CNA Skills Checklist

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Step 1 For Hand Hygiene

Address client by name and introduces self to client by name

Step 2 For Hand Hygiene

Turns on water at sink

Step 3 For Hand Hygiene

Wet Hands and wrists thoroughly

Step 4 For Hand Hygiene

Applies soap to hands

Step 5 For Hand Hygiene

Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 (twenty) seconds, keeping hands lower than the elbows and the fingertips down.

Step 6 For Hand Hygiene

Cleans fingernails by rubbing fingertips against palms of the opposite hand

Step 7 For Hand Hygiene

Rinse all surfaces of wrists, hands, and fingers keeping hands lower than the elbows and the fingertips down.

Step 8 For Hand Hygiene

Uses clean, dry paper towels, to dry all surfaces of fingers, hands, and wrists starting at fingertips then disposes of paper towels into waste container.

Step 9 For Hand Hygiene

Uses clean, dry paper towel to turn off faucet then disposes of paper towels into waist container.

Step 10 For Hand Hygiene

Does not touch inside of sink at any time.

Step 1 of Donning and Removing PPE (Gown and Gloves)

Picks up gown and unfolds

Step 2 of Donning and Removing PPE (Gown and Gloves)

Facing the back opening of the gown places arms through each sleeve.

Step 3 of Donning and Removing PPE (Gown and Gloves)

Gastens the neck opening.

Step 4 of Donning and Removing PPE (Gown and Gloves)

Secures gown at waist making sure that back of clothing is covered by gown (as much as possible).

Step 5 of Donning and Removing PPE (Gown and Gloves)

Puts on gloves

Step 6 of Donning and Removing PPE (Gown and Gloves)

Cuffs of gloves overlap cuffs of gown.

Step 7 of Donning and Removing PPE (Gown and Gloves)

Before removing gown, with one gloved hand, grasps the other glove at the palm, remove glove.

Step 8 of Donning and Removing PPE (Gown and Gloves)

Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove truing it inside out as it is removed.

Step 9 of Donning and Removing PPE (Gown and Gloves)

Disposes of gloves into designated waste container without contamination self

Step 10 of Donning and Removing PPE (Gown and Gloves)

After removing gloves, unfastens gown at neck and waist.

Step 11 of Donning and Removing PPE (Gown and Gloves)

After removing gloves, removes gown without touching outside of gown.

Step 12 of Donning and Removing PPE (Gown and Gloves)

While removing gown, holds gown away from body without touching the floor, tuyrns gown inward and keeps it inside out.

Step 13 of Donning and Removing PPE (Gown and Gloves)

Disposes of gown in designated container without contamination self.

Step 14 of Donning and Removing PPE (Gown and Gloves)

After completing skill, washes hands.

Step 1 of Apllies One Knee-High Elastic Stocking

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

Step 2 of Apllies One Knee-High Elastic Stocking

Privacy is provided with a curtain, screen, or door.

Step 3 of Apllies One Knee-High Elastic Stocking

Client is in supine position(lying down on bed) while stocking is applied.

Step 4 of Apllies One Knee-High Elastic Stocking

Turns stocking inside_out, at least to the heel.

Step 5 of Apllies One Knee-High Elastic Stocking

Places foot of stocking over toes, foot and heel.

Step 6 of Apllies One Knee-High Elastic Stocking

Pulls top of stocking over foot and heel.

Step 7 of Apllies One Knee-High Elastic Stocking

Moves foot and leg gently and naturally avoiding force and over extension of limb and joints

Step 8 of Apllies One Knee-High Elastic Stocking

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 wrinke-free

Step 9 of Apllies One Knee-High Elastic Stocking

Signaling device is within reach and bed is in low position

Step 10 of Apllies One Knee-High Elastic Stocking

After completing skill, wash hands.

Step 1 of Assists to ambulate using transfer belt

Explains procedure, speaking clearly, slowly, and directly. Maintaining face to face contact whenever possible

Step 2 of Assists to ambulate using transfer belt

Privacy is provided with a curtain, screen, or door.

