CNA SKILLS Flashcards
(22 cards)
1
Q
Handwashing
A
1. Wets hands thoroughly with warm water 2 Applies soap to hands 3 Washes hands for at least 20 seconds 4 Rubs hands together lathering all surfaces of hands/fingers 5 Lathers surfaces of wrists 6 Cleans fingernails by rubbing them in palm of other hand 7 Rinses hands/wrists with fingers pointing downward 8 Dries hands/wrists with clean paper towel 9 Turns off faucet with paper towel(s) 10 Does not touch clean hands to sink or faucet 11 Immediately discards paper towel into trash can without touching other hand
2
Q
Vital Sign: Blood Pressure
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Cleans earpieces of stethoscope with alcohol wipe 7 Cleans diaphragm of stethoscope with alcohol wipe 8 Positions resident’s arm in a resting position on a firm surface 9 Wraps cuff around upper arm with bladder over artery 10 Places diaphragm over brachial artery 11 Inflates cuff to 160-180mm/Hg or uses 2-step obliteration method 12 Slowly deflates cuff, watching sphygmomanometer 13 Removes cuff from arm 14 Records blood pressure reading on recording form 15* Recorded systolic blood pressure is within +/-10 mm/Hg of observer’s measurement 16* Recorded diastolic blood pressure is within +/-10 mm/Hg of observer’s measurement 17 Performs hand hygiene
3
Q
Vital Sign: Pulse/Respirations
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Locates radial pulse on thumb side of wrist or uses apical method by placing diaphragm of stethoscope on left side of resident’s chest 7 Counts pulse rate for 30 seconds then doubles number or counts for 1 full minute 8 Records pulse rate on recording form 9*Recorded pulse reading is within \+/- 4 beats of observer’s recorded reading 10 Counts respiratory rate for 30 seconds then doubles number or counts for 1 full minute 11 Records respiratory rate on recording form 12*Recorded respiratory reading is within +/- 2 breaths of observer’s recorded reading 13 Performs hand hygiene
4
Q
Anti-Embolism Stocking (One Leg)
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Places stocking over resident’s toes, foot, and heel 7 Ensures heel of stocking is over heel of foot 8 Pulls or rolls stocking up resident’s leg 9 Leaves stocking smooth, free from wrinkles 10 Call light is left within resident’s reach 11 Water is left within resident’s reach 12 Performs hand hygiene
5
Q
Ambulate Using Gait Belt
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Locks bed wheels 7 Assists resident to put on non-skid footwear 8 Places gait belt snug around resident’s waist (should be able to easily run fingers between belt and resident) 9 Stands in front and faces resident 10 Resident’s feet are flat on floor 11 Grasps gait belt securely at both sides of resident 12 Assists resident to stand 13 Positions self slightly behind on resident’s side 14 Ambulates resident while grasping gait belt 15 Assists resident to sit into chair 16 Positions resident in chair with hips against back of seat 17 Removes gait belt 18 Call light is left within resident’s reach 19 Water is left within resident’s reach 20 Performs hand hygiene
6
Q
Ambulate with Walker
Using Gait Belt
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Locks bed wheels 7 Assists resident to put on non-skid footwear 8 Places gait belt snug around resident’s waist (should be able to easily run fingers between belt and resident) 9 Stands in front and faces resident 10 Resident’s feet are flat on floor 11 Grasps gait belt securely at both sides of resident 12 Assists resident to stand 13 Positions walker in front of resident before or after resident stands 14 Positions self slightly behind on resident’s side 15 Ambulates resident with walker while grasping gait belt 16 Assists resident to sit into chair 17 Positions resident in chair with hips against back of seat 18 Removes gait belt 19 Call light is left within resident’s reach 20 Water is left within resident’s reach 21 Performs hand hygiene
7
Q
Assist with Bedpan
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Lowers head of bed 8 Rolls resident away from self 9 Positions bedpan correctly 10 Rolls resident onto back/bedpan 11 Raises head of bed 12 Positions call light within reach of resident (Resident uses bedpan and calls nursing assistant) 13 Lowers head of bed 14 Removes bedpan 15 Removes gloves 16 Performs hand hygiene immediately after removing gloves and before touching other items 17 Call light is left within resident’s reach 18 Water is left within resident’s reach
8
Q
Brief Change with Peri/Anal Care:
Female
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Lowers head of bed 8 Undoes front tabs of soiled brief 9 Rolls soiled brief down between resident’s legs 10 Separates labia majora 11 Wipes down center of labia, starting with urinary meatus 12 Wipes down both sides of labia, starting with urinary meatus 13 Wipes vaginal area/upper thighs 14 Rolls resident onto side 15 Wipes anal area 16 Removes soiled brief 17 Places soiled brief into plastic bag 18 Changes gloves 19 Tucks clean brief under resident 20 Rolls resident onto back 21 Secures clean brief in place 22 Removes gloves 23 Performs hand hygiene immediately after removing gloves and before touching other items 24 Call light is left within resident’s reach 25 Water is left within resident’s reach 26 Candidate used disposable cleansing wipes 27 Candidate discarded soiled wipes by tucking into soiled brief or into waste container 28 Candidate wiped clean to dirty for each stroke 29 Candidate used different part of wipe or new wipe for each stroke
