  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. Measures the amount of urine at eye level with container on flat surface
  4. AFTER measuring urine, empties contents of measuring container into toilet
  5. Rinses measuring container and pours rinse into toilet
  6. Rinses bedpan and pours rinse into toilet
  7. AFTER rinsing equipment, and 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 (cc/ml or NOTHING)
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14
Q

Measures and Records Weight of Ambulatory Client

A
  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. BEFORE client steps on scale, candidate sets scale to zero THEN obtains client’s weight
  4. WHILE client steps onto scale, candidate stands next to scale and assists client, if needed, onto center of scale
  5. WHILE client steps off scale, candidate stands next to scale and assists client, if needed, off scale BEFORE recording weight
  6. BEFORE recording, washes hands
  7. RECORDS weight based on indicator on scale. Weight is within plus or minus 2 pounds of evaluator’s reading (If weight recorded in kg weight is within plus or minus 0.9 kg of evaluator’s reading)
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15
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. Instructs client to inform candidate if pain is experienced during exercise
  4. Supports leg at knee and ankle WHILE performing range of motion for knee
  5. Bends the knee and THEN returns leg to client’s normal position (extension/flexion) (AT LEAST 3 TIMES unless pains is verbalized)
  6. Supports foot and ankle close to the bed WHILE performing range of motion for ankle
  7. Pushes/pull foot toward head (dorsiflexion), and pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized)
  8. WHILE supporting the limb, move JOINTS gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain
  9. Signaling device is within reach and bed is in low position
  10. After completing skill, washes hands
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16
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 is experienced during exercise
  4. Supports client’s upper and lower arm at elbow and wrist WHILE performing range of motion for shoulder
  5. 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. Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  6. 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). Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain
  7. Signaling device is within reach and bed is in low position
  8. AFTER completing skill, washes hands
17
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 curtain, screen, or door
  3. BEFORE turning, lowers head of bed
  4. Raises side rail on side to which body will be turned
  5. Slowly rolls onto side as one unit toward raised side rail
  6. Places or adjusts pillow under head for support
  7. Candidate positions client so that client is not lying on arm
  8. Supports top arm with supportive device
  9. Places supportive device behinds clients 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
18
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 BEFORE washing (barrier)
  6. Exposes area surrounding catheter WHILE avoiding overexposure of client
  7. Apples soap to wet washcloth
  8. WHILE holding catheter at meatus without tugging, cleans at least 4 inches of catheter from meatus, moving in only one direction, (i.e., AWAY from meatus) using a clean area of cloth for each stroke
  9. WHILE holding catheter at meatus without tugging, rinses at least 4 inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of cloth for each stroke
  10. WHILE holding catheter at meatus without tugging, dries at least 4 inches of catheter moving away from meatus
  11. Empties, rinses, and dries basin
  12. After rinsing and drying basin, 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. AFTER disposing of used linen and cleaning equipment, 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
19
Q

Providecs 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 is between the toes)
  10. Dries foot (INCLUDING between the toes)
  11. Applies lotion to top and bottom of foot, removing excess (if any) with a towel
  12. Supports foot and ankle during procedure
  13. Empties, rinses, and dries basin
  14. AFTER rinsing and drying basin, places basin in designated dirty supply area
  15. Disposes of used linen into soiled linen container
  16. AFTER cleaning foot and equipment, and disposing of used linen, removes and disposes of gloves (without contaminating self) into waste container and washes hands
  17. Signaling device is within reach
20
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 clothing protector 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 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. After rinsing toothbrush, empty, rinse, and dry the basin and PLACE used toothbrush in designated basin/container
  13. PLACES basin and toothbrush in designated dirty supply area
  14. Disposes of used linen in soiled linen container
  15. After placing basin and toothbrush in designated dirty supply area, and disposing used linen, 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
21
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 BEFORE washing (barrier)
  6. Exposes perineal area WHILE avoiding overexposure of client
  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 towel. (Pat dry)
  11. AFTER washing to genital area, turns to side, THEN washes and rinses rectal area moving from front to back using a clean area of washcloth for each stroke. Dries with towel
  12. Repositions client
  13. Empties, rinses, and dries basin
  14. AFTER rinsing and drying basin, places basin in designated dirty supply area
  15. DIsposes of used linen into soiled linen container and disposes of linen protector appropriately
  16. Avoids contact between candidate clothing and used linen
  17. AFTER disposing of used linen, and placing used equipment in designated dirty supply area, removes and disposes of gloves (without contaminating self) into waste container and washes hands
  18. Signaling device is within each and bed is in low position
22
Q

Transfer 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 along side of bed, either at head of bed facing foot OR at foot of bed facing head
  4. BEFORE assisting to stand, footrests are folded up or removed
  5. BEFORE assisting to stand, bed is at safe level
  6. BEFORE assisting to stand, LOCKS wheels on wheelchair
  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 shoe
  10. BEFORE assisting to stand, applies transfer belt securely AT THE WAIST over clothing/gown
  11. BEFORE assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing
  12. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or other prearranged signal) to alert client to begin standing
  13. On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate’s hands are upward position) and maintaining stability of client’s legs
  14. Assists client to turn to stand in front of wheelchair with back of client’s legs against wheelchair
  15. Lowers client into wheelchair
  16. Positions client with hips touching back of wheelchair and transfer belt is removed
  17. Positions feet on footrests
  18. Signaling device is within reach
  19. AFTER completing skill, washes hands

LNA (3 decks)

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