North Carolina Nurse Aide I Skills

Front 1

Back 1

Front 2

Address client by name and introduces self to client by name.

Back 2

Wash Hands 1

Front 3

Turn on water at sink.

Back 3

Wash Hands 2

Front 4

Wet hands and wrists thoroughly.

Back 4

Wash Hands 3

Front 5

Apply soap to hands.

Back 5

Wash Hands 4

Front 6

Critical Step:
Lather all surfaces of wrists, hands, and fingers, producing friction for at least 15 seconds.

Back 6

Wash Hands 5

Front 7

Clean fingernails by rubbing fingertips against palms of the opposite hand.

Back 7

Wash Hands 6

Front 8

After lathering for 15 seconds, rinse all surfaces of wrists, hands, and fingers keeping hands lower than elbows and fingertips down.

Back 8

Wash Hands 7

Front 9

Use clean, dry paper towel to dry all surfaces of hands, wrists, and fingers then dispose of paper towel into waste container.

Back 9

Wash Hands 8

Front 10

Use clean, dry paper towel to turn of faucet then dispose of paper towel into waste container.

Back 10

Wash Hands 9

Front 11

Do not touch inside of sink at any time.

Back 11

Wash Hands 10

Front 12

Back 12

Front 13

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 13

Apply One Knee-High Stocking 1

Front 14

Provide privacy with a curtain, screen or door.

Back 14

Apply One Knee-High Stocking 2

Front 15

Client is in supine position while stocking is applied.

Back 15

Apply One Knee-High Elastic Stocking 3

Front 16

Turn stocking inside out.

Back 16

Apply One Knee-High Elastic Stocking 4

Front 17

Place foot of stocking over toes, foot, and heel.

Back 17

Apply One Knee-High Elastic Stocking 5

Front 18

Pull top of stocking over toes, foot and heel.

Back 18

Apply One Knee-High Elastic Stocking 6

Front 19

Move foot and leg gently and naturally, avoiding force and over-extension of limb and joints.

Back 19

Apply One Knee-High Elastic Stocking 7

Front 20

Critical Step: Finish procedure with no twists or wrinkles and heel of stocking (if present) is over heel and opening in toe area (if present) is either over or under toe area.

Back 20

Apply One Knee-High Elastic Stocking 8

Front 21

Make sure signaling device is within reach.

Back 21

Apply One Knee-High Stocking 9

Front 22

Wash hands.

Back 22

Apply One Knee-High Stocking

Front 23

Back 23

Front 24

Explain procedure, speaking slowly, and directly, maintaining face-to-face contact whenever possible.

Back 24

Assist to Ambulate Using Transfer Belt 1

Front 25

Before assisting to stand, bed is at a safe level.

Back 25

Assist to Ambulate Using Transfer Belt 3

Front 26

Critical step: Before assisting to stand, candidate ensures client is wearing shoes.

Back 26

Assist to Ambulate Using Transfer Belt 2

Front 27

Before assisting to stand, check and/or lock bed wheels.

Back 27

Assist to Ambulate Using Transfer Belt 4

Front 28

Before assisting to stand, provide instructions to enable client to assist in standing including prearranged signal to alert client to begin standing.

Back 28

Assist to Ambulate Using Transfer Belt 7

Front 29

Before assisting to stand, assist client to sitting position with feet flat on floor.

Back 29

Assist to Ambulate Using Transfer Belt 5

Front 30

Stand facing client positioning self to ensure your own safety and client's safety during transfer. Count to three or say other prearranged signal to alert client to begin standing.

Back 30

Assist to Ambulate Using Transfer Belt 8

Front 31

On signal, gradually assist client to stand by grasping transfer belt on both sides with upward grasp (your hands in upward position), and maintain stability of client's legs.

Back 31

Assist to Ambulate Using Transfer Belt 9

Front 32

Before assisting to stand, apply transfer belt securely over clothing/gown.

Back 32

Assist to Ambulate Using Transfer Belt 6

Front 33

Walk slightly behind and to one side of client for a distance of 10 feet, while holding onto the belt.

Back 33

Assist to Ambulate Using Transfer Belt 10

Front 34

After ambulation, assist client to bed and remove transfer belt.

Back 34

Assist to Ambulate Using Transfer Belt 11

Front 35

Ensure signaling device is within reach and bed is in low position.

Back 35

Assist to Ambulate Using Transfer Belt 12

Front 36

Wash hands.

Back 36

Assist to Ambulate Using Transfer Belt 13

Front 37

Back 37

Front 38

Explain procedure, speaking slowly and directly, maintainng face-to-face contact whenever possible.

Back 38

Assist With Use of Bedpan 1

Front 39

Provide privacy with a curtain, screen or door.

Back 39

Assist With Use of Bedpan 2

Front 40

Before placing bedpan, lowers head of bed.