9
Q
Brief Change with Peri/Anal Care:
Male
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Lowers head of bed 8 Undoes front tabs of soiled brief 9 Rolls soiled brief down between resident’s legs 10 Wipes penis from tip to base, starting with urinary meatus 11 Wipes scrotum/upper thighs 12 Rolls resident onto side 13 Wipes anal area 14 Removes soiled brief 15 Places soiled brief into plastic bag 16 Changes gloves 17 Tucks clean brief under resident 18 Rolls resident onto back 19 Secures clean brief in place 20 Removes gloves 21 Performs hand hygiene immediately after removing gloves and before touching other items 22 Call light is left within resident’s reach 23 Water is left within resident’s reach 24 Candidate used disposable cleansing wipes 25 Candidate discarded soiled wipes by tucking into soiled brief or into waste container 26 Candidate wiped clean to dirty for each stroke 27 Candidate used different part of wipe ornew wipe for each stroke
10
Q
Contact Precautions: Gown
and Gloves
A
1 Performs hand hygiene 2 Unfolds gown 3 Dons Gown 4 Secures neck opening 5 Secures back opening 6 Dons gloves overlapping gown sleeves (Resident care task is completed) 7 Removes gloves before removing gown 8 Grasps one glove at palm of one hand then pulls off 9 With ungloved hand. Slips two fingers or the thumb underneath cuff of remaining glove at wrist. 10 Pulls down and turns glove inside out 11 Disposes of gloves in waste container 12 Unfastens gown at neck 13 Unfastens gown at waist 14 Removes gown by rolling dirty side in 15 Disposes of gown in waste container 16 Performs hand hygiene
11
Q
Denture Care
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Protects denture from damage by lining bottom of sink 8 Uses water to clean/rinse denture 9 Applies denture toothpaste to denture brush 10 Brushes all surfaces of denture 11 Rinses denture 12 Places denture in denture cup 13 Adds water to cover denture in cup 14 Removes gloves 15 Performs hand hygiene immediately after removing gloves and before touching other items 16 Call light is left within resident’s reach 17 Water is left within resident’s reach
12
Q
Dressing Resident: Affected Arm
Upper Body Only
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Allows resident to choose clothing 7 Undresses resident’s unaffected side first 8 Undresses resident’s affected side after undressing unaffected side 9 Places used clothing in hamper 10 Dresses resident’s affected side first 11 Dresses resident’s unaffected side after dressing affected side 12 Call light is left within resident’s reach 13 Water is left within resident’s reach 14 Performs hand hygiene
13
Q
Empty Down Drain Bag and
Record Urine Output
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Places paper towel on floor under drainage bag 8 Places graduate on paper towel 9 Opens spout on down drain bag so urine will flow into graduate 10 Ensures drainage tube does not touch side of graduate 11 Cleans tip of spout with alcohol wipe 12 Replaces spout into holder on bag 13 Places graduate on a flat, “dirty” surface 14 Reads graduate at eye level 15 Removes gloves 16 Performs hand hygiene immediately after removing gloves and before touching other items 17 Call light is left within resident’s reach 18 Water is left within resident’s reach 19 Records urine output measurement on recording form 20*Recorded measurement within +/- 25mL of observer’s measurement
14
Q
Feeding Resident: While in Bed
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Positions resident in an upright position (60-90 degree angle) 7 Assists resident to clean hands with disposable wipes 8 Asks resident if they would like a clothing protector 9 Places a clothing protector/towel 10 Tells resident what foods are on plate 11 Allows resident to make choices while eating 12 Offers fluid 13 Removes clothing protector from resident’s clothing 14 Call light is left within resident’s reach 15 Water is left within resident’s reach 16 Performs hand hygiene
15
Q
Indwelling Catheter Care: Female
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Uses cleansing wipe to clean area around the resident’s urinary meatus 8 Holds catheter near meatus 9 Cleans at least 4 inches of catheter tubing beginning at the urinary meatus 10 Wipes catheter tubing in one direction away from urinary meatus 11 Secures tubing to resident’s thigh 12 Places tubing over resident’s leg 13 Attaches drainage bag to bed frame (non-movable part of bed) 14 Removes gloves 15 Performs hand hygiene immediately after removing gloves and before touching other items 16 Call light is left within resident’s reach 17 Water is left within resident’s reach 18 Candidate used disposable cleansing wipes (not alcohol pad) 19 Candidate wiped clean to dirty for each stroke 20 Candidate used different part of wipe or new wipe for each stroke
16
Q
Indwelling Catheter Care: Male
