CNA skills

yatta yatta skills tested step by step for california cna

General Steps

1. Knock, introduce self, identify client

2. Explain procedure

3. Provide privacy (curtain/door)

4. Hand hygiene

5. Gloves if needed

6. Safety (bed low, wheels locked)

7. Call light within reach

8. Wash hands after

9. Document

Handwashing

1. Turn on water (warm)

2. Wet hands and wrists

3. Apply soap

4. Lather 20 seconds (palms, backs, fingers, thumbs, nails, wrists)

5. Rinse fingertips downward

6. Dry with paper towel

7. Use towel to turn off faucet

Apply one knee high elastic stocking

1. Hand hygiene, gloves

2. Explain procedure

3. Ask client to lie down

4. Check skin and circulation

5. Turn stocking inside out to heel

6. Slide foot in, position heel

7. Pull stocking smoothly upward

8. No wrinkles, not rolled

9. Remove gloves, wash hands

Assist to ambulate using transfer belt

1. Hand hygiene, gait belt ready

2. Lock bed wheels

3. Apply gait belt snugly

4. Assist client to standing

5. Stand slightly behind and to side

6. Hold belt from underneath

7. Walk at client’s pace

8. Return client safely to bed/chair

Assist with use of bedpan

1. Hand hygiene, gloves

2. Raise head of bed slightly

3. Place bedpan under buttocks

4. Provide privacy

5. Leave call light

6. Remove bedpan when finished

7. Observe contents if instructed

8. Clean client, replace linens

9. Measure output if required

Clean upper or lower dentures

1. Hand hygiene, gloves

2. Line sink with towel

3. Remove dentures gently

4. Rinse with cool water

5. Brush all surfaces with denture brush

6. Rinse again

7. Place in clean container or reinsert

8. Clean mouth if required

Count and record radial pulse

1. Hand hygiene

2. Locate radial artery (thumb side)

3. Use index & middle fingers

4. Count for 30 sec × 2 (or 60 sec)

5. Note rhythm and strength

6. Record results

Count and record respirations

1. Hand hygiene

2. Observe chest rise discreetly

3. Count 30 sec × 2

4. Note depth and rhythm

5. Record results

Donning and removing PPE (gown and gloves)

Donning:

1. Gown first (tie neck & waist)

2. Gloves over gown cuffs

Removing:

1. Gloves first (inside out)

2. Gown (roll inward)

3. Dispose properly

4. Hand hygiene

Dress client with affected (weak) right arm

1. Hand hygiene

2. Dress weak arm FIRST

3. Undress strong arm first

4. Support weak arm at all times

5. Adjust clothing comfortably

6. Ensure dignity

Feed client who cannot feed self

1. Hand hygiene

2. Sit client upright

3. Check food temperature

4. Feed slowly, small bites

5. Alternate food and liquids

6. Observe swallowing

7. Record intake

Give modified bed bath (face and one arm, hand, and underarm)

1. Hand hygiene, gloves

2. Provide privacy

3. Wash face no soap

4. Wash arm → hand → underarm

5. Dry thoroughly

6. Apply deodorant if allowed

7. Replace linens

Measure and record urinary output

1. Hand hygiene, gloves

2. Pour urine into graduate

3. Measure at eye level

4. Record amount

5. Dispose properly

6. Clean equipment

Measure and record weight of ambulatory client

1. Hand hygiene

2. Zero scale

3. Assist client onto scale

4. Ensure safety

5. Record weight

6. Assist client off scale

Perform modified passive range of motion (PROM) on one knee and one ankle

1. Hand hygiene

2. Support joint above and below

3. Move slowly

4. Stop if pain

5. Knee: bend & straighten

6. Ankle: flex, extend, rotate

Perform modified passive range of motion (PROM) on one shoulder

1. Hand hygiene

2. Support elbow and wrist

3. Move shoulder slowly

4. Raise arm up, out, rotate

5. Stop if pain

Position on one side

1. Hand hygiene

2. Raise bed

3. Turn client away from you

4. Place pillow behind back

5. Pillow between knees

6. Align body properly

Provide catheter care for female

1. Hand hygiene, gloves

2. Clean from meatus outward

3. Use new cloth for each stroke

4. Hold catheter near insertion

5. Clean 4 inches of tubing

6. Do not pull catheter

7. Dispose supplies, wash hands

Provide foot care on one foot

1. Hand hygiene, gloves

2. Check water temperature

3. Wash foot

4. Dry thoroughly

5. Clean between toes

6. Apply lotion not between toes

Provide mouth care

1. Hand hygiene, gloves

2. Sit client upright

3. Use toothbrush or sponge

4. Clean teeth, tongue, gums

5. Rinse and suction if needed

6. Apply lip moisturizer

Provide perineal care

1. Hand hygiene, gloves

2. Clean front to back

3. Use clean cloth each stroke

4. Rinse and dry thoroughly

5. Maintain privacy

Transfer from bed to wheelchair using transfer belt

1. Hand hygiene

2. Lock wheelchair

3. Apply gait belt

4. Assist to standing

5. Pivot toward wheelchair

6. Lower client slowly

7. Ensure proper positioning

Measure and record manual blood pressure

1. Hand hygiene

2. Expose arm

3. Place cuff snugly

4. Locate brachial artery

5. Inflate cuff

6. Release slowly

7. Listen for systolic & diastolic

8. Record reading