Back 40

Assist With Use of Bedpan 3

Front 41

Before handling bedpan, put on clean gloves.

Back 41

Assist With Use of Bedpan 4

Front 42

Critical step: Place bedpain correctly under client's buttocks.

Back 42

Assist With Use of Bedpan 5

Front 43

Remove and dispose of gloves (without contaminating self) into waste container and wash hands.

Back 43

Assist With Use of Bedpan 6

Front 44

Ensure toilet paper is within reach.

Back 44

Assist With Use of Bedpan 8

Front 45

After positioning client on bedpan and removing gloves, raise head of bed.

Back 45

Assist With Use of Bedpan 7

Front 46

Ensure hand wipe is within reach and instruct client to clean hands with hand wipe when finished.

Back 46

Assist With Use of Bedpan 9

Front 47

Put on clean gloves before removing bedpan.

Back 47

Assist With Use of Bedpan 11

Front 48

Ensure signaling device is within reach and instruct client to signal when finished.

Back 48

Assist With Use of Bedpan 10

Front 49

Avoid overexposure of client.

Back 49

Assist With Use of Bedpan 13

Front 50

Flatten head of bed before removing bedpan.

Back 50

Assist With Use of Bedpan 12

Front 51

Remove, empty and rinse bedpan and posit rinse into toilet.

Back 51

Assist With Use of Bedpan 14

Front 52

After rinsing bedpan, place bedpan in designated dirty supply area.

Back 52

Assist With Use of Bedpan 15

Front 53

After placing bedpan in designated dirty supply area, remove and dispose of gloves (without contaminating self) into waste container and wash hands.

Back 53

Assist With Use of Bedpan 16

Front 54

Ensure signaling device is within reach and bed is in low position.

Back 54

Assist With Use of Bedpan 17

Front 55

Back 55

Front 56

Before handling dentures, put on clean gloves.

Back 56

Clean Upper or Lower Denture 1

Front 57

Before holding denture over sink, line sink and/or partially fill it with water.

Back 57

Clean Upper or Lower Denture 2

Front 58

Before brushing denture, rinse it in tepid temperature running water.

Back 58

Clean Upper or Lower Denture 3

Front 59

Apply toothpaste to toothbrush.

Back 59

Clean Upper or Lower Denture 4

Front 60

Brush surfaces of denture.

Back 60

Clean Upper or Lower Denture 5

Front 61

Before placing denture into cup, rinse denture cup and lid.

Back 61

Clean Upper or Lower Denture 7

Front 62

Rinse surfaces of denture under tepid temperature running water.

Back 62

Clean Upper or Lower Denture 6

Front 63

Place denture into cup with tepid water temperature and place lid on cup.

Back 63

Clean Upper or Lower Denture 8

Front 64

Rinse toothbrush and place in designated toothbrush basin/container.

Back 64

Clean Upper or Lower Denture 9

Front 65

Maintain clean technique with placement of toothbrush and denture.

Back 65

Clean Upper or Lower Denture 10

Front 66

Remove sink liner and dispose it appropriately and/or drain sink.

Back 66

Clean Upper or Lower Denture 11

Front 67

After rinsing equipment and disposing of sink liner, remove and dispose of gloves (without contaminating self) into waste container and wash hands.

Back 67

Clean Upper or Lower Denture 12

Front 68

Back 68

Front 69

Explain procedure, speaking slowly, clearly and directly, maintaining face-to-face contact whenever possible.

Back 69

Count and Record Radial Pulse 1

Front 70

Place fingertips on thumb side of client's wrist to locate radial pulse.

Back 70

Count and Record Radial Pulse 2

Front 71

Count beats for one full minute.

Back 71

Count and Record Radial Pulse 3

Front 72

Ensure signaling device is within reach.

Back 72

Count and Record Radial Pulse 4

Front 73

Wash hands.

Back 73

Count and Record Radial Pulse 5

Front 74

Critical step: After obtaining pulse by palpating in radial artery position, record pulse within plus or minus 4 beats of evaluator's reading.

Back 74

Count and Record Radial Pulse 6

Front 75

Back 75

Front 76

Explain procedure (for testing purposes), speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 76

Count and Record Respirations 1

Front 77

Count respirations for one minute.

Back 77

Count and Record Respirations 2

Front 78

Ensure signaling device is within reach.

Back 78

Count and Record Respirations 3

Front 79

Wash hands.

Back 79

Count and Record Respirations 4

Front 80

Critical step: Record respiration rate within plus or minus 2 breaths of evaluator's reading.

Back 80

Count and Record Respirations 5

Front 81

Back 81

Front 82

Pick up gown and unfold it.

Back 82

Don and Remove PPE (Gown and Gloves) 1

Front 83

Facing the back opening of the gown, place arms through each sleeve.

