Cna 1 Skills

Front 1

Mouth Care

Back 1

Equipment: emesis basin, glass of water, gloves, toothbrush/toothettes, toothpaste, 4:1 mouthwash solution, protective barrier, towel

-Put client in upright sitting position
-Position supplies on table w/ barrier, glove up
*Towel over chest
-Moisten brush, put on paste
-Clean all surfaces of mouth and tongue for 2 minutes
-Help rinse mouth, offer mouthwash
-Let them spit in emesis basin
-Dry/wipe mouth & remove towel
-Lower bed
-Maintain clean technique, dispose of linens, clean and replace equipment, remove gloves, reposition HOB

Front 2

Mouth Care for a Comatose Client

Back 2

Equipment: Gloves, emesis basin, lubricant, glass of water, toothettes, mouthwash solution, towels (NO toothpaste)

-Turn client to side facing you (head slightly forward)
-Cover pillow and chest with towel
-Gloves
-Place emesis basin under chin
-Pull on chin, clean mouth w/ toothettes in rolling motion using mouthwash (TALK to client!)
-Used toothettes in basin, rinse mouth with watered toothettes
-Wipe mouth w/ towel, apply lubricant to lips
-Remove gloves
*Don't forget call light

Front 3

Denture Care for a Dependent Client

Back 3

Equipment: Dentures, denture cup, gloves, washcloth, towel, emesis basin, toothpaste/denture cleaner, denture tablet

-Sit client upright to remove dentures, towel across chest (no fingers bet. teeth)
-Take out upper then lower denture, put in basin
-Put on BR countertop w/ barrier
-Put washcloth in sink, fill with cold water
-Clean denture cup
-Brush dentures on all surfaces, place back in denture cup w/ cool water and denture tablet
-Return denture cup, clean equipment

Front 4

Bed Bath (Face, Arm, Hand, Underarm)

Back 4

Equipment: bath basin, bath blanket, bath towels, 6+ washcloths, gloves, new gown for client, soap, bath thermometer, lotion, barrier, (bag for dirty linens?)

*Offer client use of bedpan
-Raise rail on opposite side, raise bed
-Cover w/ bath blanket, fold top linens to foot of bed
-Remove gown w/o exposing
-Test water temp, put on gloves
-Towel on chest, make mitt, wash each eye twice w/o soup from inner to outer corner
-Wash face/neck/ears, dry
-Towel under arm (soak hands?)
-Wash w/ soap arm/hand/pit, then rinse
-Dry with towel under arm, apply lotion to arm/hand
-Take off gloves
-Help put on new gown, pull up linens, take off bath blanket
-Lower bed, clean equipment

Front 5

Handwashing

Back 5

**STILL, knock on door and introduce self and task before walking to sink

-Don't touch side or inside of sink with body/hands
-Dry fingers first then up palm

Front 6

Putting on & Removing Gown & Gloves

Back 6

Equipment: Gloves, gown

*Gown on - tie neck first, then waist
*Gown off - untie neck first, then waist
*Fold gown soiled to soiled side

Front 7

Re-Position Client on Side in Bed (Semi-Supine)

Back 7

Equipment: 4 pillows

*Move body towards you in 3 sections
*Roll away from you so that they are in center of bed
*Pillows: under head, under back, under top leg, under top arm across rib cage
*Position bottom arm comfortably

Front 8

Foot Care

Back 8

Equipment: Basin, bath towel, gloves, barrier, lotion, soap, washcloth

*Wash with soap and water

Front 9

Fingernail Care

Back 9

Equipment: Gloves, nail clipper, orange stick, emery board, lotion, basin, bath towel, paper towels, barrier, washcloth

*Soak for at least 5 min.
*Specifically dry between fingers

Front 10

Dressing and Undressing a Client

Back 10

Equipment: Client's choice of clothes, bath blanket

*Cover with bath blanket and remove top covers
*Remove from strong side first
*Dress weak side first
*Keep body parts not dressing covered

Front 11

Making an Occupied Bed

Back 11

Equipment: Bath blanket, bottom sheet, draw sheet, incontinence pad, top sheet, blanket, pillowcases, gloves

*Keep client covered AAT
*Make sure client is in center of bed and aligned

Front 12

Making an Unoccupied Bed

Back 12

Equipment: Bottom sheet, draw sheet, incontinence pad, top sheet, blanket, pillowcases, gloves

*Wash hands before and after skill!