Step 3 of Assists to ambulate using transfer belt

Before assisting to stand, client is wearing non-skid shoes/footwear

Step 4 of Assists to ambulate using transfer belt

Before assisting to stand, bed is at a safe level

Step 5 of Assists to ambulate using transfer belt

Before assisting to stand, checks and or locks bed wheels

Step 6 of Assists to ambulate using transfer belt

Before assisting to stand, client is assisted to sitting position with feet flat on the floor.

Step 7 of Assists to ambulate using transfer belt

Before assisting to stand, applies transfer belt securely at the waist or clothingown.

Step 8 of Assists to ambulate using transfer belt

Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing.

Step 9 of Assists to ambulate using transfer belt

Stands facing client positioning self to ensure safety of candidate and client during transfer. Count to three (or says other prearranged signal) to alert client to begin standing.

Step 10 of Assists to ambulate using transfer belt

On signal, gradually assist client to stand by grasping transfer belt on both sides with an upward grasp (Candidates hands are in upward position), and maintaining stability of client’s legs by standing knee to knee or toe to toe with client.

Step 11 of Assists to ambulate using transfer belt

Walks slightly behind and to one side of client for a distance of ten(10) feet, while holding onto the belt.

Step 12 of Assists to ambulate using transfer belt

After ambulation. Assists client to bed and removes transfer belt.

Step 13 of Assists to ambulate using transfer belt

Signaling device is within reach and bed is in low position.

Step 14 of Assists to ambulate using transfer belt

After completing skill, washes hands.

Step 1 of Tranfers from Bed to Wheelchair using Transfer belt.

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

Step 2 of Tranfers from Bed to Wheelchair using Transfer belt.

Privacy is provided with a curtain, screen, or door.

Step 3 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, wheelchair is positioned alongside of bed, at head of bed facing foot or foot of bed facing head.

Step 4 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, footrests are folded up or removed.

Step 5 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, bed is at safe level.

Step 6 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, locks wheels on wheelchair.

Step 7 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, checks and/ ore locks bed wheels.

Step 8 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, client is assisted to a sitting position with feet flat on the floor.

Step 9 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, client is wearing shoes.

Step 10 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, applies transfer belt securely at the waist over clothingown.

Step 11 of Tranfers from Bed to Wheelchair using Transfer belt.

Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing.

Step 12 of Tranfers from Bed to Wheelchair using Transfer belt.

Stand 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.

Step 13 of Tranfers from Bed to Wheelchair using Transfer belt.

On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in upward position) and maintaining stability of clients legs.

Step 14 of Tranfers from Bed to Wheelchair using Transfer belt.

Assists client to turn to stand in front of wheelchair with back of clients legs against wheelchair.

Step 15 of Tranfers from Bed to Wheelchair using Transfer belt.

Lowers client into wheelchair.

Step 16 of Tranfers from Bed to Wheelchair using Transfer belt.

Positions client with hips touching back of wheelchair and transfer belt is removed.

Step 17 of Tranfers from Bed to Wheelchair using Transfer belt.

Positions feet on footrests.

Step 18 of Tranfers from Bed to Wheelchair using Transfer belt.

Sifnaling device is within reach.

Step 19 of Tranfers from Bed to Wheelchair using Transfer belt.

After completing skill. Washes hands.

Step 1 of Feeds Client who cannot feed self

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

Step 2 of Feeds Client who cannot feed self

Before feeding, looks at name on tray and asks client to state name.

Step 3 of Feeds Client who cannot feed self

Before feeding client, client is in an upright sitting position (75-90 degrees).

Step 4 of Feeds Client who cannot feed self

Places tray where the food can be easily seen by client

Step 5 of Feeds Client who cannot feed self

Candidate cleans clients hands with hand wipe before beginning feeding.

Step 6 of Feeds Client who cannot feed self

Candidate sits facing client during feeding.

Step 7 of Feeds Client who cannot feed self

Tells client what foods are on the tray.

Step 8 of Feeds Client who cannot feed self

Asks what client would like to eat first.