Back 83

Don and Remove PPE (Gown and Gloves) 2

Front 84

Fasten the neck opening.

Back 84

Don and Remove PPE (Gown and Gloves) 3

Front 85

Secure gown at waist making sure that back of clothin is covered by gown as much as possible.

Back 85

Don and Remove PPE (Gown and Gloves) 4

Front 86

Put on gloves.

Back 86

Don and Remove PPE (Gown and Gloves) 5

Front 87

Ensure cuffs of gloves overlap cuffs of gown.

Back 87

Don and Remove PPE (Gown and Gloves) 6

Front 88

With one gloved hand, grasp the other glove at the palm, pulling it off.

Back 88

Don and Remove PPE (Gown and Gloves) 7

Front 89

Slip fingers from ungloved hand underneath cuff of remaining glove at wrist, removing glove, turning it inside out as it is removed.

Back 89

Don and Remove PPE (Gown and Gloves) 8

Front 90

Dispose of glove into designated waster container without contaminating self.

Back 90

Don and Remove PPE (Gown and Gloves) 9

Front 91

After removing gloves, unfasten gown at neck and waist.

Back 91

Don and Remove PPE (Gown and Gloves) 10

Front 92

While removing gown, hold gown away from body, turning gown inward and keeping it inside out.

Back 92

Don and Remove PPE (Gown and Gloves) 12

Front 93

Remove gown without touching outside of gown.

Back 93

Don and Remove PPE (Gown and Gloves) 11

Front 94

Dispose of gown into designated container without contaminating self.

Back 94

Don and Remove PPE (Gown and Gloves) 13

Front 95

Wash hands.

Back 95

Don and Remove PPE (Gown and Gloves) 14

Front 96

Back 96

Front 97

Explain procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 97

Dresses Client With Affected (Weak) Right Arm 1

Front 98

Provide privacy with a curtain, screen or door.

Back 98

Dresses Client With Affected (Weak) Right Arm 2

Front 99

Ask client which top he/she would like to wear and dress him/her in that top.

Back 99

Dresses Client With Affected (Weak) Right Arm 3

Front 100

While avoiding overexposure of client, remove gown from the unaffected side first, then from the affected side.

Back 100

Dresses Client With Affected (Weak) Right Arm 4

Front 101

Critical step: Assist client in putting the right (affected/weak) arm through the right sleeve of the top before placing garment on left (unaffected) arm.

Back 101

Dresses Client With Affected (Weak) Right Arm 5

Front 102

While putting on items, move body gently and naturally, avoiding force and over-extension of limbs and joints.

Back 102

Dresses Client With Affected (Weak) Right Arm 6

Front 103

Finish with clothing in place.

Back 103

Dresses Client With Affected (Weak) Right Arm 7

Front 104

Dispose of gown into soiled linen container.

Back 104

Dresses Client With Affected (Weak) Right Arm 8

Front 105

Ensure signaling device is within reach and bed is in low position.

Back 105

Dresses Client With Affected (Weak) Right Arm 9

Front 106

Wash hands.

Back 106

Dresses Client With Affected (Weak) Right Arm 10

Front 107

Back 107

Front 108

Explain procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 108

Feed Client Who Cannot Feed Self 1

Front 109

Before feeding client, pick up name card from tray and ask client to state name.

Back 109

Feed Client Who Cannot Feed Self 2

Front 110

Critical step: Before feeding client, place client in an upright sitting position (45 to 90°).

Back 110

Feed Client Who Cannot Feed Self 3

Front 111

Place tray where it can be easily seen by client.

Back 111

Feed Client Who Cannot Feed Self 4

Front 112

Clean client's hands with hand wipe before beginning feeding.

Back 112

Feed Client Who Cannot Feed Self 5

Front 113

Sit facing client during feeding.

Back 113

Feed Client Who Cannot Feed Self 6

Front 114

Tell client what foods are on tray and ask what client would like to eat first.

Back 114

Feed Client Who Cannot Feed Self 7

Front 115

Using spoon, offer client one bit of each type of food on tray, telling client the content of each spoonful.

Back 115

Feed Client Who Cannot Feed Self 8

Front 116

Offer beverage at least once during meal.

Back 116

Feed Client Who Cannot Feed Self 9

Front 117

Make sure client's mouth is empty before offering next bite of food or sip of beverage.

Back 117

Feed Client Who Cannot Feed Self 10

Front 118

At end of meal, wipe client's mouth and hands with hand wipe.

Back 118

Feed Client Who Cannot Feed Self 11

Front 119

Remove food tray and place tray in designated dirty supply area.

Back 119

Feed Client Who Cannot Feed Self 12

Front 120

Ensure signaling device is within reach.

Back 120

Feed Client Who Cannot Feed Self 13

Front 121

Wash hands.

