NHA CPCT facts

Blood Pressure Measurement

Measure at heart level, inflate 30 mmHg more.

Systolic Pressure

First sound heard during blood pressure measurement.

Diastolic Pressure

Point when sound stops during measurement.

Water Temperature for Bathing

Warm, not exceeding 110°F (43°C).

Denture Cleaning Technique

Use gauze, warm water, NOT HOT.

Patient Dressing Technique

Dress weaker extremity first, then stronger.

Weight Measurement

Subtract bed or wheelchair weight for patient weight.

Oxygen Administration

Check order for liters, nasal prongs over ears.

High Flow Oxygen

Use humidifier for over 4L oxygen flow.

Oropharyngeal Suctioning Duration

Limit suctioning to 15 seconds maximum.

Suctioning Technique

Insert tip into sterile saline before use.

Tracheostomy Care Position

Maintain head of bed at 45 degrees.

Enteral Feeding Position

Keep head of bed elevated at 45 degrees.

Hearing Limitation Communication

Use low pitch tones, avoid loud speech.

Active Range of Motion

Patient performs movements independently.

Passive Range of Motion

Caregiver assists with patient movements.

IV Removal Technique

Withdraw parallel to skin, hold gauze over site.

Ostomy Care Cleaning

Use warm water, pat dry, NOT HOT.

New Wafer Application

Cut 1/16 larger than stoma for sealing.

Patient Transfer Safety

Ensure bed and wheelchair are locked.

Gait Belt Usage

Support patient during transfers for safety.

Gait Belt

Used to assist patient during transfers.

Pressure Ulcers

Skin damage due to prolonged pressure.

Sequential Compression Devices

Prevent DVT by promoting blood flow.

Incentive Spirometer

Device to encourage deep breathing.

Capillary Puncture

Blood collection from fingertip or heel.

Venipuncture

Inserting needle into vein for blood draw.

Blood Pressure

Normal adult: less than 120/80 mmHg.

Heart Rate

Normal adult: 60-100 BPM.

Respiratory Rate

Normal adult: 12-20 RPM.

SPO2

Normal adult: greater than 95%.

RACE

Fire safety: Rescue, Alarm, Confine, Extinguish.

PASS

Fire safety: Pull, Aim, Squeeze, Sweep.

HIPAA

Protects patient health information privacy.

Physical Abuse

Injury or harm to a patient.

Neglect

Failure to provide necessary care.

Wound Assessment

Evaluates healing and infection status.

Antiembolism Stockings

Prevent DVT by promoting venous return.

Choking Protocol

Use Heimlich maneuver for airway obstruction.

CPR

Cardiopulmonary resuscitation for cardiac arrest.

Glucometer

Device for measuring blood glucose levels.

Urine Specimen Collection

Collect urine for diagnostic testing.

Hemolysis

Breakdown of red blood cells.

Hemoconcentration

Increased concentration of cells in blood.

Disinfection

Process to eliminate most microorganisms.

Sterilization

Complete destruction of all microorganisms.

Personal Protective Equipment (PPE)

Gear to protect against infection.

Chain of Command

Hierarchy for reporting and decision-making.

Needle Stick Injury Protocol

Wash area and report incident immediately.

Biohazardous Waste

Waste containing blood or bodily fluids.

Standard Calibration EKG

Standard speed: 25mm/sec for EKG.

Artifact in EKG

Interference affecting EKG accuracy.

Patient Prep for EKG

Disrobe waist up, empty bladder before.

Dextrocardia

Heart positioned on the right side.

Cardiac Conduction

Electrical impulses regulating heart rhythm.

P Wave Characteristics

Represents atrial depolarization in EKG.

Bed Positioning

Bed should be in lowest position.

Wheelchair Placement

Position wheelchair on patient's strong side.

Patient Sitting

Patient sits with feet firmly on floor.

Gait Belt Usage

Apply gait belt around waist over clothes.

Patient Push Off

Patient pushes off bed on count of three.

Support Holding

Patient holds shoulders or waist, not neck.

Under Hand Grip

Grip should be under the patient's hands.

Knee to Knee

Position yourself knee to knee with patient.

Standing Instruction

Patient stands on count of three.

Support on Arms

Patients may use arms for support.

Weaker Side Support

Stand behind patient on their weaker side.

Curb Navigation Up

Face curb, place front wheel on curb first.

Curb Navigation Down

Back large wheels first, then smaller wheels.

Wrap Technique

Wrap distal to proximal for compression.

Circulation Check

Assess capillary refill for circulation.

Numbness Assessment

Check for numbness or tingling in extremities.

Pressure Ulcer Stage 1

Redness that does not blanch.

Pressure Ulcer Stage 2

Blistering or cracked skin observed.

Pressure Ulcer Stage 3

Loss of skin layers, subcutaneous fat visible.

Pressure Ulcer Stage 4

Craters exposing bone and muscle.

Repositioning Frequency

Reposition patients every 2 hours.

Skin Dryness Prevention

Keep skin dry using powders.

Blood Pressure Normal

Normal adult BP is less than 120/80.

Heart Rate Normal Adult

Normal adult heart rate is 60-100 BPM.

Respiratory Rate Normal Adult

Normal adult respiratory rate is 12-20 RPM.

SPO2 Normal

Normal oxygen saturation is greater than 95%.

Wound Assessment

Assess drainage color and consistency.

RACE Protocol

Rescue, Alarm, Confine, Extinguish in fire safety.

PASS Protocol

Pull, Aim, Squeeze, Sweep for fire extinguishers.

Scope of Practice

Defines tasks allowed for healthcare providers.

HIPAA Compliance

Protects patient information confidentiality.

Physical Abuse Signs

Facial bruising or body welts indicate abuse.

Neglect Indicators

Dry mucous membranes and sunken eyes.

Bed Height Guidelines

Lowest height when leaving patient unattended.

Heating Pad Safety

Do not sleep with heating pad on.

Advanced Directives

Documents patient care preferences if incapacitated.

Wrist Restraints

Pad wrists and tie to bed frame.

Chain of Command

Hierarchy from AVP to patient care tech.

Needle Stick Procedure

Wash area, inform nurse, complete incident report.

Personal Protective Equipment

Includes gown, mask, goggles, gloves.

Transmission Precautions

Contact, droplet, airborne precautions for infections.

Disinfection Method

Chemical solutions like alcohol for cleaning.

Sterilization Techniques

Autoclave uses pressurized steam for sterilization.

Hand Hygiene Importance

Minimum 20 seconds of friction to clean hands.