Prometric Test Flashcards
Hand washing
Supplies
* Water
* Soap,
* paper towels,
* watch or clock
Procedure
* Turn on water cold first
* Get hands wet
* Put soap on
* Vigorously rub hands together to produce friction. circle wrist, run in between fingers for 20 seconds.
* Clean nails by rubbing from bed of nail down and under nails by scrubbing them on your palm
* Rinse hands downward do not touch the sink
* Tap excess water off
* Take paper towel and dry thoroughly throw away
* Take new paper towel and turn off water
* Make sure not to recontaminate hands
* My skill is complete
Opening
and
Closing(indirect skills)
Opening
* Knock
* Introduce yourself
* Identify the patient
* Describe skill
* Obtain permission
* Pull curtain
* Wash hands
* Gather supplies
Closing
Give call light
* Open curtain
* Wash hands
* Document
Passive Range of Motion to a Resident’s Left Shoulder
Supplies
None
Procedure
* Opening
* Explain that you are going to be doing flexion/ extension and you are going to raise their arm above their head and back down. And to let you know if there is any pain
* Support arm at hand and elbow
* Ask if there is any pain
* Repeat 2 more times for a total of 3 times
* Explain that you are going to abduction/ adduction and you are you are going to swing their arm out and back in like a snow angel.
* Support arm at hand and elbow (joints)
* Ask if there is any pain
* Repeat 2 more times for a total of 3 times
* Closing
* My skill is complete
Provide ROM to Hip, Knee, and Ankle
Supplies
None
Procedure
* Opening
* Explain the exercise and you will be doing the work and to let you know if there is pain. You are going to bend the knee up to chest and back down like climbing stairs.
* Support under knee and ankle 3 times asking every time if there is any pain
* Explain the exercise and you will be doing the work and to let you know if there is pain. You are going to exercise the ankle. Lift foot off bed move forward and backward. Like stepping on a gas pedal.
* Closing
* My skill is complete
Provide ROM to Elbow and wrist
Supplies
None
Procedure
* Opening
* Explain the exercise and you will be doing the work and to let you know if there is pain.
* For elbow, move arm down(straight) and then back up like making a muscle.
* Repeat 3 times asking if pain every time.
* For wrist, bend wrist forward and backwards like revving a motorcycle.
* Repeat 3 times asking if pain every time.
* Closing
Ambulate Resident Using a Gait Belt
Supplies
* Non-skid footwear
* Gait belt
Procedure
* Opening
* ask if they want to go for a walk
* Explain what you are going to do. That you are going to place the gait belt around the waist and it will help you lift them to a standing position.
* Place gait belt around the wait and tighten to where you can slide 4 fingers between the belt and resident making sure no skin is showing and no twist.
* Have them place their feet together
* Place your foot in front of theirs to prevent slipping
* Have them place their hands on your shoulders lift up
* Ask if they are dizzy
* Walk 10 steps
* Place their hands on your shoulders. Place your foot in front of their foot. Have them sit down.
* Take gait belt off
* Ask if they are dizzy
* Closing
* My skill is done
Transfer Resident Using a Gait Belt (from bed)
Supplies
* Non-skid footwear
* Gait belt
* wheelchair
Procedure
* Opening
* Let them know you need to get them up out of bed
* Have them scoot to the edge of the bed, support
* Explain what you are going to do. That you are going to place the gait belt around the waist and it will help you lift them to a standing position.
* Place gait belt around the wait and tighten to where you can slide 4 fingers between the belt and resident making sure no skin is showing and no twist.
* Have them place their feet together
* Place your foot in front of theirs to prevent slipping
* Have them place their hands on your shoulders lift up
* Ask if they are dizzy
* Walk 10 steps
* Place their hands on your shoulders. Place your foot in front of their foot. Have them sit down.
* Take gait belt off
* Ask if they are dizzy
* Closing
* My skill is done
Measure and Record Radial Pulse
Supplies
* Watch or Clock
* Pen
* Documentation Sheet
Procedure
* Opening
* Explain what you are going to do. And that you will need silence
* Press 2 fingers (index and middle) around residents’ wrist at pulse
* Count the beats for a full minute
* Closing
* Write on the documentation sheet
* My skill is done
Measure and Record Resident’s Respiration’s
Supplies
* Watch or Clock
* Pen
* Documentation Sheet
* Alcohol pad
Procedure
* Opening
* Explain what you will be doing (taking vital signs) Do not tell them you are taking respirations (they might hold their breath) And silence is required
* Hold residents’ wrist like you are going to take their pulse (this skill is normally paired with taking pulse)
* Place an alcohol pad on their stomach
* Count how many times the abdomen rises and falls. In and out= one breath
* Closing
* Document
* My skill is done
Provide Mouth Care
Supplies
* Barrier for table
* Towel
* Toothbrush
* Toothpaste
* Emesis basin
* Cup of water
* gloves
Procedure
* Opening
* Explain what you are going to do and put head of bed up
* Place barrier on table get supplies
* Prepare tooth brush place in basin
* Place towel on resident don gloves
* Brush teeth. Frist bottom teeth, then top, have them close their teeth and do the front. Then the tongue.