Back 121

Feed Client Who Cannot Feed Self 14

Front 122

Back 122

Front 123

Explain procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 123

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 1

Front 124

Provide privacy with a curtain, screen or door.

Back 124

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 2

Front 125

Remove gown while keeping client covered.

Back 125

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 3

Front 126

Before washing client, check water temperature and ask client to verify comfort of water.

Back 126

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 4

Front 127

Before washing client, put on clean gloves.

Back 127

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 5

Front 128

Beginning with eyes, wash eyes with wet washcloth (no soap), using a different area of the washcloth for each eye, washing inner aspect then proceed to face.

Back 128

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 6

Front 129

Dry face with towel.

Back 129

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 7

Front 130

Expose one arm and place towel underneath arm.

Back 130

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 8

Front 131

Apply soap to wet washcloth.

Back 131

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 9

Front 132

Wash arm, hand and underarm, keeping rest of body covered.

Back 132

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 10

Front 133

Rinse and dry arm, hand and underarm.

Back 133

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 11

Front 134

Move body gently and naturally, avoiding force and over-exertion of limbs and joints.

Back 134

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 12

Front 135

Put clean gown on client.

Back 135

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 13

Front 136

Empty, rinse and dry basin.

Back 136

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 14

Front 137

After rinsing basin, place basin in designated dirty supply area.

Back 137

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 15

Front 138

Dispose of used gown and linen into soiled linen container.

Back 138

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 16

Front 139

Avoid contact between candidate clothing and used linens.

Back 139

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 17

Front 140

After placing basin in designated dirty supply area, and disposing of used linen, remove and dispose of gloves (without contaminating self) and wash hands.

Back 140

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 18

Front 141

Ensure signaling device is within reach and bed is in low position.

Back 141

Give Modified Bed Bath (Face and One Arm, Hand and Underarm) 19

Front 142

Back 142

Front 143

Explain procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 143

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 1

Front 144

Provide privacy with a curtain, screen or door.

Back 144

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 2

Front 145

Before moving client, lower head of bed.

Back 145

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 3

Front 146

Cover client with linens while linens are changed.

Back 146

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 4

Front 147

Loosen top linen from the end of the bed.

Back 147

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 5

Front 148

Raise side rail on side to which client will move and ask client to move toward raised side rail.

Back 148

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 6

Front 149

Loosen bottom used linen on working side and move bottom used linen toward center of bed.

Back 149

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 7

Front 150

Place and tuck in clean bottom linen or fitted bottom sheet on working side, tucking it in under client.

Back 150

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 8

Front 151

Before going to the other side, ask client to move back onto client bottom linen.

Back 151

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 9

Front 152

Raise side rail on working side, then go to other side of bed.

Back 152

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 10

Front 153

Remove used bottom linen.

Back 153

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 11

Front 154

Pull and tuck in clean bottom linen, finishing with bottom sheet free of wrinkles.

Back 154

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 12

Front 155

Cover client with clean top sheet and remove bath blanket/used top sheet.

Back 155

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 13

Front 156

Change pillowcase.

Back 156

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 14

Front 157

Center linen and tuck it in at foot of bed.

Back 157

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 15

Front 158

Avoid contact between candidate's clothing and used linen.

Back 158

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 16

Front 159

Dispose of used linen into soiled linen container and avoid putting linen on floor.

Back 159

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 17

Front 160

Ensure signaling device is within reach and bed is in low position.

Back 160

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 18

Front 161

Wash hands.

Back 161

Make An Occupied Bed (Client Does Not Need Assistance to Turn) 19

Front 162

Back 162

Front 163

Explain procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible.

Back 163

Measure and Record Blood Pressure 1

Front 164

Before using stethoscope, wipe bell-diaphragm and earpieces with alcohol.

Back 164

Measure and Record Blood Pressure 2

Front 165

Position client's arm with palm up and upper arm exposed.

Back 165

Measure and Record Blood Pressure 3

Front 166

Feel for brachial artery on inner aspect of arm, at bend of elbow.

Back 166

Measure and Record Blood Pressure 4

Front 167

Place blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site.

Back 167

Measure and Record Blood Pressure 5

Front 168

Place earpieces of stethoscope into ears and place bell/diaphragm over brachial artery site.

Back 168

Measure and Record Blood Pressure 6

Front 169

Do one of the following: Inflate cuff between 160 mm Hg to 180 mm Hg. (If beat heard immediately upon cuff depletion, completely remove cuff.) -OR- Inflate cuff 30 mm Hg beyond where radial or brachial pulse was last heard or felt.

Back 169

Measure and Record Blood Pressure 7

Front 170

Deflate cuff slowly and note the first sound (systolic reading) and last sound (diastolic reading). (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury.)

Back 170

Measure and Record Blood Pressure 8

Front 171

Remove cuff.

Back 171

Measure and Record Blood Pressure 9

Front 172

Ensure signaling device is within reach.

