CNA Skills Review

  1. 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    • An anxious, fearful,or withdrawn demeanor, especially in the presence of the abuser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
  2. What is a CNA's scope of Practice?
    Assist the nurse by preforming basic functions related to hygiene, comfort, nutrition, exercise and elimination.
  3. What are some Resident Rights?
    • 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
  4. 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
  5. How do you converse with a resident?
    • 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
  6. 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
  7. What are signs of declining condition?
    • Vital Sign Change
    • Pain
    • Change in level of consciousness
    • Decreased appetite
  8. 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
  9. What are some examples of Documentation/Charting/Recording?
    • Medical record or chart
    • Kardex
    • Incident Reports
  10. 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)
  11. What is a Kardex?
    One page summary of the resident's condition and care needs.
  12. What is a Incident Report?
    Accidents and errors require an incident (occurrence) report to be filled out.
  13. 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
    • Use patience
  14. What is the single most effective method of preventing the spread of infection?
    Hand washing
  15. SKILL
    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
  16. SKILL
    Putting on gloves
    • 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
  17. SKILL
    Removing gloves
    • 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
  18. 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
  19. SKILL 9
    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
  20. 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
  21. What is PPE?
    Personal Protective Equipment
  22. 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
  23. 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
  24. 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
  25. 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
    • Slip
Card Set
CNA Skills Review
Skills needed to pass CNA skills test