CNA Skills

Total Flash Cards » 17
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Hand Washing
1. Address Client
2. Turn on Water
3. Wet hands & wrist
4. Apply Soap
5. Lather wrist, hands & fingers, producing friction for at least 15 seconds. (sing abc's twice or happy birthday)
6. Clean fingernails by rubbing fingertips against palms of the opposite hand.
7. Rinse wrists, hands & fingers keeping hands lower than the elbows & fingertips down.
8. Use clean dry paper towel to dry wrist, hands & fingers then dispose of paper towel.
9. Use clean dry paper towel to turn off faucet then dispose of paper towel.
10. Do not touch inside of sink at any time
Appling One Knee-High Elastic Stocking
1. Explain Procedure to Client
2. Provide Privacy (curtain, screen or door)
3. Lower bed Flat if not already (client needs to be lying down *Supine Position* while appling stockings)
4. Turn stockings inside-out
5. Place foot of stocking over toes, foot & heel
6. Pulls top of stocking over foot, heel & leg
7. Move foot & leg gently (avoiding foce)
8. Make sure there are no wrinkles or twists & heel of stocking is over heel & toe opening is either over or under toe aea.
9. Signaling device is in reach and bed in low position
10. Wash Hands
Assist to Ambulate using Transfer Belt
1. Explain Procedure
2. Before assisting to stand, ensure client is wearing shoes
3. Before assisting to stand make sure bed is at safe level & bed wheels are locked
4. Assist Client to sitting position with feet flat on the floor
5. Apply transfer belt securely over clothing/gown
6. Provide instructions to enable client to assist in standing with prearranged signal
7. Stand facing client position self with one foot between clients legs
8. on count of three, gradually assists client to stand by grasping transfer belt on both sides (clients hands should be on your shoulders)
9. Walk slightly behind and to one side of client for a distance of ten (10) feet, while holding on to belt
10. After ambulation, assists client to bed and remove transfer belt
11. Signaling device is in reach & bed in low position
12. Wash Hands
Assist with use of Bedpan
1. Explain Procedure
2. Provide Privacy
3. Lower Head of the bed
4. Put clean gloves on
5. Place bedpan correctly under client's buttocks
6. Remove & disposes of gloves (without contamination self) into waste container & Wash Hands
7. After positioning client on bedpan & removing gloves, raise head of bed
8. Place toilet tissue & hand wipes with in reach of client, make sure client is instructed to clean hands with wipe when finished
9. Signaling device with in reach & client is aksked to signal when finished
10. Put on clean gloves and lower bed before removing bedpan (avoid overexposure of client)
11. Remove, empties & rinses bedpan and pours rinse into toilet
12. Place bedpan in designated dirty supply area
13. Remove & disposes of gloves (without contaminating self) & Wash Hands
14. Signaling device is within reach & bed is in low position
Cleans Upper or Lower Denture
1. Puts on clean gloves before handling dentures
2. Sink is lined and/or sink is partilly filled with water ( before denture is held over sink)
3. Rinse denture in tepid tempertature running water
4. Apply toothpaste to toothbrush
5. Brush surface of denture
6. Rinses surface of denture under tepid temperature running water
7. Rinse denture cup & lid
8. Place denture in denture cup with tepid temperature water & place lid on cup
9. Rinses thoothbrush & places in designated toothbrush basin/container
10. Maintain clean technique with placement of toothbrush & denture
11. Sink liner is removed & disposed of appropriately &/or sink drained
12. Remove & disposes of gloves (without contamination self) & Wash Hands
Counts and Records Radial Pulse
1. Explain Procedure
2. Place fingertips on thumb side of client's wrist to locate radial pulse
3. Count beats for one full minute (60-100 per min.)
4. Signaling Device is within reach
5. Wash Hands
6. Records pulse rate (within plus or minus 4 beats of evaluator's reading)
*count for one full minute
Counts and Records Respirations
1. Explains Procedure ( for test purposes)
2. Counts respirations for one full minute
3. Signaling device within reach
4. Wash Hands
5. Records pulse rate (within plus of minus 2 breaths of evaluator's reading)
* Count for one full minute. For testing purposes you may explain to the client that you will be counting the respirations.

Donning and Removing PPE (Gown and Gloves)
1. Picks up gown & unfolds
2. Facing the back opening of the gown place arms through each sleeve
3. Fasten the neck
4. Secure gown at waist making sure that back of clothing is covered by gown (as much as possible)
5. Puts on clean gloves,make sure cuffs of gloves overlap cuff of gown
6. With one gloved hand, grasps the other glove at the palm, pull glove off
7. slip fingers from ungloved hand underneath cuff of remaining glove at wrist, and remove glove turning it inside out as it is removed
8. Dispose of gloves (without contaminating self)
9. Unfasten gown at neck & waist
10. Remove gown without touching outside of gown, hold gown away from body, turn gown inward & keeps it inside out
10.Dispose of gown (without contaminatiating self)
11. Wash Hands
Dressing Client with Affected (Weak) Right Arm
1. Explain Procedure
2. Provide Privacy
3. Ask client which top he/she would like to wear
4. While avoiding over exposure of client, remove gown from the unaffected side first, then remove gown from the affected side
5. Assists to put the right (affected/weak) arm through the right sleeve of the top before placing garment on left (unaffected) arm moves body gently and naturally, avoiding force
6. Finish with clothing in place
7. Disposes of gown into soiled linen container
8. Signaling device is within reach and bed in low position
9. Wash Hands
Feeds Client Who Cannot Feed Self
1. Explain Procedure
2. Pick up name card from tray & ask client to state name
3. Adjust bed to upright position (45-90 degrees)
4. Place tray where it can be easily seen by client
5. Clean client's hands with hand wipe before feeding
6. Sit facing client, tell client what foods are on tray & ask what client would like to eat first
7. Using Spoon , offer client one bite of each type of food on tray, telling client the contents of each spoonful
8. Offer beverage at least onece during meal
9. Make sure client's mouth is empty before offering next bite of food/beverage
10. End of meal wipe client's mouth & hands with hand wipe
11. Remove food tray & place tray in dirty supply area
12. Signaling device within reach
13. Wash Hands