Back 172

Measure and Record Blood Pressure 10

Front 173

Wash hands.

Back 173

Measure and Record Blood Pressure 11

Front 174

Critical step: After obtaining reading using BP cuff and stethoscope, record both systolic and diastolic pressures each within plus or minus 8 mm of evaluator's reading.

Back 174

Measure and Record Blood Pressure 12

Front 175

Back 175

Front 176

Put on clean gloves before handling bedpan.

Back 176

Measure and Record Urinary Output 1

Front 177

Pour the contents of the bedpan into measuring container without spilling or splashing urine outside of container.

Back 177

Measure and Record Urinary Output 2

Front 178

Measure the amount of urine at eye level with container on flat surface.

Back 178

Measure and Record Urinary Output 3

Front 179

After measuring urine, empty contents of measuring container into the toilet.

Back 179

Measure and Record Urinary Output 4

Front 180

Rinse measuring container and pour rinse into toilet.

Back 180

Measure and Record Urinary Output 5

Front 181

Rinse bedpan and pour rinse into toilet.

Back 181

Measure and Record Urinary Output 6

Front 182

After rinsing equipment and before recording output, remove and dispose of gloves (without contaminating self) into waste container and wash hands.

Back 182

Measure and Record Urinary Output 7

Front 183

Critical step: Record contents of container within plus or minus 25 ml/cc of evaluator's reading.

Back 183

Measure and Record Urinary Output 8

Front 184

Back 184

Front 185

Explain procedure, speaking slowly, clearly and directly, maintaining face-to-face contact whenever possible.

Back 185

Measure and Record Weight of Ambulatory Client 1

Front 186

Before walking to scale, ensure client has shoes on.

Back 186

Measure and Record Weight of Ambulatory Client 2

Front 187

Before weighing client, set scale to zero.

Back 187

Measure and Record Weight of Ambulatory Client 3

Front 188

As client steps onto scale, stand beside scale and assist client, if needed, onto scale center, then determine client's weight.

Back 188

Measure and Record Weight of Ambulatory Client 4

Front 189

As client steps off scale, stand beside scale and assist client, if needed, off scale before recording weight.

Back 189

Measure and Record Weight of Ambulatory Client 5

Front 190

Critical step: Record weight on indicator on scale. Weight must be within plus or minus 2 lbs or 0.9 kg of evaluator's reading.

Back 190

Measure and Record Weight of Ambulatory Client 6

Front 191

Wash hands.

Back 191

Measure and Record Weight of Ambulatory Client 7

Front 192

Back 192

Front 193

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 193

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 1

Front 194

Provide privacy with a curtain, screen, or door.

Back 194

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 2

Front 195

Instruct client to inform you if pain is experienced during exercise.

Back 195

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 3

Front 196

Support leg at knee and ankle while performing range of motion for knee

Back 196

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 4

Front 197

Bend the knee and then return leg to client's normal position (extension-flexion) AT LEAST 3 TIMES unless pain is verbalized.

Back 197

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 5

Front 198

Support foot and ankle close to the bed while performing range of motion for ankle.

Back 198

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 6

Front 199

Push/pull foot toward head (dorsiflexion) and push/pull foot down with toes pointing down (plasar flexion) AT LEAST 3 TIMES unless pain is verbalized.

Back 199

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 7

Front 200

Critical step: While supporting the limb, move joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

Back 200

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 8

Front 201

Ensure signaling device is within reach and bed is in low position.

Back 201

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 9

Front 202

Wash hands.

Back 202

Perform Passive Range of Motion (PROM) For One Knee and One Ankle 10

Front 203

Back 203

Front 204

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 204

Perform Passive Range of Motion (PROM) For One Shoulder 1

Front 205

Provide privacy with a curtain, screen, or door.

Back 205

Perform Passive Range of Motion (PROM) For One Shoulder 2

Front 206

Instruct client to inform you if pain is experienced during exercise.

Back 206

Perform Passive Range of Motion (PROM) For One Shoulder 3

Front 207

Support client's arm at elbow and wrist while performing range of motion for shoulder.

Back 207

Perform Passive Range of Motion (PROM) For One Shoulder 4

Front 208

Raise client's straightened arm from side position upward toward head to ear level and return down to side of body (extension-flexion) AT LEAST 3 TIMES unless pain is verbalized.

Back 208

Perform Passive Range of Motion (PROM) For One Shoulder 5

Front 209

Move client's straightened arm away from side of body to shoulder level and return to side of body (abduction-adduction) AT LEAST 3 TIMES unless pain is verbalized.

Back 209

Perform Passive Range of Motion (PROM) For One Shoulder 6

Front 210

Critical step: While supporting limb, move joint gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

Back 210

Perform Passive Range of Motion (PROM) For One Shoulder 7

Front 211

Ensure signaling device is within reach and bed is in low position.

