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25 Cards in this Set
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Skill 1—Ambulation With Gait Belt
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to be performed to the resident and obtains gait belt. 3. Locks bed brakes to ensure resident’s safety. 4. Locks wheelchair brakes to ensure resident’s safety. 5. Brings resident to sitting position and places gait belt around waist to stabilize trunk. Tightens gait belt. Checks gait belt by slipping fingers between gait belt and resident. 6. Adjust bed so that resident’s feet are comfortably flat on the floor when resident is sitting on the bed. 7. Assists resident to put on non-skid slippers/shoes. (No non-skid socks) 8. Brings resident to standing position, using proper body mechanics. 9. With one hand grasping gait belt and the other stabilizing resident by holding forearm, shoulder, or using other appropriate method to stabilize, ambulates resident at least 10 steps to the wheelchair. 10. Assists resident to pivot and sit in the wheelchair in a controlled manner that ensures safety. Removes gait belt. 11. Identifies that hands should be washed. 12. Maintains respectful, courteous interpersonal interactions at all times. 13. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 2—Ambulation With Walker
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to resident. 3. Locks bed brakes to ensure resident’s safety. 4. Locks wheelchair brakes to ensure resident’s safety. 5. Brings resident to sitting position. Places gait belt around waist to stabilize trunk. 6. Tightens gait belt. Checks gait belt by slipping fingers between gait belt and resident. 7. Assists resident to put on non-skid slippers/shoes. (No non-skid socks) 8. Positions walker. 9. Assists resident to stand, stabilizes walker and insures resident has stabilized walker. 10. Positions self behind and slightly to side of resident. 11. Safely ambulates resident at least 10 steps to wheelchair. 12. Assists resident to pivot and sit in wheelchair, using correct body mechanics and removes gait belt. 13. Identifies that hands should be washed. 14. Maintains respectful, courteous interpersonal interactions at all times. 15. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 3—Antiembolic Stockings
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to resident. 3. Provides for resident's privacy by only exposing one leg. 4. Gathers or turns stocking down inside out to the heel. 5. Places stocking over the toes, foot, and heel and rolls OR pulls up the leg. 6. Checks toes for possible pressure from stocking and adjusts as needed. (*) 7. Leaves resident with stockings that are smooth and wrinkle free. (*) 8. Identifies that hands should be washed. 9. Maintains respectful, courteous interpersonal interactions at all times. 10. Leaves call light or signal calling device and water within easy reach of the resident. |
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Skill 4—Bedpan and Output
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1. Greets resident by name and identifies that hands should be washed.
2. Explains the procedure to resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Candidate puts on gloves and positions resident on bedpan correctly using correct body mechanics. 5. Raises head of bed to comfortable level 6. Leaves call light and tissue within reach of resident and candidate steps away to a private area of room away from resident. 7. When signaled by the RN test observer the candidate returns with wet wash cloth. 8. Washes/assists resident to wash and dry hands. 9. Discards soiled linen in appropriate container. 10. Candidate gently removes bedpan and holds while the Observer adds a known quantity of fluid. 11. Candidate measures output. 12. Empties and cleans bedpan and graduate. 13. Removes and disposes of gloves. 14. Records output on pad. 15. Candidate's recorded output is within 30ml of RN Test Observer’s reading. 16. Lowers bed if raised 17. Identifies that hands should be washed. 18. Maintains respectful, courteous interpersonal interactions at all times. 19. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 5—Bed Bath-Face, Arm, Hand and Underarm
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. Raises bed to appropriate working level. 4. Prepares resident for a complete bath, even though will be demonstrating a partial bed bath. 5. Covers resident with a bath blanket. 6. Removes top bed linens to foot of bed. 7. Removes resident's gown without exposing resident. 8. Fills basin with comfortably warm water. 9. Washes and dries face WITHOUT SOAP. 10. Uses clean portion of wash cloth and wipes eyes gently from the inner to the outer using a clean portion of the wash cloth with each stroke. 11. Places towel under arm, only expose one arm. 12. Washes arm, hand and underarm using soap and water. 13. Rinses arm, hand, underarm and dries entire area. 14. Assists resident to put on a clean gown. 15. Properly cleans and stores all equipment used. 16. Disposes of soiled linen in appropriate container. 17. Lowers bed if it was raised. 18. Identifies that hands should be washed. 19. Maintains respectful, courteous interpersonal interactions at all times. 20. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 6—Blood Pressure