Gives Modified Bed Bath (Face & One Arm, Hand & Underarm)
1. Explain Procedure
2. Provide Privacy
3. Remove gown while keeping client covered
4. Check water temperatue for safty and comfort & ask client to check water temp
5. Put on clean gloves
6.Begin with eye's, wash eye's (No Soap), using different area of washcloth for each eye, wash enter and outer aspects then wash face
7. Dry face with towel
8. Expose one arm and place towel underneah arm
9. Apply soap to wet washcloth
10. Wash arm, hand & underarm, keep rest of body covred
10. Rinse and dry arm, hand & underarm (move body gently & naturally avoiding force)
11. Put clean gown on client
12. Empty, rinses, & dry basin & place in desinated dirty area
13. Dispose of used gown & linen (avoid contact with your clothing)
14. Remove & dispose of gloves (without contaminating self)
15. Wash Hands
16. Signaling device in reach & low bed

Makes an Occupied Bed
1. Explain Procedure
2. Provide Privacy
3. Lower head of bed
4. Client is covered & loosen top linen from end of bed
5. Raise side rail on side client will move to & ask client to roll to side rail
6. Loosen used bottom linen & work towards center of bed
7. Place and tuck clean bottom linen & tucks under client
8. Have client roll over to clean linen side
9. Raise side rail then move to other side of bed
10. Removes used bottom linen
11.Pulls & tucks in clean bottom linen, finishing with bottom sheet (wrinkle free)
12.Client is covered with clean top sheet & bath blanket/used top sheet has been removed
13. Change pillow case
14. Linen is centered and tucked at foot of bed
15. Avoid contact between clothing & used linen, dispose of used linen into soiled container (DO NOT PUT ON FLOOR)
16.Signaling device is within reach & bed lowered
17. Wash Hands
Measures and Records Blood Pressure
1. Explain Procedure
2. Wipe bell/diaphragm & earpieces of stethoscope with alcohol
3. Client's arm is positioned with palm up & upper arm exposed
4.Feel for brachial artery on inner aspect of arm, at bend of elbow
5. places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site
6. Stethoscope is in place
7. Inflate cuff between 160mm Hg to 180mm Hg (If beat heard immediately upon cuff deflation, completely deflate cuff) Re-inflate cuff to no more than 200mm Hg or brachial pulse was last heard or felt
8. Deflate cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) If rounding needed, measurements are rounded UP to the nearest 2mm of mercury
9. Remove cuff
10. Signaling device within reach
11. Wash Hands
12. Record both systolic and diastolic pressures each within plus or minus 8mm of evaluator's reading
* This is a on-step blood pressure procedure.
Measures and Records Urinary Output
1. Put on clean gloves
2. Pour contents of bedpan into measuring container (without spilling or splashing urine)
3. Measure the amount of urine at eye level with container on flat surface
4. After measuring urine, emptie content of container into toilet
5. Rinse measuring container & pour rinse into toilet
6. Rinse bedpan & pour rinse into toilet
7. After rinsing equipment remove & dispose of gloves
8. Wash Hands
9. Record contents of container within plus or minus 25 ml/cc of evaluator's reading
Measure And Records Weight of Ambulatory Client
1. Explain Procedure
2. Ensure client has shoes on before walking to scale
3. Set scale to zero before weighing client
4. Stand next to client to assists client while they step on the scale if needed
5. Determine client's weigh
6. Assist client in stepping off scale
7. Record weight based on indicator on scale. Weight is within plus of minus 2 lbs. of evaluator's
8. Wash Hands
Performs Passive Range of Motion (PROM) for One Knee and One Ankle
1. Explain Procedure
2. Provide Privacy
3. Ask client to let you know if any pain is experienced during exercise
4. Support leg at knee & ankle while proforming range of motion
5. Bend knee & then return leg to client's normal position (extension/flexion) (AT LEAST 3 TIMES)* unless pain
6. Suppoert foot & ankle close to the bed while performing range of motion for ankle
7. Push/pulls foot towards head (dorsiflexion) & pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIME) *unless pain
8. While supporting the limb, move joints gently, slowly & smoothly through the range of motion, discontinuing exercise if client verbalizes pain
9. Signaling device within reach & lowered
10. Wash Hands
Performs Passive Range of Motion (PROM) for One Shoulder
1. Explain Procedure
2. Provide Privacy
3. Ask client to let you know if any pain is experienced during exercise
4. Support client;s arm at elbow & wrist while performing range of motion for shoulder
5. Raise client's straightened arm from side position upward toward head to ear level and returns arm down to side of body (extension/flexion) (AT LEAST 3 TIMES) *unless pain
6. Move client's straightened arm away from the side of the body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST # TIMES) unless pain
7. While supporting the limb, move joint gentley, slowly, & smoothly through the range of motion, discontionuing exercise if client verbalizes pain
8. Signaling device is within reach & lower bed
9. Wash Hands