Skills Tasks Bolded Steps

Catheter Care

Hold the catheter where it exits the urethra with one hand.

Clean with strokes only away from the urethra.

Candidates’ measured output reading is within 30mls of RN Test observers output reading.

WEAR GLOVES/WASH HANDS

Donning Isolation Gown and Place Bedpan

Candidates’ measured output reading is within 30mls of RN Test observers output reading.

Remove gloves BEFORE removing the gown.

WEAR GLOVES/WASH HANDS

Perineal Care for a Female Resident

Provide privacy for resident and pull privacy curtain.

WEAR GLOVES/WASH HANDS

Perineal Care for a Male Resident

Provide privacy for resident and pull privacy curtain.

Mark brief with date, time, and initials.

WEAR GLOVES/WASH HANDS

Ambulating a Resident

Lock bed and wheelchair brakes to ensure resident’s safety.

No gloves or handwashing.

Apply a TED-Stocking

Leave the resident with a stocking that is properly placed without restriction.

No gloves or handwashing.

Bed Bath

None

No gloves or hand washing.

Denture Care

Use gloves, no handwashing.

Use emesis basin.

Dressing Bedridden Resident

No gloves, no handwashing.

Take off strong side, put on weak side.

Start at the top and work your way down.

Feeding a Dependent Resident

Position the resident in an upright position, at least a 45 degree angle.

Recorded consumed food/fluid intake is within 25 percentage points/45 mls of RN test observers.

Look at diet card and get a clothing protector, use hand hygiene for resident at beginning of the meal.

No gloves, no handwashing.

Making an Occupied Bed

Do not let resident be exposed.

Resident must not touch bare mattress at any point in time.

Direct RN nurse observer to stand on opposite side of the bed when there is a need to roll the resident.

No gloves, no handwashing.

Mouth Care

Brush resident’s teeth, including the inner, outer, and chewing surfaces of all upper and lower teeth.

Wear gloves, no hand washing.

Mouth Care for a Comatose Resident

Turn resident to a side-lying position to avoid choking or aspiration.

Wear gloves, no handwashing.

Position Resident on Side

Resident’s face should never be obstructed by the pillow.

Direct nurse observer to stand on the opposite side of the bed for safety.

Move resident towards yourself to provide plenty of room.

No gloves, no handwashing.

ROM Hip and Knee

Position resident supine.

Do not cause discomfort or pain, do not force joint beyond free point of movement.

Must ask if resident has any pain or discomfort.

Hands underneath both knee and ankle.

No gloves, no handwashing.

ROM Shoulder

Position resident supine.

Do not cause discomfort or pain, do not force joint beyond free point of movement.

Must ask if resident has any pain or discomfort.

Hands underneath both elbow and wrist.

No gloves, no handwashing.

Vital Signs: Bed to Wheelchair

BPM is within four beats of RN Test Observers recorded rate.

Respiratory rate is within two breaths of RN Test observer’s recorded respiratory rate.

Lock wheelchair and bed brakes for resident’s safety.

Do NOT make resident walk, absolutely no steps allowed.

No gloves, no handwashing.

Vital Signs: Wheelchair to Bed

BPM is within four beats of RN Test Observers recorded rate.

Respiratory rate is within two breaths of RN Test observer’s recorded respiratory rate.

Lock wheelchair and bed brakes for resident’s safety.

Do NOT make resident walk, absolutely no steps allowed.

No gloves, no handwashing.

Vital Signs: Manual Blood Pressure

Only one attempt at blood pressure per arm.

Systolic blood pressure within 6mmHg of RN Test Observer’s.

Diastolic blood pressure within 8mmHg of RN Test Observer’s.

No gloves, no handwashing.