Cna Skills

Front 1

Provide mouth care to the
resident who has a denture

Back 1

1 Greet resident, address by name and introduce self
2 Provide explanations to resident before beginning and throughout procedure
3 Wear gloves while handling denture and providing mouth care
4 Transport denture to sink in a denture cup or emesis basin
5 Line sink with washcloth or paper towels, or fill sink with water to reduce risk of denture breakage
6 Use cool or tepid running water to clean and rinse denture
7 Brush all surfaces of the denture
8 Brush denture over sink
9 Rinse denture to remove toothpaste/denture cleaner
10 Store clean denture in denture cup filled with clean cool or tepid water
11 Protect resident’s clothing before beginning mouth care
12 Position resident in a sitting position (minimum of 60 degrees) before beginning mouth care
13 Provide mouth care to resident using a toothbrush/toothette/swab
14 Offer resident the opportunity to rinse mouth and spit into emesis basin (or disposable cup)
15 Leave area around resident’s mouth clean and dry and remove protective clothing cover
16 Rinse toothbrush, rinse and dry basin, store equipment and dispose of soiled linen and trash when procedure completed
17 Remove gloves or use a barrier to store equipment

Front 2

Provide a partial bed bath
to the resident

Back 2

1 Greet resident, address by name and introduce self
2 Provide explanations to resident before beginning and throughout procedure
3 Ensure water is at safe and comfortable temperature
4 Drape/cover resident to expose only area being cleansed
5 Use washcloth without soap to wash face
6 Wipe eye from the inside to out, changing to clean area of washcloth before returning to inner eye and
cleansing other eye
7 Leave face clean and dry
8 Contain corners of washcloth while washing and rinsing (e.g., forming mitt)
9 Protect bedding by repositioning towel under resident throughout washing and rinsing
10 Wash neck, hands, arms and chest using small amount of soap applied directly to washcloth
11 Rinse neck, hands, arms and chest removing soap residue
12 Dry neck, hands, arms and chest
13 Assist resident to turn safely on side to wash back
14 Wash, rinse and dry back
15 Warm lotion in hands before applying to resident’s back
16 Provide backrub from lower back toward neck/shoulders using gentle strokes and circular motions
17 Remove excess lotion from resident’s back
18 Replace hospital gown without exposing resident and secure gown in back
19 Rinse and dry basin, store equipment and dispose of soiled linen and trash when procedure
completed

Front 3

Provide perineal care to the female
resident who is incontinent of
urine

Back 3

1 Greet resident, address by name and introduce self
2 Provide explanations to resident before beginning and throughout procedure
3 Apply gloves before touching soiled pad and wear throughout perineal care
4 Replace soiled pad under resident’s buttocks before beginning perineal care
5 Ensure water in basin is at a safe and comfortable temperature
6 Apply soap directly to wet washcloth and use soapy
washcloth for cleansing
7 Change spot on washcloth for each washing stroke
8 Wipe from front to back with all washing and rinsing strokes
9 Remove all soap from perineal area using a fresh wet washcloth for rinsing
10 Change spot on washcloth for each rinsing stroke
11 Cleanse skin folds of perineal area
12 Dry entire perineal area, from front to back, after completing cleansing and rinsing
13 Replace basin of water during task if it becomes cold or soapy
14 Position resident on side for cleansing of buttocks and rectal area
15 Cleanse, rinse and dry rectal and buttocks area
16 Adjust linen to avoid unnecessary exposure of resident throughout procedure
17 Leave resident on dry underpad at completion of procedure
18 Rinse and dry basin, store equipment and dispose of linen and trash when procedure completed
19 Remove gloves or use a barrier to store the equipment

Front 4

Feed the resident who is in bed

Back 4

1 Greet resident, address by name and introduce self
2 Provide explanations to resident before beginning and throughout procedure
3 Raise head of bed with resident in sitting position (minimum 60 degrees) and in proper alignment,
before feeding
4 Offer and assist resident to wash hands before feeding
5 Maintain eye level contact with resident while feeding
6 Apply clothing protector before feeding
7 Offer fluids to drink before feeding
8 Use spoon to feed
9 Offer fluids to drink throughout feeding (after at least every 3-4 bites of food)
10 Check to see if resident has swallowed before offering next bite
11 Offer encouragement to resident toward maximizing food and fluid intake
12 Converse with resident during meal
13 Leave area around resident’s mouth clean and dry
14 Remove and dispose of linen and trash when procedure completed
15 Accurately record percent of food intake on Food Acceptance Form

Front 5

Transfer the resident form the bed
into a wheelchair using a transfer
belt and pivot transfer technique

Back 5

1 Greet resident, address by name and introduce self
2 Provide explanations to resident before beginning and throughout procedure
3 Place wheelchair near resident’s bed before assisting resident to sit at edge of bed
4 Lock wheelchair before beginning transfer
5 Remove or swing footrests out of way before transferring resident
6 Place nonskid footwear on resident before transferring resident
7 Assist resident to sitting position on side of bed,providing opportunity to adjust to position change before beginning transfer
8 Apply gait belt securely around waist; avoid restricting circulation or breathing, or injury to skin
9 Ensure resident’s feet are flat on the floor before beginning transfer
10 Position wheelchair before transfer with front interior wheel close to bed to facilitate pivot
transfer
11 Stand in front of resident, bracing resident’s legs,reaching under resident’s arms to hold gait belt at
back
12 Maintain own body mechanics in assisting resident to stand
13 Complete transfer as a pivot
14 Maintain own body mechanics in assisting resident to sit in wheelchair
15 Provide support for controlled gentle lowering of resident into seat of wheelchair
16 Position resident in proper body alignment in wheelchair with resident’s hips against back of seat
17 Place resident’s feet on footrests
18 Remove gait belt from resident’s waist without harming resident when transfer completed