Front 13

Assisting a Client with a Meal

Back 13

Equipment: Meal tray, clothing protector, washcloth, towel

*Wash/dry resident's hands before feeding!
*Calculate intake

Front 14

Measure & Record Oral Fluid Intake

Back 14

Equipment: I/O record sheet

*Record amount person drank, not amount left!

Front 15

Taking & Recording Digital Oral Temperature, Radial Pulse, & Respirations

Back 15

Equipment: Barrier, disposable probe cover, gloves, paper, pen, thermometer, watch

Front 16

Taking & Recording Apical Pulse & Respirations

Back 16

Equipment: Stethoscope, alcohol wipes

Front 17

Taking & Recording Radial Pulse & Respirations

Back 17

Equipment: Pen, paper

Front 18

Taking & Recording Blood Pressure

Back 18

Equipment: Wipes, stethoscope, blood pressure cuff

Front 19

Measure & Record Weight on an Ambulatory Client

Back 19

Equipment: Scale

*Always balance scale
*Take off shoes
*Assist to face scale, don't need gait belt
*Don't forget to leave call light within reach

Front 20

Perineal Care for a Female Client

Back 20

Equipment: 4 washcloths, towel, bath blanket, 2 incontinence pads, gloves, wash basin, thermometer, barrier, soap, plastic bag for washcloths

*One wipe per side of cloth
*Use soap and water for mannequin
*Don't re-dip cloth into water after touching skin
*Pat dry all surfaces
*Clean labia top to bottom
*Clean rectum front to back

Front 21

Assisting a Client to use a Bedpan

Back 21

Equipment: 4 pairs of gloves, bedpan, cover for bedpan, barrier, gloves, wet towel, toilet paper, incontinence pad, bath blanket (optional)

*Thickest end towards foot of bed/ fracture pan handle towards foot of bed
*Measure output if client on I/O recordings
*Wash client's hands!

Front 22

Catheter Care

Back 22

Equipment: 4 washcloths, bath blanket, gloves, paper towels, soap, towel, wash basin, incontinence pad

*Hold catheter close to urethral opening
*Wipe tubing away from body
*Maintain privacy

Front 23

Measure & Record Output from a Urinary Drainage Bag

Back 23

Equipment: 3 paper towels, graduate, wipes, gloves

*Don't touch graduate with spout
*Wipe with alcohol swab after closing
*Read at eye level
*Dump urine in toilet!

Front 24

Transfer from Bed to Wheelchair

Back 24

Equipment: Wheelchair, gait belt, shoes

Front 25

Transfer from Wheelchair to Bed

Back 25

Equipment: Gait belt, shoes

Front 26

Ambulation using a Gait Belt

Back 26

Equipment: Gait belt

*Always finish with call light
*Put on shoes

Front 27

Ambulation with a Walker & Gait Belt

Back 27

Equipment: Walker, gait belt

*Always finish with call light
*Put on shoes

Front 28

Range of Motion (Lower Extremities - Hip & Knee)

Back 28

Equipment: N/A

Front 29

Range of Motion (Upper Extremities - One Shoulder)

Back 29

Equipment: N/A

Front 30

Anti-Embolism Stockings (One Leg)

Back 30

Equipment: Stockings

*Only expose the one leg
*Have leg at heart level for at least 15 min
*Check heel is properly placed
*No wrinkles in leg, leave room for toes

Front 31

Pre-Skill Prep Steps

Back 31

1. Knock on Door
2. Introduce self by name and title
3. Identify and address client by name
4. Explain Procedure
5. Assemble Equipment
6. Provide for Privacy
7. Check bed locks!

Front 32

Post-Skill Steps

Back 32

1. Lower height of bed to lowest position
2. Leave client in safe position w/ call light
3. Open curtains
4. Wash hands
5. Report any abnormalities