* Have them rinse and spit into emesis basin
* Dispose of tooth brush, wrapper, and cup.
* Remove towel
* Clean basin: rinse, using paper towel hold basin, use another paper towel to dry
* Put away supplies
* Take gloves off
* Closing
* My skill is done
Provide Denture Care
Supplies
* Barrier for table
* Towel
* Denture brush
* Toothpaste
* Toothette
* Emesis basin
* Cup of water
* Washcloth
* 2 pair of gloves
Procedure
* Opening
* Explain what you are going to do
* Place barrier on table get supplies
* Prepare brush with toothpaste put in basin
* Place washcloth in sink
* Don gloves
* Use a paper towel to turn on water (use cool only)
* Rinse dentures, brush all surfaces to remove food particles, rinse dentures again.
* Rinse denture cup and place dentures in cup with water and close lid.
* Take wash cloth and put it in laundry basket
* Place denture cup on bedside table
* Remove gloves
* Place towel on resident around neck
* Prepare tootheete with toothpaste
* Don gloves
* Brush gums with tootheete
* Rinse and spit in to the emesis basin
* Remove towel place in dirty linen
* Throw away disposables
* Clean basin: rinse, using paper towel hold basin, use another paper towel to dry
* Put away supplies, throw away barrier. Take gloves off.
* Closing
* My skill is done
Feed a Resident in a Chair
Supplies
* Clothing Protector (Towel)
* Towelette (hand wipe)
* Meal tray
* Documentation Sheet
Procedure
* Explain what you are going to do
* Opening
* Have them sit up straight if they are not
* Have them use a hand wipe to “wash hands”
* Put on a clothing protector
* Let them know what you have and make sure that is ok.
* Ask if they need a drink of water
* Feed small bites with a spoon SLOWLY
* Make conversation
* Ask how the food taste
* Offer drinks between sips
* Ask if they are ready for another bite if they say they are full double check and then let them know if they are hungry and you can bring them something else.
* Wipe mouth and take cloth away and put in laundry
* Dispose of food and place tray on table
* Closing
* Document
* My skill is done
Dress Resident with a Weak Arm
Supplies
* Barrier for table
* Clean clothing
* Bath blanket
Procedure (skill is with a mannequin, evaluator will answer for you)
* Opening
* Explain what you are going to do
* Place barrier on table get supplies
* Ask them what they would like to wear. Double check with them you got the correct outfit.
* Place privacy blanket over them (do not snap or shake it) and take top sheet off
* Put socks on. Scrunch sock up, put over foot, make sure to have toe seam lined up. Guide over heal, smooth out any wrinkles
* Put pants on. Make sure tag is in the back. Insert your arm in to the pant leg and scrunch up. Place it over residents’ foot and smooth it over the heal. Pull pants up the legs as far as you can. Have them lift their hips and guide the pants all the way up.
* Put the head of the bed up.
* Assist them leaning forward and unite gown
* Tuck a corner of the blanket behind back
* Undress STRONG arm first
* Walk around bed. Undress weak arm
* Dress weak side first. Scrunch up shirt and put your arm in sleeve, hold hands (like shaking a hand) feed shirt through onto residents’ arm. Support elbow.
* Have them sit forward (they remain covered) place the shirt on the other side of resident.
* Go to the other side of the bed.
* Put the strong side in the shirt and button up shirt
* Take the privacy blanket and gown, put in laundry basket.
* Adjust clothing, throw barrier away.
* Closing
* My skill is done.
Provide Hand and Nail Care
Supplies
* Barrier for table
* Towel
* Bath Basin
* 2 wash cloths
* Soap
* Lotion
* Orangewood stick
* Emery board
* Gloves(optional)
Procedure
* Explain what you are going to do/ Opening
* Place barrier on table get supplies
* Use paper towels to turn on water, fill basin with warm water. Have resident check temp.