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to resident. Provides privacy for resident, pulls privacy curtain. 3. Assists resident into a comfortable sitting or recumbent position with forearm relaxed and supported in a palm-up position, approximately at the level of the heart. 4. Rolls resident's sleeve up about 5 inches above the elbow. 5. Applies the cuff around the upper arm just above the elbow. 6. Cleans earpieces of stethoscope appropriately and places in ears. 7. Cleans diaphragm of the stethoscope. 8. Places stethoscope over brachial artery. 9. Holds stethoscope snugly in place. 10. Inflates cuff until 30mmHg above RN test observer provided loss of pulse number. 11. Slowly releases air from cuff to disappearance of pulsations. Removes cuff. 12. Records reading on pad provided by tester. 13. Candidate's recorded systolic blood pressure is within 6mmHg of the test observer's and diastolic is within 8mmHg. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 7—Denture Care
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to resident. 3. Lines sink with a protective lining that would help prevent damage to the dentures. (Cloth towel or washcloth, may not use paper towels) Never places dentures in/on a contaminated surface. 4. Puts on gloves and removes dentures from cup. 5. Handles dentures carefully to avoid damage. 6. Applies toothpaste and thoroughly brushes dentures including the inner, outer, and chewing surfaces of upper and lower dentures as well as the denture groove and/or plate that will touch any gum surface. Toothettes may be utilized instead of a toothbrush as long as all of the surfaces listed above are cleaned. 7. Rinses dentures using clean cool water. 8. Places dentures in rinsed cup. 9. Adds cool clean water to denture cup. 10. Cleans equipment and returns to storage. 11. Discards protective lining in an appropriate container. 12. Removes gloves and disposes of gloves in an appropriate container. 13. Identifies that hands should be washed. 14. Maintains respectful, courteous interpersonal interactions at all times. 15. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 8—Dressing Bedridden Resident
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1. Greets resident by name and identifies that hands should be washed.
2. Explains the procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Keeps resident covered while removing gown. 5. Resident always remains lying in bed. 6. Removes gown from unaffected side first. 7. Places used gown in laundry hamper. 8. From the weak side first, dress the resident in a shirt or blouse, the candidate inserts their hand through the sleeve of the shirt or blouse and grasps the weak hand of the resident. (*) 9. From the weak side first, dress the resident in pants, the candidate assists the resident to raise their buttocks or turns resident from side to side and draws the pants over the buttocks and up to the resident’s waist. (*) 10. When putting on the resident’s socks, the candidate draws the socks up the resident’s foot until they are smooth. 11. Leaves the resident in correct body alignment and comfortably dressed. 12. Identifies that hands should be washed. 13. Maintains respectful, courteous interpersonal interactions at all times. 14. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 9—Feeding the Dependent Resident
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Candidate looks at diet card and indicates that resident has received the correct tray. 4. Positions the resident in an upright position. At least 45 degrees. 5. Washes and dries resident's hands and face before feeding. 6. Protects clothing from soiling by using napkin, clothing protector, or towel. 7. Discards soiled linen appropriately. 8. Remains at eye level or below while feeding resident. 9. Describes the foods being offered to the resident. 10. Offers water or other fluid frequently. 11. Offers food in small amounts at a reasonable rate, allowing resident to chew and swallow. 12. Wipes resident's hands and face during meal as needed. 13. Leaves resident clean and in a position of comfort. 14. Records intake in percentage of total solid food eaten on I&O pad provided. 15. Records intake of fluid in ml on I&O sheet provided 16. Candidate is within 25% of the solids and within 30ml of the fluids consumed. 17. Identifies that hands should be washed. 18. Maintains respectful, courteous interpersonal interactions at all times. 19. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 10—Fluid Intake
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1. Candidate observes dinner tray. Three known capacity containers will have varying fluid levels.