Back 211

Perform Passive Range of Motion (PROM) For One Shoulder 8

Front 212

Wash hands.

Back 212

Perform Passive Range of Motion (PROM) For One Shoulder 9

Front 213

Back 213

Front 214

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 214

Position On Side 1

Front 215

Provide privacy with a curtain, screen, or door.

Back 215

Position On Side 2

Front 216

Before turning, lower head of bed.

Back 216

Position On Side 3

Front 217

Raise side rail on side to which body will be turned.

Back 217

Position On Side 4

Front 218

Slowly roll onto side as one unit toward raised side rail.

Back 218

Position On Side 5

Front 219

Place or adjust pillow under foot for support.

Back 219

Position On Side 6

Front 220

Position client so that client is not lying on arm.

Back 220

Position On Side 7

Front 221

Support top arm with supportive device.

Back 221

Position On Side 8

Front 222

Place supportive device behind client's back.

Back 222

Position On Side 9

Front 223

Place supportive device between legs with top knee flexed; support knee and ankle.

Back 223

Position On Side 10

Front 224

Ensure signaling device is within reach and bed is in low position.

Back 224

Position On Side 11

Front 225

Wash hands.

Back 225

Position On Side 12

Front 226

Back 226

Front 227

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 227

Provide Catheter Care For Female 1

Front 228

Provide privacy with a curtain, screen, or door.

Back 228

Provide Catheter Care For Female 2

Front 229

Before washing, check water temperature for safety and comfort and ask client to verify comfort of water.

Back 229

Provide Catheter Care For Female 3

Front 230

Put on clean gloves before washing.

Back 230

Provide Catheter Care For Female 4

Front 231

Place linen protector under perineal area before washing.

Back 231

Provide Catheter Care For Female 5

Front 232

Expose area surrounding catheter while avoiding overexposure of client.

Back 232

Provide Catheter Care For Female 6

Front 233

Apply soap to wet washcloth.

Back 233

Provide Catheter Care For Female 7

Front 234

Critical step 1: While holding catheter near meatus without tugging, clean at least four inches of catheter near meatus, using a clean area of the cloth for each stroke.

Back 234

Provide Catheter Care For Female 8

Front 235

Critical step 2: While holding catheter near meatus without tugging, rinse at least four inches of catheter near meatus, using a clean area of the cloth for each stroke.

Back 235

Provide Catheter Care For Female 9

Front 236

While holding catheter near meatus without tugging, dry four inches of catheter moving away from meatus.

Back 236

Provide Catheter Care For Female 10

Front 237

Empty, rinse and dry basin.

Back 237

Provide Catheter Care For Female 11

Front 238

After rinsing basin, place it in designated dirty supply area.

Back 238

Provide Catheter Care For Female 12

Front 239

Dispose of used linen into soiled linen container and dispose of linen protector appropriately.

Back 239

Provide Catheter Care For Female 13

Front 240

Avoid contact between your clothing and used linen.

Back 240

Provide Catheter Care For Female 14

Front 241

After disposing of used linen and cleaning equipment, remove and dispose of glove (without contaminating self) into waste container and wash hands.

Back 241

Provide Catheter Care For Female 15

Front 242

Ensure signaling device is within reach and bed is in low posiiton.

Back 242

Provide Catheter Care For Female 16

Front 243

Back 243

Front 244

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 244

Provide Foot Care On One Foot 1

Front 245

Provide privacy with a curtain, screen, or door.

Back 245

Provide Foot Care On One Foot 2

Front 246

Before washing, check water temperature for safety and comfort and ask client to verify comfort of water.

Back 246

Provide Foot Care On One Foot 3

Front 247

Place basin in a comfortable position for client and on protective barrier.

Back 247

Provide Foot Care On One Foot 4

Front 248

Put on clean gloves before washing foot.

Back 248

Provide Foot Care On One Foot 5

Front 249

Place client's bare foot into basin.

Back 249

Provide Foot Care On One Foot 6

Front 250

Apply soap to wet washcloth.

Back 250

Provide Foot Care On One Foot 7

Front 251

Lift foot from water and wash it, including between the toes.

Back 251

Provide Foot Care On One Foot 8

Front 252

Rinse foot, including between toes.

Back 252

Provide Foot Care On One Foot 9

Front 253

Dry foot, including between toes.

Back 253

Provide Foot Care On One Foot 10

Front 254

Apply lotion to top and bottom of foot, removing excess (if any) with a towel.

Back 254

Provide Foot Care On One Foot 11

Front 255

Support foot and ankle during procedure.

Back 255

Provide Foot Care On One Foot 12

Front 256

Empty, rinse and dry basin.

Back 256

Provide Foot Care On One Foot 13

Front 257

After rinsing basin, place it in designated dirty supply area.

