CNA testing skills (one of them will be picked) Flashcards
(5 cards)
ASSIST A RESIDENT WITH A BEDPAN, MEASURE AND RECORD OUTPUT WITH HAND WASHING
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Gather supplies.
4) Provide privacy for the resident; pull the privacy curtain.
5) Put on gloves.
6) Position the resident on a standard bedpan/fracture pan with the pan in the correct
orientation and using the correct body mechanics.
7) Raise the head of the bed.
8) Leave tissue within reach of the resident.
9) Leave the call light or signaling device within reach of the resident.
10) Step away from the resident until the RN Test Observer identifies that the resident is finished.
11) Upon returning, lower the head of the bed.
12) Gently remove the bedpan.
13) Hold the bedpan while the RN Test Observer pours fluid into the bedpan.
14) Place the graduate on a flat surface for reading output at eye level and pour fluid into the
graduate.
15) Empty the graduate into the designated toilet.
16) Rinse and dry the bedpan and graduate, and return to storage.
17) Obtain a wet washcloth and wash/assist the resident in washing hands.
18) Dry/assist resident to dry hands.
19) Place soiled linens in a designated container.
20) Remove gloves, turning them inside out as they are removed, and dispose in a designated
container.
21) Leave the resident in a position of comfort and safety.
22) Record output on the provided, previously signed recording form.
23) The candidate’s recorded output is within 25 mls of the RN Test Observer’s recorded output.
24) Open the privacy curtain.
25) Maintain respectful, courteous interpersonal interactions at all times.
26) Place the call light or signal device within easy reach of the resident.
27) Turn on water.
28) Wet all surfaces of hands before applying soap.
29) Wet wrists before applying soap.
30) Apply soap to wet hands.
31) Rub hands together using friction.
32) While hands are not under running water, rub hands together for at least 20 seconds.
33) Interlace fingers pointing downward.
34) Wash all surfaces of hands and wrists with soap.
35) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
36) Dry hands and wrists with a clean paper towel(s).
37) Immediately discard paper towel(s) in a trash can.
38) Turn off the faucet with a clean, dry paper towel.
39) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet
paper towel to turn off the faucet is considered recontamination.)
CHANGE A MALE RESIDENT’S BRIEF AND PROVIDE PERINEAL CARE WITH HAND WASHING
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident [manikin].
3) Fill a basin with warm water.
4) Provide privacy for the resident; pull the privacy curtain.
5) Raise the bed between mid-thigh and waist level.
6) Raise the side rail on the side of the bed opposite the working side or request the RN Test
Observer or Actor to stand on the side of the bed opposite the working side.
7) Obtain a brief.
8) Put on gloves.
9) Place a bath blanket or clean sheet over the resident to maintain privacy.
10) Place the waterproof pad under the resident’s buttocks by turning the resident toward the
side or raising their hips.
11) Expose perineum only.
12) Unfasten the wet brief on both sides.
13) Remove the soiled brief under the resident [manikin] by rolling the resident [manikin] side-to-side OR raising the hips.
14) Discard the soiled brief in a designated container.
15) Gently grasp the penis.
16) Use water and a soapy washcloth.
17) Clean the tip of the penis, starting at the urethral opening and working outward with a circular
motion.
18) Clean the shaft of the penis with downward motions away from the tip of the penis.
19) Use a clean portion of a washcloth with each stroke.
20) Clean the scrotum with a clean portion of a washcloth.
21) Rinse the penis with a new, clean washcloth.
22) Rinse the penis using a clean portion of a washcloth with each stroke.
23) Rinse the scrotum using a clean portion of a washcloth with each stroke.
24) Pat the area dry.
25) Recover the exposed area with the bath blanket or clean sheet.
26) Assist resident in turning onto their side away from the working side of the bed.
27) Use a new, clean, soapy washcloth to clean the rectal area.
28) Clean the area from the scrotum to the rectal area using a clean portion of a washcloth with
each stroke.
29) Rinse the area from the scrotum to the rectal area using a new, clean washcloth. Use a clean
portion of a washcloth with each stroke.
30) Pat the area dry.
31) Apply a new brief by rolling resident [manikin] side-to-side OR raising hips.
32) Pull the front of the brief through, ensuring it is even on both sides of the resident [manikin],
and fasten it securely on both sides.
33) Remove the waterproof pad without friction by turning the resident [manikin] side-to-side or
raising their hips.
34) Remove the bath blanket or sheet.
35) Place all soiled linen in a designated container.
36) Position the resident on his back.
37) Lower bed.
38) Lower side rail(s), if side rails were used.
39) Empty, rinse, dry, and return equipment to storage.
40) Remove gloves, turning them inside out as they are removed, and dispose in a designated
container.
41) Open the privacy curtain.
42) Leave the resident in a position of comfort and safety.