Step 9 of Feeds Client who cannot feed self

Using spoon, offers client one bite of each type of food on tray. Telling client the contents of each spoonful.

Step 10 of Feeds Client who cannot feed self

Offers beverage at least once during meal.

Step 11 of Feeds Client who cannot feed self

Candidate asks client if they are ready for the next bite of food or sip of beverage.

Step 12 of Feeds Client who cannot feed self

At the end of meal, Candidate cleans clien’ts mouth and hands with wipes.

Step 13 of Feeds Client who cannot feed self

Removes food tray and places tray in designated dirty supply area.

Step 14 of Feeds Client who cannot feed self

Leaves client in upright sitting position (79-90 degrees) with signaling device within clients reach.

Step 15 of Feeds Client who cannot feed self

After completing skill. Washes hands.

Step 1 of Provides mouth care

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

Step 2 of Provides mouth care

Privacy is provided with a curtain, screen, or door.

Step 3 of Provides mouth care

Before providing mouth care, client is in upright sitting position(75-90 degrees).

Step 4 of Provides mouth care

Puts on clean gloves before cleaning mouth.

Step 5 of Provides mouth care

Places clothing protector across chest before providing moth care.

Step 6 of Provides mouth care

Secures cup of water and mostens toothbrush

Step 7 of Provides mouth care

Before cleaning mouth, applies toothpaste to moistened toothbrush.

Step 8 of Provides mouth care

Cleans mouth(including tongue and surfaces of teeth), using gentle motions.

Step 9 of Provides mouth care

Maintains clean technique with placement of toothbrush.

Step 10 of Provides mouth care

Candidate holds emesis basin to chin while client rinses mouth

Step 11 of Provides mouth care

Candidate wipes mouth and removes clothing protector.

Step 12 of Provides mouth care

Disposes of used linen into soiled linen container.

Step 13 of Provides mouth care

Rinses toothbrush and empties, rinses and dries basin. Place toothbrush in designated basin/container.

Step 14 of Provides mouth care

Removes and disposes of gloves(Without contamination self) into waste container and washed hands

Step 15 of Provides mouth care

Signaling device is within reach and bed is in low position.

Step 1 Cleans Upper or Lower Denture

Puts on clean gloves before handling denture.

Step 2 Cleans Upper or Lower Denture

Bottom of sink is lined and or sink is partially filled with water before denture is held over sink.

100

Step 3 Cleans Upper or Lower Denture

Rinses denture in moderate temperature running water before brushing them.

101

Step 4 Cleans Upper or Lower Denture

Applies toothpaste to toothbrush

102

Step 5 Cleans Upper or Lower Denture

Brushes all surfaces of denture

103

Step 6 Cleans Upper or Lower Denture

Rinses all surfaces of denture under moderate temperature running water.

104

Step 7 Cleans Upper or Lower Denture

Before placing denture into cup rinses denture cup and lid.

105

Step 8 Cleans Upper or Lower Denture

Places denture in denture cup with moderate temperature water solution and places lid on cup.

106

Step 9 Cleans Upper or Lower Denture

Rinses toothbrush and places in designated toothbrush basin container

107

Step 10 Cleans Upper or Lower Denture

Maintains clean technique with placement of toothbrush and denture.

108

Step 11 Cleans Upper or Lower Denture

Sink liner is removed and disposed of appropriately and or sink is drained

109

Step 12 Cleans Upper or Lower Denture

After rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contamination self) into waste container and washed hands ( turn water off with papertowel).

110

Step 1 of Provides foot care on one foot

Ecplains procedure, speaking clearly, slowly, and directly, maintaining face to face contact whenever possible

111

Step 2 of Provides foot care on one foot

Privacy is provided with a curtain, screen, or door.

112

Step 3 of Provides foot care on one foot

Before washing, check water temperature for safety and comfort and asks client to verify comfort of water

113

Step 4 of Provides foot care on one foot

Basin is in a comfortable position for client and on protective barrier.