Back 257

Provide Foot Care On One Foot 14

Front 258

Dispose of used linen into soiled linen container.

Back 258

Provide Foot Care On One Foot 15

Front 259

After cleaning foot and equipment and disposing of linen, remove and dispose of glove (without contaminating self) into waste container and wash hands.

Back 259

Provide Foot Care On One Foot 16

Front 260

Ensure signaling device is within reach.

Back 260

Provide Foot Care On One Foot 17

Front 261

Back 261

Front 262

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 262

Provide Mouth Care 1

Front 263

Provide privacy with a curtain, screen, or door.

Back 263

Provide Mouth Care 2

Front 264

Before providing mouth care, ensure client is in upright sitting position (45-90°).

Back 264

Provide Mouth Care 3

Front 265

Put on clean gloves before cleaning mouth.

Back 265

Provide Mouth Care 4

Front 266

Place clothing protector across chest before providing mouth care.

Back 266

Provide Mouth Care 5

Front 267

Moisten toothbrush.

Back 267

Provide Mouth Care 6

Front 268

Apply toothpaste to toothbrush.

Back 268

Provide Mouth Care 7

Front 269

Critical step: Clean mouth (including tongue and surfaces of teeth) using gentle motions.

Back 269

Provide Mouth Care 8

Front 270

Maintain clean technique with placement of tooth brush.

Back 270

Provide Mouth Care 9

Front 271

Hold emesis basin to chin while client rinses mouth.

Back 271

Provide Mouth Care 10

Front 272

Wipe mouth and remove clothing protector.

Back 272

Provide Mouth Care 11

Front 273

Empty, rinse and dry basin.

Back 273

Provide Mouth Care 12

Front 274

Place used toothbrush in basin.

Back 274

Provide Mouth Care 13

Front 275

After rinsing basin, place basin in designated dirty supply area.

Back 275

Provide Mouth Care 14

Front 276

Dispose of clothing protector appropriately.

Back 276

Provide Mouth Care 15

Front 277

After placing basin in designated dirty supply area and disposing of used linen, remove and dispose of glove (without contaminating self) into waste container and wash hands.

Back 277

Provide Mouth Care 16

Front 278

Ensure signaling device is within reach and bed is in low position.

Back 278

Provide Mouth Care 17

Front 279

Back 279

Front 280

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 280

Provide Perineal Care (Peri-Care) For Female 1

Front 281

Provide privacy with a curtain, screen, or door.

Back 281

Provide Perineal Care (Peri-Care) For Female 2

Front 282

Before washing, check water temperature for safety and comfort and ask client to verify comfort of water.

Back 282

Provide Perineal Care (Peri-Care) For Female 3

Front 283

Before washing, put on clean gloves.

Back 283

Provide Perineal Care (Peri-Care) For Female 4

Front 284

Before washing, place pad/linen protector under perineal area.

Back 284

Provide Perineal Care (Peri-Care) For Female 5

Front 285

Expose perineal area while avoiding overexposure of client.

Back 285

Provide Perineal Care (Peri-Care) For Female 6

Front 286

Apply soap to wet washcloth.

Back 286

Provide Perineal Care (Peri-Care) For Female 7

Front 287

Critical step 1: Wash genital area, moving from front to back, while using a clean area of washcoth for each stroke.

Back 287

Provide Perineal Care (Peri-Care) For Female 8

Front 288

Critical step 2: Using clean washcloth, rinse soap from genital area, moving from front to back, while using a clean area of washcoth for each stroke.

Back 288

Provide Perineal Care (Peri-Care) For Female 9

Front 289

Dry genital area moving from front to back with towel.

Back 289

Provide Perineal Care (Peri-Care) For Female 10

Front 290

After washing genital area, turn client to side then wash and rinse rectal area using a clean area of washcloth for each stroke. Dry with towel.

Back 290

Provide Perineal Care (Peri-Care) For Female 11

Front 291

Reposition client.

Back 291

Provide Perineal Care (Peri-Care) For Female 12

Front 292

Empty, rinse and dry basin.

Back 292

Provide Perineal Care (Peri-Care) For Female 13

Front 293

After rinsing basin, place it in designated dirty supply area.

Back 293

Provide Perineal Care (Peri-Care) For Female 14

Front 294

Dispose of used linen into soiled linen container and dispose of linen protector appropriately.

Back 294

Provide Perineal Care (Peri-Care) For Female 15

Front 295

Avoid contact between your clothing and used linen.

Back 295

Provide Perineal Care (Peri-Care) For Female 16

Front 296

After disposing of linen and placing used equipment in designated dirty supply area, remove and dispose of glove (without contaminating self) into waste container and wash hands.

Back 296

Provide Perineal Care (Peri-Care) For Female 17

Front 297

Ensure signaling device is within reach and bed is in low position.