43) Maintain respectful, courteous interpersonal interactions at all times.
44) Place the call light or signaling device within easy reach of the resident.
45) Turn on water.
46) Wet all surfaces of hands before applying soap.
47) Wet wrists before applying soap.
48) Apply soap to wet hands.
49) Rub hands together using friction.
50) While hands are not under running water, rub hands together for at least 20 seconds.
51) Interlace fingers pointing downward.
52) Wash all surfaces of hands and wrists with soap.
53) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
54) Dry hands and wrists with a clean paper towel(s).
55) Immediately discard paper towel(s) in a trash can.
56) Turn off the faucet with a clean, dry paper towel.
57) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet
paper towel to turn off the faucet is considered recontamination.)
DONN [PUT ON] PPE (GOWN, GLOVES, GOGGLES, OR FACE SHIELD), EMPTY A URINARY DRAINAGE
BAG, MEASURE AND RECORD OUTPUT, DOFF [REMOVE] PPE WITH HAND WASHING
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Unfold the gown.
3) Put on a gown fully covering the torso and wrapping the gown around the back.
4) Fasten at the neck and the waist.
5) Put on goggles or face shield appropriately over the eyes or face.
6) Put on gloves.
7) Extend gloves over the wrists of the gown.
8) Explain the procedure to be performed to the resident.
9) Provide privacy for the resident; pull the privacy curtain.
10) Raise the bed between mid-thigh and waist level.
11) Place a barrier on the floor under the drainage bag.
12) Place the graduate on the previously placed barrier.
13) Open the drain to allow the urine to flow into the graduate until the bag is empty.
14) Avoid touching the graduate with the tip of the tubing.
15) Close the drain.
16) Wipe the drain with an antiseptic wipe AFTER the drainage bag is empty.
17) Replace the drain in the holder.
18) Lower bed.
19) Place the graduate on a level, flat surface.
20) With the graduate at eye level, read the output.
21) Empty the graduate into the designated toilet.
22) Rinse, dry, and return equipment to storage.
23) Leave the resident in a position of comfort and safety.
24) Record the output on the provided, previously signed recording form.
25) The candidate’s measured output reading is within 25 mls of the RN Test Observer’s output
reading.
26) Open the privacy curtain.
27) Maintain respectful, courteous interpersonal interactions at all times.
28) Place the call light or signaling device within easy reach of the resident.
29) Remove gloves BEFORE the gown, turning them inside out as they are removed.
30) Dispose of gloves in a designated container.
31) Remove goggles or face shield from the back by lifting ear pieces or headband.
32) Place goggles or face shield in a designated container.
33) Unfasten the gown at the neck.
34) Unfasten the gown at the waist.
35) Pull the gown away from the neck, touching only the inside of the gown.
36) Turn the gown inside out and roll it into a bundle.
37) Dispose of the gown in a designated container.
38) Turn on water.
39) Wet all surfaces of hands before applying soap.
40) Wet wrists before applying soap.
41) Apply soap to wet hands.
42) Rub hands together using friction.
43) While hands are not under running water, rub hands together for at least 20 seconds.
44) Interlace fingers pointing downward.
45) Wash all surfaces of hands and wrists with soap.
46) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
47) Dry hands and wrists with a clean paper towel(s).
48) Immediately discard paper towel(s) in a trash can.
49) Turn off the faucet with a clean, dry paper towel.
50) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet
paper towel to turn off the faucet is considered recontamination.)
DONN [PUT ON] PPE (A GOWN AND GLOVES), PROVIDE CATHETER CARE FOR A FEMALE RESIDENT,
DOFF [REMOVE PPE] WITH HAND WASHING
1) Perform hand hygiene.
c. Cover all surfaces of the hands with hand sanitizer.
d. Rub hands together to dry.
2) Unfold the gown.
3) Put on a gown fully covering the torso and wrapping the gown
around the back.
4) Fasten at the neck and the waist.
5) Put on gloves.
6) Extend gloves over the wrists of the gown.
7) Explain the procedure to be performed to the resident.
8) Fill a basin with warm water.
9) Provide privacy for the resident; pull the privacy curtain.
10) Raise the side rail on the side of the bed that is opposite the working side of the bed or
request the RN Test Observer to stand on the side of the bed opposite the working side.
11) Raise the bed between mid-thigh and waist level.
Put on gloves.
12) Place a bath blanket or clean sheet over the resident to maintain privacy.
13) Turn resident [manikin] (side-to-side) or raise hips and place a waterproof pad under resident
[manikin].
14) Verbalize checking while physically checking to see that urine can flow unrestricted into the
drainage bag.
15) Use soap and water to carefully wash around the catheter where it exits the urethra.
16) With one hand, hold the catheter near the urethra to prevent tugging on the catheter.