114

Step 5 of Provides foot care on one foot

Puts on clean gloves before washing foot

115

Step 6 of Provides foot care on one foot

Clients bare foot is placed into the water.

116

Step 7 of Provides foot care on one foot

Applies soap to wet washcloth

117

Step 8 of Provides foot care on one foot

Lifts foot from water and washes foot(including between toes)

118

Step 9 of Provides foot care on one foot

Foot is rinsed (including between toes).

119

Step 10 of Provides foot care on one foot

Dries foot(including between toes)

120

Step 11 of Provides foot care on one foot

Applies lotion to top and bottom of foot, removing excess(if any) with a towel.

121

Step 12 of Provides foot care on one foot

Supports foot and ankle during procedure.

122

Step 13 of Provides foot care on one foot

Empties, rinses and dries basin

123

Step 14 of Provides foot care on one foot

After rinsing and drying basin, places basin in designated dirty supply area.

124

Step 15 of Provides foot care on one foot

Disposes of used linen into soiled linen containers.

125

Step 16 of Provides foot care on one foot

After cleaning foot and equipment, and disposing of used linen, removes and disposes of gloves(without contamination self) into waste container and washes hands.

126

Step 17 of Provides foot care on one foot

Signaling device is within reach.

127

Step 1 of Dresses client with affected weak Arm

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

128

Step 2 of Dresses client with affected weak Arm

Privacy is provided with a curtain screen or door.

129

Step 3 of Dresses client with affected weak Arm

Asks which shirt he or she would like to wear and dresses him or her in shirt of choice.

130

Step 4 of Dresses client with affected weak Arm

Avoids overexposure of client by ensuring clients chest is covered

131

Step 5 of Dresses client with affected weak Arm

Removes gown from the left(Unaffected side) first, then removes gown from the right(Affected/Weak) side.

132

Step 6 of Dresses client with affected weak Arm

Before dressing client, disposes of gown into soiled linen container.

133

Step 7 of Dresses client with affected weak Arm

Assists to put the right(affected/weak) arm through the right sleeve of the shirt before placing garment on left(unaffected) arm.

134

Step 8 of Dresses client with affected weak Arm

While putting on shirt, moves body gently and naturally, avoiding force and over-extension of libs and joints.

135

Step 9 of Dresses client with affected weak Arm

Finishes with clothing in place .

136

Step 10 of Dresses client with affected weak Arm

Signaling device is within reach and bed is in low position.

137

Step 11 of Dresses client with affected weak Arm

After completing skill. Washed hands.

138

Step 1 of Postions on side

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

139

Step 2 of Postions on side

Privacy is provided with a curtain, screen or door.

140

Step 3 of Postions on side

Before turning lowers head of bed

141

Step 4 of Postions on side

Raises side rail on side to which body will be turned

142

Step 5 of Postions on side

Slowly rolls onto side as one unit toward raise side rail.

143

Step 6 of Postions on side

Places or adjusts pillow under head for support.

144

Step 7 of Postions on side

Candidate positions client so that client is not lying on arm.

145

Step 8 of Postions on side

Supports top arm with supportive device.

146

Step 9 of Postions on side

Places supportive device behind clients back.

147

Step 10 of Postions on side

Places supportive device between legs with top knee flexed; knee and anke supported.

148

Step 11 of Postions on side

Signaling device is within reach and bed is in low position.

149

Step 12 of Postions on side

After completing skill. Washes hands.

150

Step 1 of Performs modified (PROM) For one knee and one ankle

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

151

Step 2 of Performs modified (PROM) for one shoulder

Privacy is provided with a curtain, screen, or door.

152

Step 3 of Performs modified (PROM) for one shoulder

Instructs client to inform candidate if pain is experienced during exercise.

153

Step 4 of Performs modified (PROM) for one shoulder

While supporting arm at elbow and at the wrist, raises clients 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 verbalized pain.

154

Step 5 of Performs modified (PROM) for one shoulder

While supporting arm at the elbow and at the wrist, moves clients straightened arm away from the side of body to shoulder 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 verbalized pain.