2. Candidate may use supplied pad and pencil or calculator, if needed, to arrive at the number of ml consumed. 3. Candidate decides on ml of fluid consumed from each container. 4. Candidate obtains total fluid consumed in ml. 5. Candidate records total fluid consumed on I & O sheet. 6. Candidates total recorded fluid must be within 30ml of correct total. |
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Skill 11– Handwashing
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1. Greets resident by name and introduces themselves to the resident
2. Turn on water. 3. Wet hands. 4. Apply liquid soap to hands. 5. Rub hands together using friction. 6. Interlace fingers pointing downward. 7. Washes all surfaces of hands and wrist with liquid soap. 8. Rinse hands thoroughly under running water with fingers pointed downward. 9. Dry hands on clean paper towel(s). 10. Turn off faucet with a SECOND (last) clean dry paper towel. 11. Discard paper towels into trash container as used. 12. Does not re-contaminate hands at any point during the procedure. |
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Skill 12—Mouth Care—Brushing Teeth
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Drapes the chest with towel to prevent soiling. 5. Candidate puts on gloves. 6. Applies toothpaste to toothbrush. 7. Brushes resident's teeth, including the inner, outer, and chewing surfaces of all upper and lower teeth. Toothettes may be utilized instead of the toothbrush as long as all of the surfaces listed above are cleaned. 8. Cleans tongue. 9. Assists resident in rinsing mouth. 10. Wipes resident's mouth. 11. Removes soiled linen. 12. Places soiled linen in hamper or equivalent. 13. Empties emesis basin. 14. Cleans and dries emesis basin. 15. Rinses toothbrush. 16. Returns emesis basin and toothbrush to storage. 17. Disposes of gloves properly in the appropriate container. 18. Leaves resident in position of comfort. 19. Identifies that hands should be washed. 20. Leaves call light or signaling device and water within easy reach of the |
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Skill 13—Mouth Care of Comatose Resident
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1. Greets resident by name and identifies that hands should be washed.
2. Provides privacy for resident, pulls privacy curtain. 3. Turns resident to a side lying position to avoid choking or aspiration. 4. Drapes chest/bed as needed to protect from soiling. 5. Puts on gloves, uses swabs and cleaning solution. (May not use toothbrush or toothpaste.) 6. Gently and thoroughly cleans the inner, outer, and chewing surfaces of all upper and lower teeth. 7. Gently and thoroughly cleans the gums and tongue. 8. Cleans, dries face. 9. Returns resident to position of comfort and safety. 10. Cleans and replaces equipment and discards disposable items in waste can. 11. Discards towel and washcloth in linen hamper. Removes gloves and disposes properly. 12. Identifies that hands should be washed. |
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Skill 14—Making an Occupied Bed
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1. Greets resident by name and identifies that hands should be washed.
2. Gathers linen. 3. Transports linen correctly. 4. Places linen on a clean barrier, such as a cloth towel or chux pad. May place linen on the over-bed table, seat of the chair, on night stand or over the end of the bed. 5. Explains procedure to resident. 6. Provides privacy for resident, pulls privacy curtain. 7. Directs observer to stand on opposite side of bed to provide for safety. (*) 8. Raises bed to working height. 9. Resident is to remain covered at all times. 10. Assists resident to roll onto side toward observer. Candidate instructs observer to remain standing on opposite side of the bed. 11. Rolls or fan folds soiled linen, soiled side inside, to the center of the bed. 12. Places clean bottom sheet along the center of the bed and rolls or fan folds linen against resident's back and unfoldsremaining half. 13. Secures two fitted corners. 14. Candidate directs the observer to stand on the opposite side of bed. (*) 15. Assists the resident to roll over the bottom linen, preventing trauma and avoidable pain to resident. 16. Removes soiled linen without shaking. 17. Avoids placing dirty linen on the over bed table, chair or floor. 18. Avoids touching linen to uniform. 19. Disposes of soiled linen in hamper or equivalent. 20. Pulls through and smoothes out the clean bottom linen. 21. Secures the other two fitted corners. 22. Resident’s body never touches the bare mattress. 23. Places clean top linen and blanket or bed spread over covered resident. 24. Removes used linen keeping resident unexposed at all times. 25. Tucks in top linen and blanket or bedspread at the foot of bed. 26. Makes mitered corners at the foot of the bed. 27. Applies clean pillow case, with zippers and/or tags to inside. 28. Gently lifts resident's head while replacing the pillow. 29. Lowers bed if it was raised. 30. Identifies that hands should be washed. 31. Maintains respectful, courteous interpersonal interactions at all times. 32. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 15—Perineal Care Female
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1. Greets resident by name and identifies that hands should be washed.