17) With the other hand, clean at least 3-4 inches from the urethra down the drainage tube.
18) Clean with stroke(s) only away from the urethra. (A washcloth wrapped around the tubing
with one stroke is okay.)
19) Use a clean portion of a washcloth for any stroke.
20) Rinse with stroke(s) only away from the urethra. (A washcloth wrapped around the tubing
with one stroke is okay.)
21) Use a clean portion of a washcloth for any stroke.
22) Pat dry with a clean towel.
23) Do not allow the tube to be pulled at any time during the procedure.
24) Replace the top cover over the resident.
25) Remove the bath blanket or sheet.
26) Remove the waterproof pad without friction by turning the resident [manikin] side-to-side or
raising the hips.
27) Place all soiled linens in a designated container.
28) Empty, rinse, dry, and return equipment to storage.
Remove gloves, turning them inside out as they are removed, and dispose in a designated
container.
29) Lower bed.
30) Lower side rail(s), if side rails were used.
31) Leave the resident in a position of comfort and safety.
32) Open the privacy curtain.
33) Maintain respectful, courteous interpersonal interactions at all times.
34) Place the call light or signaling device within easy reach of the resident.
35) Remove gloves BEFORE the gown, turning them inside out as they are removed.
36) Dispose of gloves in a designated container.
37) Unfasten the gown at the neck.
38) Unfasten the gown at the waist.
39) Pull the gown away from the neck, touching only the inside of the gown.
40) Turn the gown inside out and roll it into a bundle.
41) Dispose of the gown in a designated container.
42) Turn on water.
43) Wet all surfaces of hands before applying soap.
44) Wet wrists before applying soap.
45) Apply soap to wet hands.
46) Rub hands together using friction.
47) While hands are not under running water, rub hands together for at least 20 seconds.
48) Interlace fingers pointing downward.
49) Wash all surfaces of hands and wrists with soap.
50) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
51) Dry hands and wrists on a clean paper towel(s).
52) Immediately discard paper towel(s) in a trash can.
53) Turn off the faucet with a clean, dry paper towel.
54) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet
paper towel to turn off the faucet is considered recontamination.)
PERINEAL CARE FOR A FEMALE RESIDENT WITH HAND WASHING
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to the resident [manikin].
3) Fill a basin with warm water.
4) Provide privacy for the resident; pull the privacy curtain.
5) Raise the side rail on the side of the bed opposite the working side or request the RN Test
Observer or Actor to stand on the side of the bed opposite the working side.
6) Raise the bed to between mid-thigh and waist level.
7) Place a bath blanket or clean sheet over the resident.
8) Put on gloves.
9) Place a waterproof pad under the resident’s buttocks by turning the resident side-to-side or
raising hips.
10) Expose perineum only.
11) Use water and a clean, soapy washcloth.
12) Clean both sides and middle of the labia from top to bottom with a clean portion of the
washcloth for each stroke.
13) Using water and a new, clean washcloth, rinse the area from top to bottom. Use a clean
portion of the washcloth with each stroke.
14) Pat the area dry with a clean portion of the towel for each pat.
15) Cover the exposed area with the bath blanket or clean sheet.
16) Assist resident in turning onto their side away from the working side of the bed.
17) Clean the rectal area with a new, clean washcloth with water and soap.
18) Clean the rectal area from the vagina to the rectal area using at least two single strokes with
a clean portion of the washcloth for every single stroke.
19) Using a new, clean washcloth, rinse the rectal area from the vagina to the rectal area. Use at
least two single strokes. Use a clean portion of the washcloth for each stroke.
20) Pat dry area from vagina to rectal area.
21) Remove the waterproof pad from under the buttocks without friction by turning the resident
[manikin] side-to-side or raising the hips.
22) Position the resident on her back.
23) Remove the bath blanket or sheet.
24) Placed all soiled linen in a designated container.
25) Empty, rinse, dry, and return equipment to storage.
26) Remove gloves, turning them inside out as they are removed, and dispose in a designated
container.
27) Lower bed.
28) Lower side rail(s), if side rails were used.
29) Open the privacy curtain.
30) Maintain respectful, courteous interpersonal interactions at all times.
31) Place the call light or signaling device within easy reach of the resident.
32) Turn on water.
33) Wet all surfaces of hands before applying soap.
34) Wet wrists before applying soap.
35) Apply soap to wet hands.
36) Rub hands together using friction.
37) While hands are not under running water, rub hands together for at least 20 seconds.
38) Interlace fingers pointing downward.
39) Wash all surfaces of hands and wrists with soap.
40) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
41) Dry hands and wrists with a clean paper towel(s).
42) Immediately discard paper towel(s) in a trash can.
43) Turn off the faucet with a clean, dry paper towel.
44) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet
paper towel to turn off the faucet is considered recontamination.)