Back 297

Provide Perineal Care (Peri-Care) For Female 18

Front 298

Back 298

Front 299

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 299

Transfer From Bed to Wheelchair Using Transfer Belt 1

Front 300

Provide privacy with a curtain, screen, or door.

Back 300

Transfer From Bed to Wheelchair Using Transfer Belt 2

Front 301

Before assisting to stand, position wheelchair along side of bed, at head of bed, and facing the foot of bed.

Back 301

Transfer From Bed to Wheelchair Using Transfer Belt 3

Front 302

Before assisting to stand, fold up footrests or remove them.

Back 302

Transfer From Bed to Wheelchair Using Transfer Belt 4

Front 303

Before assisting to stand, ensure bed is at a safe level.

Back 303

Transfer From Bed to Wheelchair Using Transfer Belt 5

Front 304

Critical step: Before assisting to stand, lock wheels on wheelchair.

Back 304

Transfer From Bed to Wheelchair Using Transfer Belt 6

Front 305

Before assisting to stand, check and/or lock bed wheels.

Back 305

Transfer From Bed to Wheelchair Using Transfer Belt 7

Front 306

Before assisting to stand, assist client to a sitting position with feet flat on floor.

Back 306

Transfer From Bed to Wheelchair Using Transfer Belt 8

Front 307

Before assisting to stand, ensure client is wearing shoes.

Back 307

Transfer From Bed to Wheelchair Using Transfer Belt 9

Front 308

Before assisting to stand, apply transfer belt securely over clothing/gown.

Back 308

Transfer From Bed to Wheelchair Using Transfer Belt 10

Front 309

Before assisting to stand, provide instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing.

Back 309

Transfer From Bed to Wheelchair Using Transfer Belt 11

Front 310

Stand facing client, positioning self to ensure safety of self and client during transfer. Count to three or say other prearranged signal to alert client to begin standing.

Back 310

Transfer From Bed to Wheelchair Using Transfer Belt 12

Front 311

On signal, gradually assist client to stand by grasping transfer belt on both sides with an upward grasp, with your hands in upright position, and maintain stability of client's legs.

Back 311

Transfer From Bed to Wheelchair Using Transfer Belt 13

Front 312

Assist client to turn to stand in front of wheelchair with back of client's legs against wheelchair.

Back 312

Transfer From Bed to Wheelchair Using Transfer Belt 14

Front 313

Lower client into wheelchair.

Back 313

Transfer From Bed to Wheelchair Using Transfer Belt 15

Front 314

Position client with hips touching back of wheelchair and remove transfer belt.

Back 314

Transfer From Bed to Wheelchair Using Transfer Belt 16

Front 315

Position feet on footrests.

Back 315

Transfer From Bed to Wheelchair Using Transfer Belt 17

Front 316

Ensure signaling device is within reach.

Back 316

Transfer From Bed to Wheelchair Using Transfer Belt 18

Front 317

Wash hands.

Back 317

Transfer From Bed to Wheelchair Using Transfer Belt 19

Front 318

Back 318

Front 319

Explain procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Back 319

Provide Fingernail Care on One Hand 1

Front 320

Before immersing fingernails, check water temperature for safety and comfort and ask client to verify comfort of water.

Back 320

Provide Fingernail Care on One Hand 2

Front 321

Place basin in comfortable position for client.

Back 321

Provide Fingernail Care on One Hand 3

Front 322

Before cleaning fingernails, put on clean gloves.

Back 322

Provide Fingernail Care on One Hand 4

Front 323

Immerse fingernails in basin of water.

Back 323

Provide Fingernail Care on One Hand 5

Front 324

Clean under each fingernail with orangewood stick.

Back 324

Provide Fingernail Care on One Hand 6

Front 325

Wipe orangewood stick on towel after each nail.

Back 325

Provide Fingernail Care on One Hand 7

Front 326

Dry fingernail area.

Back 326

Provide Fingernail Care on One Hand 8

Front 327

Feel each nail and file as needed.

Back 327

Provide Fingernail Care on One Hand 9

Front 328

Dispose of orangewood stick and emery board into waste container (for testing purposes).

Back 328

Provide Fingernail Care on One Hand 10

Front 329

Empty, rinse and dry basin.

Back 329

Provide Fingernail Care on One Hand 11

Front 330

After rinsing basin, place it in designated dirty supply area.

Back 330

Provide Fingernail Care on One Hand 12

Front 331

Dispose of used linen into soiled linen container.

Back 331

Provide Fingernail Care on One Hand 13

Front 332

After cleaning nails and equipment and disposing of soiled linen, remove and dispose of glove (without contaminating self) into waste container and wash hands.

Back 332

Provide Fingernail Care on One Hand 14

Front 333

Ensure signaling device is within reach.

Back 333

Provide Fingernail Care on One Hand 15