2. Provides privacy for resident, pulls privacy curtain. 3. Explains procedure to the resident/mannequin and asks resident if they would like a third party present during the provision of perineal care. (Resident will be covered with a bath blanket.) 4. Fills basin with comfortably warm water. 5. Raises the bed to proper working height. 6. Directs RN test observer to stand on the opposite side of the bed to provide for safety. (*) 7. Turns resident toward observer or raises resident’s hips and places water proof pad under buttocks. 8. Puts on gloves. 9. Exposes perineum only. 10. Separates labia. 11. Uses water and soapy wash cloth. 12. Cleans labia from top to bottom. (*) 13. Uses a clean portion of a wash cloth with each stroke. 14. Rinses the area. 15. Dries the area. 16. Covers the exposed area with the bath blanket. 17. Assists resident to turn onto side away from the candidate. 18. With a clean wash cloth, cleans the rectal area. 19. Uses water, wash cloth and soap. 20. Cleans area from vagina to rectal area with single strokes. (*) 21. Uses a clean portion of the wash cloth with each step. Rinses area. 22. Dries area. 23. Turns resident toward observer or raises hips and removes water proof pad from under buttocks. 24. Positions resident (mannequin) on their back. 25. Disposes of soiled linen in an appropriate container. 26. Cleans and dries equipment. 27. Returns equipment to storage. 28. Disposes of gloves in appropriate container. 29. Lowers bed, if it was raised. 30. Identifies that hands should be washed. 31. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 16—Positioning Resident on Side
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1. Greets resident by name and identifies that hands should be washed.
2. Explains what is to be done and how the resident may help. 3. Provides privacy for resident, pulls privacy curtain. 4. Positions bed flat. Raises bed to appropriate working height. 5. Insures that the resident’s face never becomes obstructed by the pillow(*) 6. Candidate directs RN test observer to stand on the opposite side of the bed to provide for safety or always turns resident toward self.(*) 7. Candidate moves head, hips and legs toward self to provide room on the bed that will be used to safely turn the resident on his/her right or left side. 8. If observer wasn’t directed to side opposite the working side of the bed, candidate moves to opposite side of the bed and turns resident toward self, otherwise may remain on working side of the bed and turns resident toward the previously positioned observer. 9. Assists/turns resident on his/her side. 10. Check to be sure resident is not lying on his/her arm. 11. Maintains correct body alignment. 12. Places support devices such as pillows, wedges, blankets, etc., to maintain correct body alignment and protect bony prominences- under the head, the upside arm, behind the back and between the knees.(*) 13. Lowers bed if it was raised. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 17—Range of Motion Hip & Knee
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Positions resident supine and in good body alignment. 5. Correctly supports joints at all times by placing one hand under the knee and the other hand under the ankle. 6. Moves the entire leg away from the body. (abduction) 7. Moves the entire leg back toward the body. (adduction) 8. Completes abduction and adduction of the hip three times. 9. Continue to correctly support joints by placing one hand under the resident’s knee and the other hand under the resident’s ankle. Bends the resident’s knee and hip toward the resident’s trunk. (flexion of hip and knee at the same time) 10. Straighten the knee and hip. (extension of knee and hip at the same time) 11. Complete flexion and extension of knee and hip three time s. 12. Does not cause discomfort or pain and does not force any joint beyond the point of free movement. Candidate must ask if they are causing any pain or discomfort. 13. Leaves resident in a comfortable position. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 18—Range of Motion Shoulder
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Positions resident on their back in good body alignment. 5. Correctly supports the resident’s joint by placing one hand under their elbow and the other hand under the resident’s wrist. 6. Raises resident’s arm up and over the resident’s head. (flexion) 7. Brings the resident’s arm back down to the resident’s side. (extension)8. Completes full range of motion for shoulder through flexion and extension three times. 9. Continue supporting joints correctly and move the resident’s entire arm out away from the body. (abduction) 10. Return the resident’s arm to the side of the resident’s body. (adduction) 11. Complete full range of motion for shoulder through abduction and adduction three times. 12. Does not cause discomfort or pain and does not force any joint beyond the point of free movement. Candidate must ask if they are causing any pain or discomfort. 13. Leaves resident in a comfortable position. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 19—Transferring a Weight Bearing Non-Ambulatory Resident from Bed to