155

Step 6 of Performs modified (PROM) for one shoulder

Signaling device is within reach and bed is in low position.

156

Step 7 of Performs modified (PROM) for one shoulder

After completing skill, washes hands.

157

Step 1 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

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

158

Step 2 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Privacy is provided with a curtain screen or door.

159

Step 3 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Removes gown and places in soiled linen container, while ensuring clients chest and lower body is covered.

160

Step 4 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water.

161

Step 5 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Puts on clean gloves before washing client

162

Step 6 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

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.

163

Step 7 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Dries face with dry towel/washcloth

164

Step 8 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Exposes one arm and places towel underneath arm.

165

Step 9 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Applies soap to wet washcloth.

166

Step 10 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Washes fingers (including fingernails), hand, arm and underarm keeping rest of body covered.

167

Step 11 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Rinses and dries fingers, hand, arm, and underarm.

168

Step 12 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Moves body gently and naturally, avoiding force and over-extension of limbs and joints.

169

Step 13 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Puts clean gown on client.

170

Step 14 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Empties, rinses, and dries basin.

171

Step 15 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

After rinsing and drying basin, places basin in designated dirty supply area.

172

Step 16 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Disposes of linen into soiled linen container.

173

Step 17 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Avoids contact between candidate clothing and used linens.

174

Step 18 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

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.

175

Step 19 of Gives Modified Bed Bath(Face and one Arm,Hand,and underarm)

Signaling device is within reach and bed is in low position.

176

Step 1 of Assists with use of bed pan

Explains procedure, Speaking clearly, slowly, and directly, maintaining face to face contact whenever possible.

177

Step 2 of Assists with use of bed pan

Privacy is provided with a curtain, screen, or door.

178

Step 3 of Assists with use of bed pan

Before placing bedpan, lowers head of bed.

179

Step 4 of Assists with use of bed pan

Puts on clean gloves before handling bedpan.

180

Step 5 of Assists with use of bed pan

Places bedpan correctly under clients buttocks.

181

Step 6 of Assists with use of bed pan

Removes and disposes of gloves(without contaminating self) into waist container and washes hands.

182

Step 7 of Assists with use of bed pan

After positioning client on bedpan and removing gloves, raises head of bed.

183

Step 8 of Assists with use of bed pan

Toilet tissue is within reach.

184

Step 9 of Assists with use of bed pan

Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished.

185

Step 10 of Assists with use of bed pan

Signaling device is within reach and client is asked to signal when finished.

186

Step 11 of Assists with use of bed pan

Puts on clean gloves before removing bedpan.

187

Step 12 of Assists with use of bed pan

Head of bed is lowered before bedpan is removed.

188

Step 13 of Assists with use of bed pan

Ensures client is covered except when placing and removing bedpan.

189

Step 14 of Assists with use of bed pan

Empties and rinses bedpan and pours rinse into toilet.

190

Step 15 of Assists with use of bed pan

After rinsing bedpan, places bedpan in designated diary supply area.

191

Step 16 of Assists with use of bed pan

After placing bedpan in designated diary supply area, removes and disposes of gloves(without contaminating self) into waste container and washed hands

192

Step 17 of Assists with use of bed pan

Signaling device is within reach and bed is in low position.

193

Step 1 of Provides Perineal care for Female

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

194

Step 2 of Provides Perineal care for Female

Privacy is provided with a curtain, screen or door.

195

Step 3 of Provides Perineal care for Female

Before washing checks water temperature for safety and comfort, and askes client to verify comfort of water.

196

Step 4 of Provides Perineal care for Female

Puts on clean gloves before perineal area

197

Step 5 of Provides Perineal care for Female

Places waterproof pad/linen protector under perineal area including bottocks before washing

198

Step 6 of Provides Perineal care for Female

Exposes perineal area(only exposing between hips and knees).

199

Step 7 of Provides Perineal care for Female

Applies soap to wet washcloth.

200

Step 8 of Provides Perineal care for Female

Washes genital area, moving from front to back. While using a clean area of the washcloth for each stroke.

