CNA Skills

The beginning 5

1. Knock, enter, and explain

2. Identify the resident

3. Provide privacy

4. Wash hands

5. Maintain safety

The ending 5

1. Position the resident

2. Open the room

3. Wash Hands

4. Ensure safety

5. Report and record

Handwashing procedure

1. Gather the needed supplies and equipment (soap, paper towels sink, waste container)

2. Turn on the faucet

3. Wet the hands and wrists holding the fingertips down

4. Apply soap and work into lather

5. Rub all surfaces of the hands, between fingers, under nails and at least 2 inches above the wrist continuously for at least 20 seconds. Keep uniform and body away from the sink edge

6. Rinse hands under running water without touching the sink or faucet holding the finger tips downward. Do not shake or flick fingers

7. Dry hands and wrists thoroughly using paper towels without touching the paper towel dispenser or the sink. Dispose of paper towel

8. Turn the faucet off using a new paper towel

9. Discard the paper towel in the waste container

Glove removal procedure

1. With the fingertips of one hand, pinch the palm of the opposite glove, taking care to only touch the glove

2. Pull the pinched glove toward the fingertips and remove the glove from the hand with the glove ending inside out

3. Hold on to the loose glove with the gloved hand

4. Place the fingers of the ungloved hand inside the cuff of the gloved hand between the skin at the wrist and the glove

5. Pull the glove toward the fingertips, turning the glove inside out

6. Remove the gloves and discard into the nearest waste container

7. Wash and dry hands thoroughly

Handling soiled equipment procedure

1. Wash and dry hands thoroughly

2. Apply gloves

3. Hold and carry soiled equipment away from clothing

4. Clean soiled equipment (bedpan, urinal, etc.) with cold water and appropriate disinfectant per policy

5. Remove gloves and dispose in proper container

6. Wash hands

7. Return clean equipment to appropriate storage area

Handling Wastes Procedure

1. Wash and dry hands thoroughly

2. Apply gloves

3. Deposit soiled items in waste container

4. Clean contaminated surfaces with disinfectant per facility policy

5. Remove gloves and dispose in waste container

6. Touch only the outside of waste container bag: tie bag clothes

7. Replace waste container liner

8. Wash and dry hands thoroughly

9. Dispose of waste container bag according to facility policy

Handling soiled bed linens procedures

1. Wash and dry hands thoroughly

2. Apply gloves

3. Roll soiled linen away from the body being careful to not touch linen to clothing

4. Places soiled linen in linen bag

5. Remove gloves and dispose in waste container

6. Touch only the outside of soiled linen bag, close and tie top of bag shut

7. Wash and dry hands thoroughly

8. Dispose of linen bag per facility policy

Abdominal thrust procedure

1. Ask “are you choking?”, “Can you breathe?”, “Can I help you?” If the resident cannot verbally answer continue with the procedure for abdominal thrusts

2. Call out for help (“Help, help I need help” or “You, call 911”)

3. Stand behind resident

4. Place one leg between the resident’s legs and the other leg slightly behind you

5. Wrap your arms around the residents waist

6. Make a fist and place the thumb of your fist against the resident’s abdomen. just above the navel and below the rib cage

7. Grab that fist with the other hand

8. Give a quick, upward thrust into the resident’s abdomen

9. Repeat thrusts until object is expelled or help arrives

Making a mitered corner procedure

1. Drape the sheet so it is hanging over the side of the bed. Tuck the bottom edge of the sheet at the foot of the bed under the mattress

2. Hold the edge of the sheet approximately 12 inches from the foot of the bed and lift it up, forming a triangle. Lay the triangle fold on top of the bed. Make sure the sheet that is still hanging down is free of wrinkles

3. Tuck the portion that is hanging down underneath the mattress while holding firmly to the triangle fold on top of the mattress

4. Bring the triangle fold down over the side of the mattress and tuck it under the mattress

Supplies for changing a bed

• Mattress pad

• Bottom sheet

• Lift sheet (if needed)

• Top sheet

• Blanket

• Bedspread

• Pillow

• Pillowcase