Skills: Materials and Essential Steps

Question 1

Hand Hygiene

Answer 1

-Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 secs, keeping hands lower than elbows and fingertips down
-Rinse all surfaces of wrists, hands, and fingers, keeping hands below elbows, fingertips down

Question 2

Applies One Knee-High Elastic Stocking

Answer 2

Materials: 1 elastic stocking
-Finishes with no twists or wrinkles and heel of stocking is over heel of foot

Question 3

Assists to Ambulate Using A Transfer Belt

Answer 3

Materials: Non-skid Shoes, Gait Belt
-client is wearing non-skid shoes before standing
-client is assisted to sitting position, feet flat on the floor

Question 4

Assists with Use of Bedpan

Answer 4

Materials: 2 Pairs of Gloves, Bedpan, 1 Chux, Wipes, Toilet Paper
-call light is given after placing bedpan
-Raise resident head after placing bedpan
-lower resident head before removing bedpan

Question 5

Cleans Upper or Lower Dentures

Answer 5

Materials: Gloves, Denture Cup, Denture toothbrush/toothpaste, 1 towel, 3 emesis basins
-toothbrush bristles always up
-teeth of dentures always up

Question 6

Counts & Records Radial Pulse

Answer 6

-make sure the patient’s legs are not crossed, feet flat on the floor
+-4

Question 7

Counts & Records Respirations

Answer 7

+-2

Question 8

Donning and Removing PPE

Answer 8

Materials: 1 Gown, Gloves
-when removing, grasps first glove at the palm to remove
-when removing, slides 2 fingers under 2nd glove to remove
-unfastens gown at neck and waist, holds gown away from body and floor, turns gown inwards to dispose

Question 9

Dresses Client With Affected Right Arm

Answer 9

Materials: 2 gown options, privacy blanket
-undresses unaffected left arm first, then affected right arm
-dresses affected right arm first, then unaffected left arm

Question 10

Feeds Client Who Cannot Feed Self

Answer 10

Materials: Clothing Protector, Food Tray, Food Card, Hand Wipes, Chair
-CHECK FOOD CARD AND ASK PATIENT TO STATE NAME
-Client is in a High Fowler’s Position
-Places tray in front of client
-Cleans Client’s hands before eating and after meal
-Tells Client to check temp of food
-Leaves client in upright feeding position

Question 11

Gives Modified Bath

Answer 11

Materials: 2 pair of gloves, privacy blanket, gown, basin, soap, 1 large towel, 6 hand towels, 1 chuck
-farthest side first/closest side last
-with no soap, cleans eyes from inner aspect to outer aspect
-replaces gloves before dressing resident with gown
Meas

Question 12

Measures and Records Urinary Output

Answer 12

Materials: Gloves, bedpan, measuring container, towel
-uses towel as barrier on table
-reads measuring device at eye level (on one knee)
+-25ml

Question 13

Measures and Records Weight of Ambulatory Client

Answer 13

Materials: Pen & Paper, non-skid shoes
-makes sure client is wearing non-skid shoes before weighing
+-2lbs

Question 14

Performs Modified Passive ROM for One Knee& Ankle OR One Shoulder

Answer 14

-asks patient if they are feeling any pain during procedure
-supports knee and ankle when performing ROME on knee
-supports foot and ankle close to bed when performing ROME on foot
-supports elbow and wrist when performing ROME on shoulder

Question 15

Positions On Side

Answer 15

Materials: 3 Pillows
-adjusts/places pillow under head after turning
-repositions arm and shoulder so client is not lying on arm
-places pillow behind client’s back first
-places pillow supporting the top arm’s elbow and wrist
-places pillow supporting in between knees and ankles

Question 16

Provides Catheter Care

Answer 16

Materials: Gloves, Basin, Perineal Wash, 3 hand towels, 2 chux, 1 large towel, privacy blanket
-Holds catheter at meatus to prevent tugging

Question 17

Provides Foot Care

Answer 17

Materials: 1 chuck, basin, soap, lotion, 1 large towel, 3 hand towels, gloves
-soaks foot in water for 10-20 mins
-applies lotion with gloves on and warms before applying
-avoids lotion in between the toes

Question 18

Provides Perineal Care

Answer 18

Materials: Gloves, Basin, Perineal Wash, 6 hand towels, 2 chux, privacy blanket
-starts with farthest side first
-verbalises cleaning front to back avoiding the rectum
-cleans labia majora, labia minora, pelvis, and inner thighs

Question 19

Transfers From Bed to Wheelchair Using Transfer Belt

Answer 19

Materials: Non-skid shoes, gait belt, wheelchair
-makes sure wheelchair is locked before standing resident
-client is wearing non-skid shoes and feet are flat on the floor before standing
-stands knee to knee or toe to toe with resident

Question 20

Measures and Records Manual Blood Pressure

Answer 20

Materials: Blood Pressure Cuff, Stethoscope, Alcohol Wipes
-cleans stethoscope earpieces and diaphragm
+-7mmHg