201

Step 9 of Provides Perineal care for Female

Using clean washcloth, rinses soap from genital area, moving from front to back, using a clean area of the washcloth for each stroke.

202

Step 10 of Provides Perineal care for Female

Dries genital area moving from front to back with towel.

203

Step 11 of Provides Perineal care for Female

After washing 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.

204

Step 12 of Provides Perineal care for Female

Using clean washcloth, rinses soap from rectal area, moving from front to back, while using a clean area of the washcloth for each stroke.

205

Step 13 of Provides Perineal care for Female

Dries rectal area moving from front to back with dry cloth towel/washcloth.

206

Step 14 of Provides Perineal care for Female

Repositions client.

207

Step 15 of Provides Perineal care for Female

Empties, rinses and dries basin.

208

Step 16 of Provides Perineal care for Female

After rinsing and drying basin, places basin in designated dirty supply area.

209

Step 17 of Provides Perineal care for Female

Disposes of used linen into soiled linen container and disposes of linen protector appropriately

210

Step 18 of Provides Perineal care for Female

Avoids contact between candidate clothing and used linen.

211

Step 19 of Provides Perineal care for Female

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.

212

Step 20 of Provides Perineal care for Female

Signaling device is within reach and bed is in low position.

213

Step 1 of Provides catheter care for female

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

214

Step 2 of Provides catheter care for female

Privacy is provided with a curtain, screen or door.

215

Step 3 of Provides catheter care for female

Before washing checks water temperature for safety and comfort and asks client to verify comfort of water.

216

Step 4 of Provides catheter care for female

Puts on clean gloves before washing

217

Step 5 of Provides catheter care for female

Places linen protector(Waterproof pad) under perineal area including bottocks before washing.

218

Step 6 of Provides catheter care for female

Exposes area surrounding catheter while avoiding overexposure of client.

219

Step 7 of Provides catheter care for female

Applies soap to wet washcloth

220

Step 8 of Provides catheter care for female

While holding catheter at meatus without tugging, cleans at least four inches of catheter from meatus, moving in only one direction(i.e., away from meatus) using a clean area of the cloth for each stroke.

221

Step 9 of Provides catheter care for female

While holding catheter at meatus without tugging, rinses at least four inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of the cloth for each stroke.

222

Step 10 of Provides catheter care for female

While holding catheter at meatus without tugging, dries at least four inches of catheter moving away from the meatus.

223

Step 11 of Provides catheter care for female

Empties, rinses and dries basin.

224

Step 12 of Provides catheter care for female

After rinsing and drying basin, places basin in designated dirty supply area.

225

Step 13 of Provides catheter care for female

Disposes of used linen into soiled linen container and disposes of linen protector appropriately

226

Step 14 of Provides catheter care for female

Avoids contact between candidate clothing and used linen.

227

Step 15 of Provides catheter care for female

After disposing of used linen and cleaning equipment, removes and disposes of gloves(without contaminating self) into waste container and washes hands.

228

Step 16 of Provides catheter care for female

Signaling device is within reach and bed is in low position.

229

Step 1 of measures and records blood pressure.

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

230

Step 2 of measures and records blood pressure.

Before using stethoscope, wipes bell/diaphragm and earpiece of stethoscope with alcohol.

231

Step 3 of measures and records blood pressure.

Clients arm is positioned with palm up and upper arm is exposed.

232

Step 4 of measures and records blood pressure.

Feels for brachial artery on inner aspect of arm, at bend of elbow.

233

Step 5 of measures and records blood pressure.

Places blood pressure cuff snugly on clients upper arm, with sensor/arrow over brachial artery site.

234

Step 6 of measures and records blood pressure.

Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site.

235

Step 7 of measures and records blood pressure.

Candidate inflates cuff between 160 mmHg to 180 mmHg. If beat heard immediately upon cuff deflation completely deflate cuff.Re-inflate cuff to no more than 200 mmHg.

236

Step 8 of measures and records blood pressure.

