Assist the RESIDENT WITH THE USE OF A BEDPAN, MEASURE AND RECORD URINE OUTPUT, WITH HAND WASHING (4)

39 steps without introduction and conclusion.

What's the first thing you do for any skill?

Knock Knock Hi my name is ___ and I’ll be your CNA for today.

Step 1

Perform hand hygiene.

(I'm going to perform hand hygiene. Cover all surfaces of my hands with hand sanitizer and rub them together until they are completely dry.)

Step 2

Explain the procedure to the resident.

(Next I’m going to explain the procedure. Today I’ll be assisting you with using a bedpan, and I’ll also be measuring and recording urine output, and washing my hands.)

step 3

Provide resident privacy.

(I’m now going to provide privacy.)

step 4

Put on gloves.

“I’m now going to put on my gloves”

step 5

Position the resident on the bedpan safely and correctly.

“I’m going to safely position the resident on the bedpan.”

step 6

Raise the head of the bed to a comfortable level.

“I’m going to raise the head of the bed to a comfortable level.”

step 7

Leave tissue within reach of the resident.

“Leave some tissue.”

step 8

Leave the call light or signaling device within reach of the resident.

“Leave the call light within easy reach.”

step 9

Step behind the privacy curtain to provide privacy for the resident.

“And now step behind the curtain to provide privacy.”

• RN Test Observer will tell you when to come back

step 10

Lower the head of the bed.

“I’m now going to lower the head of the bed.”

step 11

Gently remove the bedpan.

“And remove the bedpan.”

step 12

Hold the bedpan for the RN Test Observer while an unknown quantity of liquid is poured into the bedpan.

step 13

Place the graduate on a level, flat surface.

“I’m going to place the graduate on a flat surface.”

step 14

Pour bedpan contents into the graduate.

“I’m going to pour the contents into the graduate.”

step 15

With the graduate at eye level, measure output. 

“Then I’m going to measure the output, keeping the graduate at eye level.”

step 16

Empty the equipment into the designated toilet/commode.

“I’m now going to empty the equipment into the toilet commode.”

step 17

Rinse the equipment used and empty the rinse water into the designated toilet/commode.

“Now I’m going to rinse the used equipment, and also empty the rinse water into the toilet commode.”

step 18

Dry equipment.

“Then I’m going to dry the equipment with clean paper towels.”

step 19

Return equipment to storage.

“After drying, I’m going to return the equipment to storage.”

step 20

Wash/assist resident to wash and dry hands with soap and water.

“I’m now going to assist my resident with washing their hands with soap and water, and drying them.”

step 21

Place soiled linen in a designated laundry hamper.

“Then I’m going to place soiled linen in a designated laundry hamper.”

step 22

Remove gloves, turning them inside out as they are removed, and dispose of them in the trash container.

“I’m now going to remove my gloves, making sure I turn them inside out and put them in the trash container.”

step 23

Record output in mLs on the previously signed recording form.

“I’m now going to record the output in mLs.”

• make sure measurement is within 25mLs of Test Observer

step 24

Place the call light or signaling device within easy reach of the resident.

“I’m going to place the call light within easy reach.”

step 25

Maintain respectful, courteous interpersonal interactions at all times.

“And maintain respectful interactions at all times.”

step 26

Turn on the water.

“I’m now going to wash my hands, and start by turning on the water.”

step 27

Wet hands and wrists thoroughly.

“Wet both my hands and wrists.”

step 28

Apply soap to hands.

“Put on soap.”

step 29

Rub hands together using friction with soap.

“Rub my hands together using friction.”

step 30

Scrub/wash hands together for at least twenty (20) seconds with soap.

“I’m going to scrub my hands together with soap for at least 20 seconds.”

step 31

Scrub/wash with interlaced fingers pointing downward with soap.

“I’m going to scrub with interlaced fingers, pointing downward,”

step 32

Wash all surfaces of hands with soap.

“Wash all surfaces of my hands with soap.”

step 33

Wash wrists with soap.

“Wash my wrists with soap.”

step 34

Clean fingernails by rubbing fingertips against the palm of the opposite hand.

“Clean my fingernails by rubbing my fingertips against the palm of my opposite hands. I’ll do this for both hands.”

step 35

Rinse fingers, hands, and wrists thoroughly under running water with fingers pointed downward.

“I’m now going to rinse my fingers, hands, and wrists through the water, with my fingers pointed downward.”

step 36

Starting at the fingertips, dry fingers, hands, and wrists on clean paper towel(s).

“Now I’m going to dry my fingers, hands, and wrists on clean paper towels. Starting at the fingertips.”

step 37

Discard paper towels in the trash container as used.

“I’m now going to throw the paper towels into the trash.”

step 38

Turn off the faucet with a clean, dry paper towel and discard the paper towel in the trash container as used.

“Now I’m going to take a clean paper towel and turn off the faucet. Then I’m going to throw it in the trash.”

step 39

Do not re-contaminate hands at any time during the hand washing procedure.

“I’m going to make sure that I don’t recontaminate my hands.”

Conclusion for every skill

And that is how you assist a resident with the use of a bedpan, measure and record urine output, with hand washing.”