CNA skills

What supplies and bolded steps are in applies one knee high elastic stocking?

Supplies

1. Knee-high elastic stockings

Bolded steps

1. Finishes procedure with no twist or wrinkles and heel of stocking.

What supplies and bolded steps are in assists to ambulate?

Supplies

1. Non-slid shoes/footwear

2. Gait belt ( transfer belt)

Bolded steps

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

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

What supplies and bolded steps are in assist with use of bedpan.

Supplies

1. Bedpan (standerd)

2. Gloved, 2 pairs

3. toilet tissue

4. hand wipes

5. toilet/commode

Bolded steps

1. None?????

What supplies and bolded steps are in cleans upper or lower denture?

Supplies

1. Denture (top or bottom)

2. Denture cup with lid

3. Gloves ( 1 pair)

4. Denture toothpaste

5. Denture brush or toothbrush

6. Cloth to line sink or partially fill sink with moderate temperature water

7. Emesis basin

8. Linen hamper ( optional)

Bolded steps

1. Lines the sink before starting

What supplies and bolded steps are in counts and records radial pulse?

Supplies

1. wrist watch or wall clock

Bolded steps

1. Places fingertip on thumb side of client’s wrist to locate radial pulse

2. Records pulse rate within plus or minus 4 beats of evaluators reading

What supplies and bolded steps are in counts and records resirations?

Supplies

1. Wrist watch or wall clock

Bolded type step

1. Counts respiration for one full minute

2. Records respiration rate within plus or minus 2 breaths of evaluator’s reading

What supplies and bolded steps are in Donning and removing PPE?

Supplies

1. 1 isolation gown

2. 1 pair of gloves

3. 1 waste container

Bolded steps

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

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

What supplies and bolded steps are in dresses client with affected (weak) right arm?

Supplies

1. 1 extra large & XXL shirt or blouse that opens in the front and has front buttons or snaps

2. 1 Linen hamper

Bolded steps

1. Removes gown from the (Unaffected) side first, then removes gown from the right ( affected/ weak) side

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

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

What supplies and bolded steps are in feeds client who cannot feed self?

Supplies

1. Tray

2. Diet card

3. 2 types of food items ( applesauce, pudding, yoghurt, jell-o, etc)

4. 1 beverage

5. Hand wipes or wash cloth with soap and water to clean hands

6. Spoon

7. Chair

Bolded steps

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

What supplies and bolded steps are in gives modified bed bath ( face and one arm, hand and underarm)

supplies

1. 3 wash cloths

2. 1 towel

3. 1 clean gown

4. 1 pair of gloves

5. 1 hamper for soiled linens

6. Liquid soap

7. Basin with warm water

Bolded steps

1. 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.

What supplies and bolded steps are in hand hygiene?

Supplies

1. sink with running water

2. Soap

3. Paper towels

4. Trash can

Bolded steps

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

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

What supplies and bolded steps are in measures and records manual blood pressure?

Supplies

1. Stethoscope dual earpiece

2. Alcohol pads

3. Manual B/P cuff

4. Recording sheet

5. Pen

Bolded steps

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

2. Deflates cuff slowly and notes the first sound ( systolic reading) and last sound ( diastolic reading) ( if rounding needed, measurements are rounded up to the nearest 2 mm of mercury)

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

What supplies and bolded steps are in measures and records urinary output?

Supplies

1. Gloves

2. Bedpan with urine

3. Graduate

4. toilet/bedside commode

5. trash can

6. recording form

7. pen

Bolded steps

1. Records contents of container with plus or minus 25 mL/CC of evaluator’s reading

What supplies and bolded steps are in measures and records weight of ambulatory client?

Supplies

1. Non-skid shoes/ footwear

2. scale

3. recording form

4. pen

Bolded steps

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

2. Records weight based on indicator on scale. Weight is within plus or minus 2 lbs of evaluator’s reading ( if weight recorded in kg weight is within plus or minus 0.9 kg of evaluator’s reading)

What supplies and bolded steps are in performs PROM for one knee and one ankle?

Supplies

1. None

Bolded steps

1. While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position ( flexion/ extension) At least 3 times, unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

2. While supporting the foot and ankle close to the bed, pushes/pulls foot towards head ( dorslfexion), and pushes/pull foot down, toes point down ( plantar flexion) At least 3 times, unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

What supplies and bolded steps are in PROM for one shoulder?

Supplies

1. None

Bolded steps

1. While supporting arm at the elbow and at the wrist, raises client’s strightened arm from side postion upward towards head to ear level and returns arm down to side of body ( flexion/ extension) At least 3 times, unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

2. While supporting arm at the elbow and at the wrist, moves client straightened arm away from the side of body to shoulder level and returns to side of body ( abduction/adduction) At least 3 times, unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

What supplies and bolded steps are in positions on side?

Supplies

1. 3 pillows ( for back, between knee/ankles, and top arms)

2. 1 pillow for head

Bolded steps

1. None

What supplies and bolded steps are in provides catheter care for female

Supplies

1. Basin with warm water

2. Gloves, 1 pair

3. Bed protector ( waterproof pad)

4. 3 washcloths

5. Liquid soap

6. Linen hamper

Bolded steps

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

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

What supplies and bolded steps are in provides foot care on one foot?

Supplies

1. Basin with comfortably warm water

2. Protective barrier for the floor

3. Gloves, 1 pair

4. 1 wash cloth

5. 1 towel

6. Liquid soap

7. Lotion

8. 1 Linen hamper

Bolded steps

1. None

What supplies and bolded steps are in provides mouth care?

Supplies

1. Toothbrush

2. Toothpaste

3. Emesis basin

4. Cup of water for rinsing mouth

5. Towel for draping chest

Bolded steps

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

What supplies and bolded steps are in provides perineal care ( peri-care) for female?

Supplies

1. Basin with warm water

2. 1 pair of gloves

3. pad/linen protector

4. Liquid soap

5. 6 washcloths

6. Linen hamper

Bolded steps

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

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

What supplies and bolded steps are in transfers from bed to wheelchair using transfer belt?

Supplies

1. Wheelchair with both foot rests

2. Non-skid footwear/ shoes

3. Gait belt

Bolded steps

1. Before assisting to stand, locks wheels on wheelchair

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