Skills

Question 1

when washing hands, its important to not…

Answer 1

touch the sink, paper towel dispenser, or anything

Question 2

even after washing hands, its important to use…

Answer 2

a paper towel to turn sink off if needed in order to not contaminate your hands

Question 3

how long should you wash your hands?

Answer 3

20 seconds

Question 4

how do you clean your nails when hand washing?

Answer 4

rub them in palm of other hand

Question 5

its important to do hand hygiene…

Answer 5

before and after every task

Question 6

when removing the 1st glove, its important to..

Answer 6

only touch the outside of one glove at wrist level w/ the other gloved hand
avoid touching skin
turn glove inside out and place in gloved hand!

Question 7

when removing the 2nd glove, it’s important to..

Answer 7

with ungloved hand, reach 2 fingers inside the cuff, not touching the outside
pull down, turning glove inside out

Question 8

what do you need to make an unoccupied bed?

Answer 8

fitted and flat sheets, incontinent pad, blanket, pillowcases, gloves

Question 9

when working with a resident in a bed, it’s important to..

Answer 9

lock bed wheels
provide privacy
adjust bed as needed

Question 10

when making an unoccupied & occupied bed, you..

Answer 10

make one side of the bed at a time

Question 11

where is the incontinent pad placed in a bed?

Answer 11

above fitted sheet and in-between top sheet

Question 12

one of the last few steps to making beds is…

Answer 12

making hospital corners!

Question 13

closed bed

Answer 13

resident not coming back to bed (keep blankets at top of bed)

Question 14

open bed

Answer 14

resident will come back (fold blankets and sheets down so resident can get into bed)

Question 15

where to keep supplies when making beds?

Answer 15

close and accessible

Question 16

when making an occupied bed, how do you ensure the residents safety?

Answer 16

put bed rails up as the resident is facing away from you

Question 17

how do you ensure the residents privacy when making an occupied bed?

Answer 17

keep bath blanket on them at all times

Question 18

what do you do with dirty linen when making an occupied bed?

Answer 18

roll them towards the resident, dispose of them when done

Question 19

place down fitted sheet and pad, then place blankets over resident when making an ________ _______

Answer 19

occupied bed

Question 20

when positioning a resident in the supine position…

Answer 20

make sure head in line with spine
resident lying on their back, legs straight
bed in low position

Question 21

when positioning a resident in a side-lying position..

Answer 21

make sure head in line with spine
one knee bent
pillows under head, back, between legs, and under top arm
bed in low position

Question 22

before having a resident move/walk anywhere, you should…

Answer 22

put non-skid footwear on the resident
have robe or privacy ready for resident

Question 23

when doing range of motion on a resident..

Answer 23

they’re in the supine position (on back)
repeat 5 times

Question 24

range of motion on shoulder

Answer 24

flexion/extension: raise arm over head and back down to side
abduction/adduction: raise arm to the side, then back down to the body

Question 25

range of motion on elbow

Answer 25

flexion: bent arm so hand touches shoulder extension: straightening the arm

Question 26

range of motion on wrist

Answer 26

flexion/extension: bend hand down, then bend it backwards

Question 27

when assisting with oral care...

Answer 27

have water for resident and basin to spit wipe with towels clean upper teeth first use gentle back and forth strokes

Question 28

when cleaning dentures

Answer 28

line sink/basin with a towel so the dentures don't break in case they're dropped

Question 29

do not use ______ _______ when cleaning dentures

Answer 29

hot water

Question 30

when done with dentures...

Answer 30

clean out denture cup before using, fill cup up with warm water and place dentures in there

Question 31

oral care for an unconscious resident

Answer 31

raise head of bed and turn their face towards you still talk and explain procedure like they can hear you place swab/toothette in solution (mouthwash and water) and go over

Question 32

supplies for a partial bath?

Answer 32

soap, washcloths/towels, basin, bath blanket, clean clothes, gloves

Question 33

where should you wash in a partial bath (in order)

Answer 33

eyes and face arms hands in basin chest/ abdomen peri area

Question 34

complete bed bath is completed in what order?

Answer 34

eyes/face arms hand in a basin chest abdomen legs/feet back peri care

Question 35

complete bed bath: eyes/face

Answer 35

have resident check water before getting started towel on chest, using no soap wash eye furthest away FIRST (inner to outer) wash face from middle outward wash neck and ears

Question 36

complete bed bath: arms

Answer 36

towel under arm soapy washcloth, long strokes from shoulder to wrist (4 corner towels) upper and under arm rinse, pat dry repeat to other arm

Question 37

how to take respiration rate?

