CNA Skills Review

• 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• An anxious, fearful,or withdrawn demeanor, especially in the presence of the abuser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

Assist the nurse by preforming basic functions related to hygiene, comfort, nutrition, exercise and elimination.

• Make decisions regarding their care.
• Having privacy
• 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

• 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

• Introduce youself
• 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
• LISTEN

• 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

• Vital Sign Change
• Pain
• Change in level of consciousness
• Decreased appetite

• Increased or decreased temperature
• Increased or decreased pulse
• Increased or decreased respiration's (Difficulty breathing, poor color, dyspepsia)
• Increased or decreased blood pressure

• Medical record or chart
• Kardex
• Incident Reports

• 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)

One page summary of the resident's condition and care needs.

Accidents and errors require an incident (occurrence) report to be filled out.

• 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
• Use patience

Hand washing

• 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

• Wash hands
• 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

• 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

• 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

• 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

Personal Protective Equipment

• 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

Put gloves on -- the cuffs of the gloves should extend over the cuffs of the gown

• --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

• Untie the ties of gown
• untie the neck tie and loosen the gown at the neck
• Slip