Skills Review Flashcards
What are the Initial steps in order
- Ask the nurse the residents needs, abilities, and limitations
- Knock and identify yourself before entering residents room. Wait for permission
- Greet resident by preferred name
- Identify yourself by name and title
- Explain what you’ll be doing and encourage resident to help
- Gather supplies and check equipment
- Close curtains, drapes, doors. Cover resident only exposing body part you’ll be using
- Wash hands
- Wear gloves
- Use proper body mechanics. Raise bed (lower side rails)
What are the final steps in order?
- Remove gloves and wash hands
- Be sure resident is comfortable and had proper body alignment
- Lower bed and put up rails if used
- Place call light and water on residents unaffected side
- Ask if resident needs anything else
- Thank the resident
- Remove supplies and clean equipment
- Open curtains,drapes and door
- Do a visual safety check
- Report unexpected findings to the nurse
- Document procedure
How long do you wash your hands for? How long do you use hand rub and how much?
Hand wash~ 20 seconds
Hand rub~ 10 seconds and a quarter sized amount
What do you check for on gloves?
Rips, holes, and tears
When should you change a mask?
After 30 minutes or when damp
Steps for falling or fainting
- Call for nurse and stay
- Check if the residents breathing
- Don’t move resident
- Talk to resident
- Apply direct pressure to any bleeding
- Take pulse a respirations
- Assist nurse
Steps for choking
- Call for nurse and stay with resident
- Ask if they can speak or cough
- If not able to, move behind resident and perform procedure
Steps for seizures
- Call for nurse and stay
- Place soft object under head and move objects
- Don’t restrain or place anything in residents mouth
4.LOOSEN CLOTHING AROUND NECK - Note duration and affected area
What does RACEF stand for for fire policy?
Remove resident
Activate alarms
Close doors and windows to contain fire
Extinguish fire if able
Follow facility policy
How do you use a fire extinguisher? PASS
Pull pin
Aim
Squeeze
Sweep base of fire
When blood pressure is known, how high should you pump the cuff?
20 mm/hg above normal reading
How far above the elbow should a blood pressure cuff be placed?
1 to 2 inches above the elbow
How should you take a height for someone unable to stand?
Measure from top of their head down to their heels following their curves
How do you assist resident to head of bed with only one person?
Place pillow at residents headboard
Ask resident to bend their knees
Place one hand at residents shoulder blade and one under residents thigh
Ask residents to push with their feet
Where should pillows be placed when a residents in lateral position?
Behind back, between knees, ankles, and under top arm
How far is the bed elevated for semi fowlers
30 to 45
How far is the bed elevated in Fowlers position
45 to 60
Sit on edge of bed procedure?
- Do initial steps
- Adjust bed height to lowest position
- Move resident closest to you
- Raise head of bed to sitting position
- Place one arm under residents shoulder blade and other under residents thighs
- Count to three and slowly turn resident into sitting position with legs dangling?
- Allow time for resident to steady… check for dizziness
- Help resident with shoes or slippers
- Move resident to edge of bed so feet are flat on the floor
- Finals steps
Where should CNA stand and place hands when using a gait belt to assist with ambulation?
CNA should have one hand upwards on gait belt and one hand on upper back.
Should walk slightly behind and off to the side (weaker)
Where should a chair or wheelchair be placed when transferring resident to a chair?
Unaffected side
How far should a walker be in front of resident?
6 to 10 inches above
What’s the acronym for using a walker and what does it stand for?
WBG
Walker, bad, good