* Have resident place hand in water.
* Place wash cloths in water. Use wash cloth to wet hand
* Apply soap to wash cloth
* Wash all surfaces of hand, in between fingers and thumb.
* Use other wash cloth to rinse hand
* Dry hand with towel
* Use the slanted side or the orange stick, bevel up to clean under the nails. Ask if it hurts. Wipe stick on towel in between nails.
* File any rough nails with emery board. File outer edge to middle, in one direction.
* Apply lotion to all surfaces on hand. Wipe off excess.
* Put linen in laundry. Rinse basin use paper towel to hold basin while drying them. Put soap and lotion in basin. Use towel to open drawer. Throw away barrier and supplies.
* Closing
* My skill is complete
Provide Foot Care
Supplies
* Barrier for table
* Bath Basin
* Towel
* 2 wash cloths
* Soap
* Lotion
* Gloves
* Socks and shoes
Procedure
* Explain what you are going to do/ Opening
* Place barrier on floor get supplies
* Use paper towels to turn on water, fill basin with warm water. Have resident check temp.
* Don Gloves
* Have resident place foot in basin
* Place wash cloths in water. Use wash cloth to wet foot
* Apply soap to wash cloth
* Wash all surfaces of foot, between toes, and check the bottom of foot for sores or cuts.
* Use other wash cloth to rinse foot.
* Dry foot with towel, use edge of towel to dry between toes.
* Apply lotion to all surfaces on foot. DO NOT USE lotion between toes. Wipe off excess.
* Put socks and shoes on.
* Put linen in laundry. Rinse basin use paper towel to hold basin while drying them. Put soap and lotion in basin. Use towel to open drawer. Throw away barrier and supplies.
* Closing
* My skill is complete
Provide Partial bed bath and back rub
Supplies
* Barrier for table
* Bath Basin
* 2 Towel
* 4 wash cloths
* Soap
* Lotion
* Privacy gown
* Clean gown
* Gloves
Procedure (skill is with a mannequin, evaluator will answer for you)
* Explain what you are going to do/ Opening
* Place barrier on the table and get supplies
* Use paper towel to turn on water, fill basin (check water) have resident check water/
* Place a privacy sheet on resident. Do not shake sheet.
* Have resident sit up to untie gown and place towel to keep sheets dry
* Remove gown on the side closest to you. Support elbow. Go on the other side and do the same.
* Don gloves
* Put wash cloths in basin
* Ring a washcloth out
* Fold wash cloth in 4’s (for the four corners method)
* Wash face. No soap. Wash closest eye inner to outer corner. Use new leaf to wash the other eye. Use another leaf to wash the remainder of the face. Use the final leaf for under the nose.
* Set wash cloth aside, Take towel and pat dry face
* Take 2nd wash cloth and apply soap
* Wash behind ear, around the chink, across the neck, across the torso, (lift blanket but keep covered until evaluator tells you to uncover) around the breast, down the upper abdomen, up the side, down the front of the arm, the hand, up the back of arm, under the arm pit. Set wash cloth aside.
* Take the 3rd wash cloth rinse out. Rise all the areas you just washed. Wash behind ear, around the chink, across the neck, across the torso, (lift blanket but keep covered until evaluator tells you to uncover) around the breast, down the upper abdomen, up the side, down the front of the arm, the hand, up the back of arm, under the arm pit. Put wash cloth back in basin.
* Put clean gown on. Put gown one closest arm support elbow. Fan out gown. Go to other side and put the other side of the gown on.
* Go back to the other side of bed have the resident move towards to so they can roll to their side away from you.
* (Evaluator will hold mannequin) Rinse wash cloth put soap on top leaf.
* Wash neck, shoulders and the back down to the waist. Set wash cloth aside.
* Take the final wash cloth rinse neck, shoulders and the back down to the waist.
* Take towel and pat dry.
* Warm lotion in hands. Start at the small of the back to the shoulders in small circles. Repeat 3 times. Wipe off excess. Tie gown
* Take towel that protects sheet. Have the resident roll back and go to the center of the bed.
* Tell resident you will be right back.
* Put linen in laundry. Rinse basin use paper towel to hold basin while drying them. Put soap and lotion in basin. Use towel to open drawer. Throw away barrier and supplies.
* Take gloves off
* Remove privacy blanket, put sheet back up and put in laundry.
* Closing
* My skill is complete.
