CNA Skills Review
Card Set Information
CNA Skills Review
Skills needed to pass CNA skills test
What are signs of Abuse?
Poor personal hygiene
Loss of weight or dehydration
Patches of missing hair
Burn marks from cigaretts
Abrasions from ropes or other bindings
Unclean or unsafe living conditions
An anxious, fearful,or withdrawn demeanor, especially in the presence of the abuser
Unexplained fractures or bruises in various stages of healing
Uncontrolled medical conditions such as lack of prescribed medications or treatments
Vaginal bleeding or discharge; pain, itching, redness or bruising around the genital or anus
What is a CNA's scope of Practice?
Assist the nurse by preforming basic functions related to hygiene, comfort, nutrition, exercise and elimination.
What are some Resident Rights?
Make decisions regarding their care.
Be free from physical or psychological abuse
Receive visitors and to share a room with a spouse
Use personal possessions
Control their finances
Have info about elibility for Medicare or Medicaid funds
Have info about advocacy groups
Have info about the facility's compliance with regulations
Organize and participate in social, religious, and community activities of her choosing
What are some things that are generally beyond a CNA's scope of practice?
Giving medications, including oxygen
Receiving verbal orders from a Dr.
Diagnosing illness and prescribing medications
Supervising other nursing assistants
Performing procedures that require sterile technique
Inserting or removing tubes from a person's body
Do not do anything you are not trained to do
Do not do anything you do not feel comfortable doing
Do not do anything that requires an assessment
Do not do anything that requires nursing judgment
Do not do anything without proper supervision
How do you converse with a resident?
Call the resident by name
Think about what you want to say and present the info in a logical organized way
Speck at a normal pace, and avoid mumbling.
Do not raise your voice if the unless the person is hearing impaired
Use words the person you are speaking to understands
Simple, non-medical terms
Face the person you are speaking to
Make sure the person you are speaking to is able to hear. For example, make sure hearing aid is turned on
What are Verbal Reports
CNA's report info to the nurse throughout the shift
Observations that suggest a change in the resident's condition
Observations regarding the resident's response to a new treatment or therapy
Resident's complaints of pain or discomfort
Resident's refusal of treatment
A resident's request for clergy
Reporting is also done at shift change
Be brief and accurate
What are signs of declining condition?
Vital Sign Change
Change in level of consciousness
What are changes in vital signs?
Increased or decreased temperature
Increased or decreased pulse
Increased or decreased respiration's (Difficulty breathing, poor color, dyspepsia)
Increased or decreased blood pressure
What are some examples of Documentation/Charting/Recording?
Medical record or chart
What is a Medical record or chart?
Info about a patient or resident's condition, usually containing admission info, medical history, nursing history, physician progress notes, nurse's notes and sheets
Confidential (Only to be read by members of the health care team who are directly involved in the care of that person)
Legal document which can be retrieved to be used in a court of law
Computerized chart (Data is entered into a computer and confidentiality is ensured by use of a password)
What is a Kardex?
One page summary of the resident's condition and care needs.
What is a Incident Report?
Accidents and errors require an incident (occurrence) report to be filled out.
What are ways to Promote Independence?
Encourage resident to help with their own care as much as possible
Encourage them to help with all ADLs including transfers and feeding
Give the resident choices
What is the single most effective method of preventing the spread of infection?
Don't touch the sink with your uniform
Turn water to warm
Wet and soap hands
Wash hands with fingers down for 15-30 seconds, including wrist, nails, and between fingers
Rinse with fingertips down
Use dry paper towel to dry hands
Use same paper towel to turn off faucets
Discard paper towels appropriaely
Putting on gloves
If right handed, slide one glove on your left hand
With gloved hand, slide other hand into the second glove
Interlace fingers. Smooth out folds and create a comfortable fit
Grasp the other glove at the palm and pull the glove off the hand with one gloved hand. Keep the remove glove in the gloved hand.
Slip two fingers from the ungloved hand underneath the cuff of the remaining glove at the wrist. Remove that glove from you hand, turning it inside-out as you pull it off
Dispose of the soiled gloves in a facility approved waste container
Wash your hands
Explain Universal Precautions?
Utilize appropriate procedure for applying and removing gloves implementing universal transmission based precautions
Do not touch clean area after touching dirty area
If it is wet, warm, and not yours, do not touch it with out gloves
Each resident or patient is treated as if they have a blood borne infection
List the steps for Isolation Precautions in order
Step 1 - Put on Gown
Step 2 - Put on Mask
Step 3 - Put on Gloves
Step 4 - Remove Gloves
Step 5 - Remove Gown
Step 6 - Remove Mask
Step 7 - Wash Hands
What is the right way to put on a Gown?
Put on gown by slipping arms into the sleeves
Secure the gown around your neck
Overlap edges of gown so your uniform is completely covered and tie at waste
What is PPE?
Personal Protective Equipment
What is the right way to put on a Mask?
Place mask over nose and mouth
Tie the upper strings or ear loops over your ears
Tie the lower strings around the back of your neck
Make sure that the mask fits snugly around your face
What is the right way to put gloves on when your have a gown on?
Put gloves on -- the cuffs of the gloves should extend over the cuffs of the gown
What is the right way to remove gloves when you have a gown on?
--Make sure glove touches only the glove
--Grasp a glove just below the cuff
--Hold the removed gloved with the other gloved hand
--Reach inside the other glove with the first two fingers of your ungloved hand
--Pull the glove down (inside out) over your hand and the other glove
--Discard the gloves in trash
What is the right way to remove a gown?
Untie the ties of gown
untie the neck tie and loosen the gown at the neck