CNA SKILLS

What are the first 8 steps for almost every skill?

Introduce yourself, identify resident, explain procedure, hand hygiene, gather supplies, provide privacy, ask resident how much they can do for themselves, lock bed wheels.

When should do hand hygiene with soap and water?

Exposure to spore - forming pathogens (c-diff), anything that could be a risk of bodily fluids, and after using the bathroom.

How should you angle your arms when performing hand hygiene via soap and water?

Down, lower than elbows.

How long should you use friction when performing hand hygiene via soap and water?

20 seconds

What do you need to be careful of when performing hand hygiene with soap and water?

Be careful not to touch the sink, run water down from wrists to fingertips, dispose of your towels without touching wastebasket, pat your hands dry.

When should hand hygiene via hand sanitizer be used?

for routine hand asepsis

How much hand sanitizer should you apply?

one pump, dime sized amount

When are your hands clean with hand sanitizer?

Once your hands are dry.

What should you do before performing the obstructed airway skill?

Determine if the resident can speak or cough.

What should you do after seeing if resident can cough or speak in obstructed airway skill?

Verbally call for help. Do not leave resident unattended.

What is the first step of making an unoccupied bed?

Hand hygiene. Gather supplies.

What supplies do you need to make an unoccupied bed?

Clean fitted and flat sheets, incontinent pad, bedspread, pillowcases, gloves, and linen bag.

What is step 2 of making an unoccupied bed?

Place clean linen on clean surface within reach.

What is step 3 of making an unoccupied bed?

Lock bed wheels. Adjust bed to safe working level. Put bed in flattest position.

What is step 4 of making an unoccupied bed?

Hand hygiene and apply gloves.

What is step 5 of making an unoccupied bed?

Loosen dirty linen. Remove soiled pillowcases. Roll dirty linen (dirty side inside). Avoid contact with your skin or clothes. Place soiled linen in a hamper or bag.

What is step 6 of making an unoccupied bed?

Remove and discard gloves. Hand hygiene.

What is step 7 of making an unoccupied bed?

Remake the bed, one side at a time.

What is step 8 of making an unoccupied bed?

Apply fitted sheet, securing edges under mattress, assuring surface is wrinkle-free.

What is step 9 of making an unoccupied bed?

Place incontinent pad on fitted sheet.

What is step 10 of making an unoccupied bed?

Place top sheet and bedspread over bed. Center these, tuck under end of bed and make hospital corners.

What is step 11 of making an unoccupied bed?

Fold down the top sheet over the blanket about 6 inches. Fold both top sheet and blanket down so resident can easily get into bed. If resident will not be returning to bed immediately, leave bedding up.

What is step 12 of making an unoccupied bed?

Put on clean pillowcases. With one hand, gather the clean pillowcases at the closed end. Put the pillowcase over the pillow with your free hand.

What is step 13 of making an unoccupied bed?

Return bed to the safest position.

What is step 14 of making an unoccupied bed?

Dispose of linen bag (with dirty linen) in an appropriate place.

What is the 1st step of positioning a resident in bed Supine?

Introduce yourself, identify resident by name and explain procedure. Hand hygiene. Gather supplies.

What supplies do you need to position a resident supine in bed?

pillows

What is the 2nd step to positioning a resident in bed supine?

Provide for the resident’s privacy.

What’s the 3rd step to positioning a resident supine in bed?

Ask resident how much they can do for themselves.

What’s the 4th step when positioning a resident supine in bed?

Lock bed wheels. Adjust bed to a safe working level. Lower HOB.

What’s the 5th step to positioning a resident supine in bed?

Turn resident onto his/her back.

What’s the 6th step when positioning a resident supine in bed?

Gently move resident to center of bed

What’s the 7th step of positioning a resident supine in bed?

Position head in straight line with the spine.

What’s the 8th step in positioning a resident in bed supine?

Elbows are slightly bent, hand resting at resident’s side, toes pointing upward; legs are straight (do not allow legs to rotate outward)

What’s the 9th step in positioning a resident in a supine position?

Position pillow properly under residents head.

What’s the 10th step in positioning a resident supine in bed?

Return bed to the safest position and make resident comfortable.

What’s the 11th step of positioning a resident supine in bed?

Place safety call system within resident’s reach.

What’s the 12th step of positioning a resident in a supine position?

Hand hygiene.

What’s the 13th step of positioning a resident supine in bed?

Make observations and report to supervisor as needed. Document.