Make an Occupied bed
Supplies
* Barrier for table
* Bottom Sheet
* Top Sheet
* Pillowcase
* Privacy Blanket
* Dirty Linen hamper
Procedure
* Explain what you are going to do/ Opening
* Place barrier on the table and get supplies
* Place blanket over resident and take top sheet place in laundry.
* Have resident scoot towards you and roll to the side. (make sure the are not on the edge.)
* Remove bottom sheet of the side you are one. Roll it towards the resident.
* Put on new sheet and put it under the dirty sheet.
* Have resident roll back and walk to the other side of the bed.
* Have resident scoot towards you and roll to the side. (make sure they are not on the edge.)
* Take the dirty sheet off the bed. And put the new sheet on the corners. Smooth out wrinkles.
* Have resident roll back and center of bed.
* Put top sheet over the resident and take the privacy blanket off.
* Tuck the sheet at the bottom of the bed. Make hospital corners. Release any pressure off the toes.
* Change pillow case do not shake.
* Closing
* My skill is complete
Left Side lying position
Supplies
* Barrier for table
* 3 additional pillows
* Privacy Blanket
Procedure
* Explain what you are going to do/ Opening
* Place barrier on the table and get supplies
* Place privacy blanket over resident, pull down sheet.
* Have them scoot to the side of the bed
* Adjust arms and legs so you can roll them to the side. Make sure the privacy blanket is covering them.
* Fold a pillow in half (long ways) and place under the back. (the fold faces the back)
* Place a pillow between the legs lengthwise (between the knee and ankle) making sure the legs aren’t touching
* Place the last pillow under their top arm between the torso
* Adjust pillow under the neck, making sure they are not laying on their shoulder.
* Pull up sheet and pull off blanket. Place in dirty lien.
* Fix sheets and lower bed
* Closing
* My skill is complete
Perineal (peri) Care on female
Supplies
* Barrier for table
* Bath basin
* 4 wash cloths
* Towel
* Soap
* gloves
* Privacy Blanket
* 2 chux pad
Procedure: (on mannequin)
* Explain what you are going to do/ Opening
* Place barrier on the table and get supplies
* Use paper towel to turn on water, fill basin with warm water (check water)
* Have resident check temp on water
* Put wash cloths in water
* Place privacy blanket over resident and pull sheet down to knees
* Don gloves
* Roll chux pads (roll towards you and place on the bed)
* Have resident scoot toward you and roll on left side.
* Roll dirty chux under resident and place clean chux under the dirty
* Have resident roll back and center of bed
* Go to the other side of bed have them scoot toward you and roll to the right.
* Take the dirty chux out a flatten clean chux. Throw away dirty chux
* Roll blanket up to abdomen gathering the gown with it. Cover upper legs with towel
* Ring out wash cloth fold into fours. Apply soap to all leafs.
* Wash perineal area. Use one leaf to go down the middle. Then with new leaf one side of the labia and the other side with new leaf. Lastly the area between the leg and the labia (the outside) with the last leaf front and back.
* Ring out wash cloth fold into fours. No soap
* Rinse perineal area. Use one leaf to go down the middle. Then with new leaf one side of the labia and the other side with new leaf. Lastly the area between the leg and the labia (the outside) with the last leaf front and back.
* Pat dry
* Unroll the blanket and smooth gown
* Have resident scoot to you and roll to their side
* Ring out wash cloth fold into fours. Apply soap to all leafs.
* Wash the resident’s backside. Wash from the anal opening to the crease. With a new leaf wash one side of the buttocks. Then the other side with new leaf. Then one last time up the center.
* Ring out wash cloth fold into fours. No soap
* Rinse the resident’s backside. Wash from the anal opening to the crease. With a new leaf wash one side of the buttocks. Then the other side with new leaf. Then one last time up the center.
* Pat dry
* Roll dirty chux under resident and place new chux under dirty.
* Have resident roll back and center of bed. Adjust privacy blanket.
* Go to the other side of bed have them scoot toward you and roll to the right.
* Take the dirty chux out a flatten clean chux. Throw away dirty chux
* Clean work space. Throw lien in basket
* Dump water in sink rinse basin. Use paper towel to hold clean basin and dry with a new one. Grab another paper towel. Pick up soap and put in basin. Use paper towel to open drawer and place inside
* Throw barrier away and take off gloves
* Gather the blanket up from the bottom and underside in to a ball while pulling up sheet.
* Straighten sheets then lower bed.