Wheelchair using a Gait Belt |
1. Greets resident by name and identifies that hands should be washed.
2. Explains the procedure to be performed to the resident and obtains a gait belt. 3. Positions wheelchair at the foot or head of the bed. 4. Locks wheelchair brakes to ensure resident’s safety. 5. Locks bed brakes to ensure resident’s safety. 6. Assists resident to sitting position using proper body mechanics and places gait belt around the resident, below the rib cage and above their waist, to stabilize trunk. Tightens gait belt. Checks gait belt by slipping fingers between gait belt and resident. 7. Assist in putting on non-skid slippers/shoes. (No non-skid socks) 8. Adjust bed so that resident’s feet are comfortably flat on the floor. 9. Grasps the gait belt with both hands to stabilize the resident. 10. Brings resident to a standing position using proper body mechanics. 11. Assist resident to pivot and sit in a controlled manner that ensures safety. 12. Removes gait belt. 13. Identifies that hands should be washed. 14. Maintains respectful, courteous interpersonal interactions at all times. 15. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 20—Transferring a Weight Bearing Non-Ambulatory Resident from Wheelchair to
Bed using a Gait Belt |
1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to be performed to the resident. 3. Positions wheelchair at foot or head of bed. 4. Adjust bed so that resident’s feet will be comfortably flat on the floor when sitting on the bed. 5. Insures resident's safety. Locks wheelchair brakes. 6. Insures resident's safety. Locks bed brakes. 7. Places gait belt around the resident, below the rib cage and above their waist, to stabilize trunk. 8. Tightens gait belt so that fingers of candidate's hand can be comfortably slipped between gait belt and resident. 9. Grasps the gait belt with both hands to stabilize the resident. 10. Brings resident to standing position using proper body mechanics. 11. Assists resident to pivot and sit on bed in a controlled manner that ensures safe ty. 12. Removes gait belt. 13. Assists resident in removing non- skid slippers. 14. Assists resident to move to center of bed, supporting extremities as necessary. 15. Makes sure resident is comfortable and in good body alignment. 16. Identifies that hands should be washed. 17. Maintains respectful, courteous interpersonal interactions at all times. 18. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 21—Vital Signs - Temperature, Pulse and Respiration
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1. Greets resident by name and identifies th at hands should be washed.
2. Explains procedure to resident. 3. Correctly turns on digital oral thermometer and places sheath on thermometer. 4. Gently inserts bulb end of thermometer in mouth under tongue. 5. Leaves thermometer in place for appropriate length of time. 6. Removes thermometer and candidate reads and records the temperature reading on I&O sheet provided. 7. Candidate's recorded temperature varies no more than .1 degree from Test Observer’s. 8. Candidate discards sheath appropriately. 9. Locates the radial pulse by placing tips of fingers on thumb side of the resident's wrist. 10. Counts pulse for 60 seconds or 30x2. Then records on the I&O sheet provided. 11. Candidate's recorded pulse rate is within 4 beats of RN Test Observer’s recorded rate. 12. Candidate counts respirations for 60 seconds or 30x2 and records results on I&O sheet provided. 13. The Candidate's recorded respiratory rate is within 2 breaths of the RN Test Observer’s recorded rate. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 18—Range of Motion Shoulder
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1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to the resident. 3. Provides privacy for resident, pulls privacy curtain. 4. Positions resident on their back in good body alignment. 5. Correctly supports the resident’s joint by placing one hand under their elbow and the other hand under the resident’s wrist. 6. Raises resident’s arm up and over the resident’s head. (flexion) 7. Brings the resident’s arm back down to the resident’s side. (extension)8. Completes full range of motion for shoulder through flexion and extension three times. 9. Continue supporting joints correctly and move the resident’s entire arm out away from the body. (abduction) 10. Return the resident’s arm to the side of the resident’s body. (adduction) 11. Complete full range of motion for shoulder through abduction and adduction three times. 12. Does not cause discomfort or pain and does not force any joint beyond the point of free movement. Candidate must ask if they are causing any pain or discomfort. 13. Leaves resident in a comfortable position. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 19—Transferring a Weight Bearing Non-Ambulatory Resident from Bed to