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Uses cleansing wipe to clean area around resident’s urinary meatus 8 Holds catheter near meatus 9 Cleans at least 4 inches of catheter tubing beginning at the urinary meatus 10 Wipes catheter tubing in one direction away from urinary meatus 11 Secures tubing to resident’s thigh 12 Places tubing over resident’s leg 13 Attaches drainage bag to bed frame (non-movable part of bed) 14 Removes gloves 15 Performs hand hygiene immediately after removing gloves and before touching other items 16 Call light is left within resident’s reach 17 Water is left within resident’s reach 18 Candidate used disposable cleansing wipes (not alcohol pad) 19 Candidate wiped clean to dirty for each stroke 20 Candidate used different part of wipe or new wipe for each stroke
17
Q
Position: Log Roll Using
Draw Sheet
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Positions bed flat 7 Places pillow between resident’s knees before turning 8 Uses 2 people 9 Has one person stand at resident’s head/shoulders 10 Has one person stand at resident’s hips/legs 11 Has both people grasp draw sheet near resident’s body 12 Rolls resident onto side 13 Neck and spine remain in alignment while turning 14 Flexes resident’s knee on upper side of resident’s body 15 Places pillow(s) underneath leg/knee 16 Places pillow(s) under resident’s upper arm for support 17 Places pillow(s) against resident’s back/ torso for support 18 Call light is left within resident’s reach 19 Water is left within resident’s reach 20 Performs hand hygiene
18
Q
Mouth Care: Conscious,
Brushing Teeth
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Positions resident in an upright position (60-90 degree angle) 8 Offers resident clothing protector or towel 9 Applies toothpaste to toothbrush 10 Inserts toothbrush into resident’s mouth 11 Brushes all surfaces of upper teeth 12 Brushes all surfaces of lower teeth 13 Brushes tongue 14 Provides resident water to rinse mouth 15 Provides resident a basin for spitting 16 Cleans/dries around resident’s mouth 17 Offers resident lip moisturizer 18 Removes gloves 19 Performs hand hygiene immediately after removing gloves and before touching other items 20 Call light is left within resident’s reach 21 Water is left within resident’s reach
19
Q
Mouth Care: Unconscious
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Turns resident’s head to side 8 Places a towel under resident’s head or cheek/chin 9 Wets sponge in cup of water 10 Removes excess water from sponge by rolling along cup 11 Inserts sponge into resident’s mouth (does not use toothbrush or toothpaste) 12 Rotates sponge against all surfaces of mouth 13 Cleans/dries around resident’s mouth 14 Applies lip moisturizer 15 Removes gloves 16 Performs hand hygiene immediately after removing gloves and before touching other items 17 Call light is left within resident’s reach 18 Water is left within resident’s reach
20
Q
Occupied Draw Sheet Change
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Dons gloves 7 Places clean draw sheet on a clean surface within reach 8 Positions bed flat 9 Rolls resident onto side 10 Rolls used draw sheet inward toward resident 11 Places clean draw sheet on bed 12 Rolls one half of clean draw sheet towards resident’s back 13 Smooths out other side of clean draw sheet 14 Rolls resident onto back 15 Rolls resident onto resident’s other side 16 Removes used draw sheet 17 Unrolls clean draw sheet 18 Rolls resident onto back onto clean draw sheet 19 Ensures draw sheet is free from wrinkles 20 Removes gloves 21 Performs hand hygiene immediately after removing gloves and before touching other items 22 Call light is left within resident’s reach 23 Water is left within resident’s reach
21
Q
Position: Lateral
A
1 Greets resident by name
2 Introduces self by name
3 Identifies self as a CNA
4 Performs hand hygiene
5 Explains procedure to resident
6 Positions bed flat
7 Slides hands/arms under resident’s
head/shoulders, moves resident toward
self
8 Slides hands/arms under resident’s
midsection, moves resident toward self
9 Slides hands/arms under resident’s
hips/legs, moves resident toward self
10 Turns resident onto a lateral position
11 Flexes resident’s knee on upper side of resident’s body
12 Places pillow(s) underneath resident’s
leg/knee
13 Places pillow(s) under resident’s upper arm for support
14 Places pillow(s) against resident’s back/torso for support
15 Call light is left within resident’s reach
16 Water is left within resident’s reach
17 Performs hand hygiene
22
Q
Pivot Transfer: Bed to Wheelchair
Using Gait Belt
A
1 Greets resident by name 2 Introduces self by name 3 Identifies self as a CNA 4 Performs hand hygiene 5 Explains procedure to resident 6 Locks bed wheels 7 Positions resident in sitting position 8 Assists resident to put on non-skid footwear 9 Places gait belt snug around resident’s waist (should be able to easily run fingers between belt and resident) 10 Positions wheelchair close to resident on unaffected (stronger) side 11 Locks wheelchair brakes 12 Stands in front and faces resident 13 Resident’s feet are flat on floor 14 Grasps gait belt securely at both sides of resident 15 Assists resident to stand 16 Transfers resident to wheelchair by pivoting toward unaffected (stronger) side 17 Assists resident to sit into chair 18 Positions resident in wheelchair with hips against back of seat 19 Removes gait belt 20 Call light is left within resident’s reach 21 Water is left within resident’s reach 22 Performs hand hygiene