Answer 37

do while taking pulse watch chest rise and fall and count how many times it happens in a minute

Question 38

complete bed bath: washing hand in basin

Answer 38

get in between fingers and palms of hands clean under nails w orangewood stick rinse, pat dry use 4 corner towels lotion to hands, elbows, and arms if ordered repeat for other hand

Question 39

supplies for a complete bed bath

Answer 39

protective barrier to set all of this on (incontinence pad) bath blanket basin soap washcloths (more is better) towels (more is better) clean gown gloves orangewood stick (nails) lotion brush deodorant

Question 40

complete bed bath: chest

Answer 40

place towel across residents chest, pull blanket down to waist clean under breasts use for corner towels lift only enough to wash rinse and pat dry

Question 41

complete bed bath: abdomen

Answer 41

cover pubic area with blanket wash with 4 corner towels rinse and pat dry

Question 42

complete bed bath: legs & feet

Answer 42

place towel under leg wash thigh, then knee to ankle using long strokes rinse it the same way you washed it and pat dry place another towel under foot wash foot and in-between toes rinse foot the same way you washed it and pat dry repeat for other leg use 4 corner towels

Question 43

complete bed bath: back

Answer 43

move resident to center of bed ask resident to turn so their back is facing to you raise bed rails on the side they're facing apply towel long ways next to back wash back in long strokes (using 4 corner towels) rinse and dry

Question 44

complete bed bath: peri care female

Answer 44

switch gloves front to back wipe each side wipe center of perineum (girl gooch) spread lips then wipe front to back rinse the same way you washed pat dry ask resident to turn to side, making sure bed rails are up on their side and wash their anal area and butt rinse same way you wash

Question 45

complete bed bath: peri care male

Answer 45

switch gloves wash from the tip down pull back foreskin if uncircumcised rinse and dry wash scrotum and groin rinse same way you washed and dry turn resident on their side, make sure bed rails are up wash butt and anal area rinse and pat dry

Question 46

complete bed bath closing

Answer 46

make sure call light is within reach dispose of gloves hand hygiene return bed to low position

Question 47

nail care supplies

Answer 47

orange wood stick emery board (nail file) done while giving a bed bath

Question 48

nail care

Answer 48

introduce self, explain procedure, hand hygiene fill basin w warm water, have resident check water soak fingers for 5 mins wash (soap), rinse, and pat dry hands w washcloth put on gloves, place residents hand on towel wipe stick on towel after each nail shape nails w emery board apply lotion

Question 49

bedpan

Answer 49

hand hygiene, gloves adjust bed cover resident w bath blanket put towel under hips then place bedpan under hips remove gloves give tissues and wipes within reach, leave put gloves on when resident is done remove bed pan and cover it, empty and clean

Question 50

what to do after every skill

Answer 50

hand hygiene remove and throw away gloves bed in lowest position call light within reach

Question 51

what to do before every skill

Answer 51

introduce self, identify resident by name, explain provide privacy, lock bed wheels adjust bed hand hygiene, put on gloves

Question 52

unoccupied bed

Answer 52

one side at a time fitted sheet pad top sheet and bed spread, tuck under end of bed and make hospital corners fold down top sheet over the blanket put on clean pillow cases

Question 53

transfer resident from bed to chair

Answer 53

move chair to bedside move bed so resident can sit up then move them to edge of bed, feet touching floor make sure they have non slip socks on place GAIT BELT over clothing, not too tight put leg next to resident, facing the direction you want to go

Question 54

undress/dress resident

Answer 54

remove one arm of shirt at a time dress affected arm/leg first brush hair starting at ends

Question 55

urinal for male resident

Answer 55

elevate head of bed place pad under residents buttocks once resident is done, wash hands and gloves cover urinal after use, dispose and rinse with cold water

Question 56

tympanic temp

Answer 56

ear cover with sheath pull up and back on outside of the ear to straighten out

Question 57

axillary temp

Answer 57

armpit area digital thermometer: cover with sheath, leave until it blinks/beeps electric thermometer: probe cover needed

Question 58

BP

Answer 58

find brachial pulse wipe ear pieces and circle with alcohol wipe inflate cuff 30 mmhg past 180 slowly unflat cuff, listening for pulse first sound heard: systolic last sound or point of change: diastolic

Question 59

intake

Answer 59

everything the resident drinks total the whole amount after your shift

Question 60

output

Answer 60

amount of urine resident secretes measure urine then hand hygiene

Question 61

catheter care

Answer 61

resident should flex knees place pad under butt cover resident as needed hold catheter near meatus to avoid tugging clean with soap catheter, stroking away from meatus, then rinse

Question 62

emptying catheter drainage bag

Answer 62

open spout OVER container in case of a spill clean with alchohol wipe

Question 63

stockings/ted-hose

Answer 63

turn stocking inside out to heel area slowly put sock on, making sure the heel is correct repeat