Wheelchair using a Gait Belt |
1. Greets resident by name and identifies that hands should be washed.
2. Explains the procedure to be performed to the resident and obtains a gait belt. 3. Positions wheelchair at the foot or head of the bed. 4. Locks wheelchair brakes to ensure resident’s safety. 5. Locks bed brakes to ensure resident’s safety. 6. Assists resident to sitting position using proper body mechanics and places gait belt around the resident, below the rib cage and above their waist, to stabilize trunk. Tightens gait belt. Checks gait belt by slipping fingers between gait belt and resident. 7. Assist in putting on non-skid slippers/shoes. (No non-skid socks) 8. Adjust bed so that resident’s feet are comfortably flat on the floor. 9. Grasps the gait belt with both hands to stabilize the resident. 10. Brings resident to a standing position using proper body mechanics. 11. Assist resident to pivot and sit in a controlled manner that ensures safety. 12. Removes gait belt. 13. Identifies that hands should be washed. 14. Maintains respectful, courteous interpersonal interactions at all times. 15. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 20—Transferring a Weight Bearing Non-Ambulatory Resident from Wheelchair to
Bed using a Gait Belt |
1. Greets resident by name and identifies that hands should be washed.
2. Explains procedure to be performed to the resident. 3. Positions wheelchair at foot or head of bed. 4. Adjust bed so that resident’s feet will be comfortably flat on the floor when sitting on the bed. 5. Insures resident's safety. Locks wheelchair brakes. 6. Insures resident's safety. Locks bed brakes. 7. Places gait belt around the resident, below the rib cage and above their waist, to stabilize trunk. 8. Tightens gait belt so that fingers of candidate's hand can be comfortably slipped between gait belt and resident. 9. Grasps the gait belt with both hands to stabilize the resident. 10. Brings resident to standing position using proper body mechanics. 11. Assists resident to pivot and sit on bed in a controlled manner that ensures safe ty. 12. Removes gait belt. 13. Assists resident in removing non- skid slippers. 14. Assists resident to move to center of bed, supporting extremities as necessary. 15. Makes sure resident is comfortable and in good body alignment. 16. Identifies that hands should be washed. 17. Maintains respectful, courteous interpersonal interactions at all times. 18. Leaves call light or signaling device and water within easy reach of the resident. |
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Skill 21—Vital Signs - Temperature, Pulse and Respiration
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1. Greets resident by name and identifies th at hands should be washed.
2. Explains procedure to resident. 3. Correctly turns on digital oral thermometer and places sheath on thermometer. 4. Gently inserts bulb end of thermometer in mouth under tongue. 5. Leaves thermometer in place for appropriate length of time. 6. Removes thermometer and candidate reads and records the temperature reading on I&O sheet provided. 7. Candidate's recorded temperature varies no more than .1 degree from Test Observer’s. 8. Candidate discards sheath appropriately. 9. Locates the radial pulse by placing tips of fingers on thumb side of the resident's wrist. 10. Counts pulse for 60 seconds or 30x2. Then records on the I&O sheet provided. 11. Candidate's recorded pulse rate is within 4 beats of RN Test Observer’s recorded rate. 12. Candidate counts respirations for 60 seconds or 30x2 and records results on I&O sheet provided. 13. The Candidate's recorded respiratory rate is within 2 breaths of the RN Test Observer’s recorded rate. 14. Identifies that hands should be washed. 15. Maintains respectful, courteous interpersonal interactions at all times. 16. Leaves call light or signaling device and water within easy reach of the resident. |