* Closing
* My skill is complete
Provide Catheter Care
Supplies
* Barrier for table
* Bath basin
* 4 wash cloths
* Towel
* Soap
* gloves
* Privacy Blanket
* chux pad
Procedure: (on mannequin)
* Explain what you are going to do/ Opening
* Place barrier on the table and get supplies
* Use paper towel to turn on water, fill basin with warm water (check water)
* Have resident check temp on water
* Put wash cloths in water
* Place privacy blanket over resident and pull sheet down to knees
* Don gloves
* Roll chux pads (roll towards you and place on the bed)
* Have resident scoot toward you and roll on left side. Be careful of tubing.
* Roll dirty chux under resident and place clean chux under the dirty
* Have resident roll back and center of bed
* Go to the other side of bed have them scoot toward you and roll to the right.
* Take the dirty chux out a flatten clean chux. Throw away dirty chux
* Roll blanket up to abdomen gathering the gown with it. Cover upper legs with towel
* Ring out wash cloth fold into fours. Apply soap to all leafs.
* Clean the catheter. Hold the area that exits from the body and wipe away from the body. Repeat 3 more times (total 4) with new leaf.
* Ring out wash cloth fold into fours. No soap
* Clean the catheter. Hold the area that exits from the body and wipe away from the body. Repeat 3 more times (total 4) with new leaf.
* Wash perineal area. Use one leaf to go down the middle. Then with new leaf one side of the labia and the other side with new leaf. Lastly the area between the leg and the labia (the outside) with the last leaf front and back.
* Ring out wash cloth fold into fours. No soap.
* Rinse perineal area. Use one leaf to go down the middle. Then with new leaf one side of the labia and the other side with new leaf. Lastly the area between the leg and the labia (the outside) with the last leaf front and back.
* Pull down blanket with gown
* Clean work space. Throw lien in basket
* Dump water in sink rinse basin. Use paper towel to hold clean basin and dry with a new one. Grab another paper towel. Pick up soap and put in basin. Use paper towel to open drawer and place inside
* Roll dirty chux under resident (check tubing)
* Have resident roll back and center of bed. Adjust privacy blanket.
* Go to the other side of bed have them scoot toward you and roll to the right.
* Take the dirty chux out a flatten clean chux. Throw away dirty chux
* Check to make sure Foley bag isn’t on the ground. Check to make sure they are not laying on tubing
* Throw barrier away and take off gloves
* Gather the blanket up from the bottom and underside in to a ball while pulling up sheet.
* Straighten sheets then lower bed.
* Closing
* My skill is complete
Emptying a resident’s urinary drainage bag
Supplies
* Barrier for floor
* Gloves
* Triangular Graduate Container
* Documentation sheet
Procedure
* Explain what you are going to do/ Opening
* Place barrier on the floor get supplies
* Inspect the catheter tubing.
* Remove port from protective sleeve.
* Open port over the graduate container do not let port touch anything
* Close port and place back in protective sleeve
* Fold protective barrier over graduate container, place one a flat surface (toilet lid)
* Read at eye level to the nearest mark. Note the MLs (if it is at the 200 mark it is 200 milliliters)
* Throw the barrier away, and empty the container in the TOILET rinse the graduate container and empty into the TOILET. Use paper towel to hold clean container and dry with a new one. Grab another paper towel. Use paper towel to open drawer and place inside
* Throw the paper towel away and take off gloves
* Closing
* Document
* My skill is complete
Assist a resident with a bedpan
Supplies
* Under pad (chux)
* Bath Blanket
* Bedpan
* Toilet paper
* Handwipes
* Gloves (2Pairs)
Procedure
* Explain what you are going to do/ Opening
* Put privacy blanket on and lower the sheet
* Roll Chux pad and place next to resident.
* Put gloves on.
* Have resident lift their hips place chux pad under resident.
* Go on the other side of the bed and have them lift their hips and finish rolling out the rest of the chux.
* Get the bed pan out have the resident lift their hips and place the bedpan. Ask if they are comfortable.
* Put the head of the bed up.
* Hand them toilet paper
* Give resident call bell and tell them that you are going to give them privacy.
* Once they are done. Lower the bed.
* Don gloves
* Have the resident lift their hips, while holding the bed pan and chux remove both. Covering the bed pan with the chux pad.
* Empty the bed pan in the TOILET. And throw the chux pad away.
* Rinse bed pan. Pour water into the TOILET. Set the bed pan in the sink. Pick up bed pan with paper towel. Dry with other hand. One for the front and one for the back.
* Use a paper towel to put the bedpan and supplies away.
* Take gloves off
* Give resident wipes
* Take bath blanket off and put in laundry. Pull sheet up.
* Closing
* My skill is complete.
