Critical Steps Of Skills

Question 1

Provides Mouth Care

Answer 1

• Seated upright
• Cloth towel placed across chest
• Toothbrush must be moist

• [ CLEAN TONGE & all Surface of TEETH ]

• Clean technique for toothbrush

• Wipe resident mouth & remove

• Do not remove gloves until all dirty linen is put away

• Rinse toothbrush & basin

Question 2

Provides Foot Care On Foot

Answer 2

• Basin is on a comfort position & on a barrier

• Lift foot while supporting ankle joint, wash foot including toes

• Soap on washcloth not basin

• dump, rinse, dump and dry basin

• Wash, Rinse & dry between toes

Question 3

Position On One Side

Answer 3

•Before turning Lowers head

• Raises side rail

• Asses Resident to slowly move towards the side rail

• THEN use pillow under the head

• Assist that arm is not under the shoulder

Question 4

Hand Hygiene

Answer 4

• Wet hands & wrist before applying soap

•LATHER all surfaces of wrist, hands & fingers producing friction

• 20 SECONDS

• fingernails

• Start drying at fingertips

Question 5

Applies Knee-high Elastic Stocking

Answer 5

• Supine position

• Turn stocking inside out pinching heel

• Stretch the foot of the stocking open

• Slide over toes, foot & heel

• LOOK AT HEEL is it in correct place

• wrinkle free

Question 6

Assist to Ambulate Using Transfer Belt

Answer 6

• SHOES on BEFORE STARTING

• FEET flat on the floor

• Securely, Prearranged Signal, Stability, Slightly behind

• Upward Grasp

Question 7

Assist with Use Of Bedpan

Answer 7

• Grabs supplies , DON Gloves

• Lowers head of bed BEFORE placing Bedpan

• DOFF GLOVES, WASHES HANDS

• Raise head BEFORE leaving.

• DON GLOVES

• Lowers head of bed BEFORE removing BEDPAN

Question 8

Cleans Upper Or Lower Denture

Answer 8

• 1st thing DON Gloves

• Moderate Water Temperature

• Rinse Denture BEFORE brushing

• Practice Clean technique with toothbrush

Question 9

Counts & Records Radial Pulse

Answer 9

• Wash Hands

• Mention “ I Am Ready Now to Take the measurement “

• WASH HANDS & Records Pulse

Question 10

Counts & Records Respirations

Answer 10

• PLACE HANDS ON SHOULDER

• WASH HANDS, RECORDS RESPIRATION

Question 11

Donning & I Removing PPE (Gown & Gloves)

Answer 11

• Cuff under the gloves are clean

Question 12

Dresses Client With Affected (weak) Right Arm

Answer 12

• Show 2 different options of shirts (which would you like to wear

• STRONG weak, weak STRONG

• Dispose of dirty gown Before placing new one

Question 13

Feeds Client Who Cannot Feed Self

Answer 13

• Pick Up Card & ASK the residents to state their name

• Semi Fowlers Position (75-90 degrees)

• CLEAN Residents Hands

• Tell the resident what foods/Beverages are on the tray, ASK the Resident what food they’d like

• Clean residents mouth and hands

Question 14

Gives Modified Bed Bath (Face & One Arm, Hand & Underarm)

Answer 14

• Removes gown and place directly on soiled linen

• DO NOT OVER EXPOSE

• Wash finger, hand & Arm

Question 15

Measures & Records Urinary Output

Answer 15

• DON GLOVES

• Pour content in measuring container

• Clean Bedpan

• Clean Measuring container. TOILET, Rinse, Toilet, place in designated dirty supplies

• WASH HANDS & RECORD

Question 16

Measure & Records weight Of Ambulatory Client

Answer 16

• Non Skid-shoes BEFORE WALKING

• Put Scale on 0

• ASK resident to step on scale

• Ask to step off scale

• WASH HANDS & RECORD

Question 17

Performs Modified Passive Range Of Motion For One Knee & One Ankle

Answer 17

• Supine Position

• Ask “ how are you feeling?”

• Flexion & Extension (Leg is supported at knee & ankle)

• Plantar & Dorsiflexion (Support foot & ankle)

Question 18

Performs Modified Passive Range Of Motion for one shoulder

Answer 18

• Supine

• Instruct if any pain is experienced

• Support Elbow & Wrist (flexion & Extension) moving arm up and down

• Support Elbow & Wrist (moving away from body and back to body)

Question 19

Provides Perineal Care for Female

Answer 19

• Wash resident from front to back

• make sure to dump, rinse, dump & dry the basin

• when you have them rolled over after drying, ROLL THE LINNEN PROTECTOR

Question 20

Transfer from bed to wheelchair using transfer belt

Answer 20

Shoes before standing

Bed must be at safe level so patient can sit at a safe level

Assist patient to sit

Feet flat on floor

Knee to knee to help sit up

Wheelchair is positioned along side of head of bed or foot facing bed

Foot rest of wheelchair are folded up

Assist with turn and stand with back of legs on wheelchair

Client is lowered with back of knees touching wheelchair

Remove transfer belt & signal light on hand

Question 21

Measures & Records Manual Blood pressure

Answer 21

Look for brachial artery

Put arrow over the artery

Palm must be up

Inflate up to 160-180

Question 22

Hand hygiene

Answer 22

Turn faucet on

Wet hands & wrists

Lather & Use friction & interlace to wash all surfaces of hands, wrist & nails for attests 20 seconds

Hands down, fingertips down & hands lower than elbows

Dry fingertips to wrists

Question 23

Provides Catheter Care for Female

Answer 23

Do not ever expose

HOLD THE CATHETER BY THE MEATUS

Clean the entire circumference of the catheter

Empty, rinse & dry basin