Deflates cuff slowly and notes the first sound(systolic reading), and last sound(diastolic reading)(If rounding needed, measurements are UP to the nearest 2 mmHg).

237

Step 9 of measures and records blood pressure.

Removes cuff.

238

Step 10 of measures and records blood pressure.

Signaling device is within reach.

239

Step 11 of measures and records blood pressure.

Before recording, washes hands.

240

Step 12 of measures and records blood pressure.

After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8mm of evaluator’s reading.

241

Step 1 of Measures and records urinary output

Puts on clean gloves before handling bedpan.

242

Step 2 of Measures and records urinary output

Pours the contents of the bedpan into measuring container without spilling or splashing urine outside of container.

243

Step 3 of Measures and records urinary output

Rinses bedpan and pours rinse into toilet.

244

Step 4 of Measures and records urinary output

Measures the amount of urine at eye level with container on flat surface. (Round up to nearest 25ml/cc if between measurement lines)

245

Step 5 of Measures and records urinary output

After measuring urine, empties contents of measuring container into toilet.

246

Step 6 of Measures and records urinary output

Rinses measuring container and pours rinse into toilet.

247

Step 7 of Measures and records urinary output

After rinsing equipment, and before recording output, removes and disposes of gloves (without contaminating self) into waste container and washes hands.

248

Step 8 of Measures and records urinary output

Records contents of container within plus or minus 25 ml/cc of evaluators reading.

249

Step 1 of Counts and Records Radial Pulse

Must Knock and introduce yourself. Explain procedure, speaking clearly, slowly, and directly maintaining face to face contact whenever possible.

250

Step 2 of Counts and Records Radial Pulse

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

251

Step 3 of Counts and Records Radial Pulse

Count beats for one full minute.

252

Step 4 of Counts and Records Radial Pulse

Signaling device is within reach.

253

Step 5 of Counts and Records Radial Pulse

Before recording, washes hands.

254

Step 6 of Counts and Records Radial Pulse

After obtaining pulse by palpating in radial artery position, records pulse rate within plus or minus 4 beats of evaluators reading.

255

Step 1 of counts and records respirations

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

256

Step 2 of counts and records respirations

Counts respirations for one full minute.

257

Step 3 of counts and records respirations

Signaling device is within reach.

258

Step 4 of counts and records respirations

Before recording, washes hands.

259

Step 5 of counts and records respirations

Records respiration rate within plus or minus 2 breaths of evaluators reading.

260

Step 1 of Measures and records weight of ambulatory client

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

261

Step 2 of Measures and records weight of ambulatory client

Ensure client has non skid shoes (touch shoes of client) on before walking to scale.

262

Step 3 of Measures and records weight of ambulatory client

Before client steps on scale, candidate sets scale to zero.

263

Step 4 of Measures and records weight of ambulatory client

Asks client to step on center of scale and obtain clients weight

264

Step 5 of Measures and records weight of ambulatory client

Ask client to step off scale.

265

Step 6 of Measures and records weight of ambulatory client

Before recording, washes hands.

266

Step 7 of Measures and records weight of ambulatory client

Records weight based on indicator on scale. Weight is within plus or minus 2 lbs. Of evaluators reading. (If weight is recorded in kg weight is within plus or minus 0.9 kg of evaluators reading).

267

Step 1 of Beginning MM5

Identify yourself by name. Identify the resident by name

268

Step 2 of Beginning MM5

Wash your hands

269

Step 3 of Beginning MM5

Explain procedure to resident. Speak clearly, slowly and directly. Maintain face-to-face contact whenever possible.

270

Step 4 of Beginning MM5

Provide for the residents privacy with a curtain, screen, or door.

271

Step 5 of Beginning MM5

Adjust the bed to a safe level, usually waist height. Lock the bed wheels.

272

Step 1 of Ending MM4

Return Bed to lowest position. Remove Privacy measures.

273

Step 2 of Ending MM4

Place call light within residents reach

274

Step 3 of Ending MM4

Wash your hands.

275

Step 4 of Ending MM4

Report any changes in resident to the nurse. Document procedure using facility guidelines.

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