Clinical skills test checklist

Clinical skills test checklist DEFAULT

Clinical Skills Test Checklist - Prometric

ClinicalSkillsTestChecklist

The checklist for each of the skills that may be on the

ClinicalSkillsTest is provided on the following pages.

These checklists are not procedures and are not

necessarily provided in the order that you will perform

the skill. The skills should not be learned from the

checklists; however, the checklists can be helpful for

you and your instructor to evaluate your performance in

the classroom or clinical setting.

All candidates are scored on Handwashing and on a skill

called Indirect Care, which is scored throughout the

candidate’s entire test.

Indirect Care represents aspects of care related to

resident rights, communication with the resident,

resident safety and comfort, and infection control.

When reviewing the checklist, you will notice that these

checkpoints are a part of every skill.

Handwashing Note: Your handwashing technique is

evaluated at the beginning of the test. This skill is not

prompted, which means you will not be told to wash

your hands. Nurse aides are expected to know to wash

their hands before and after physical contact (touching)

with the resident.

Handwashing

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Wet hands and apply soap?

3 Work up lather cleansing front and back of hands

and wrists, between fingers, around cuticles, under

nails, and up wrists (halds-width)?

4 Provide cleansing friction for a minimum of

10 seconds?

5 Remove all soap, rinsing while holding fingers lower

than wrists?

6 Dry hands with paper towel and limit contact of

towel to cleansed skin surfaces?

7 Turn off water with paper towel and dispose of

towel?

8 Complete task without contaminating hands, such

as against sink?

9 Promote resident comfort throughout procedure?

Does the candidate:

Bedmaking - Unoccupied

1 Remove linen rolling away from uniform with dirty

side in?

2 Secure bottom sheet to mattress at top and sides of

mattress for flat sheet and on all sides if using fitted

sheets?

3 Center drawsheet over bottom sheet and secure,

leaving wrinkle free?

4 Align top sheet at/near head of mattress?

5 Leave sides of top sheet untucked?

6 Secure top sheet under foot of mattress?

7 Replace pillowcase?

8 Apply blank and/or bedspread over top sheet and

secure at foot of mattress?

9 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

10 Promote resident safety throughout procedure?

Does the candidate:

Bedpan

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Place protective pad on bed over bottom sheet,

under buttocks before placing bedpan?

4 Position bedpan under resident according to

form/shape of the selected bedpan to allow for

comfort and collection?

5 Raise the head of bed to level of resident’s comfort,

after positioning the resident on the bedpan?

6 Provide resident with toilet paper before removing

bedpan?

7 Lower head of bed before removing bedpan?

8 Empty contents of bedpan into toilet?

9 Rinse, dry and store bedpan in bottom shelf/drawer

of bedside cabinet?

10 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

11 Promote resident comfort throughout procedure?

12 Promote resident rights throughout procedure?

13 Promote resident safety throughout procedure?

Does the candidate:

Blood Pressure

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Expose the resident’s antecubital area?

4 Position the resident’s arm with palm up, and elbow

at the level of the heart?

5 Wrap cuff evenly around arm (bladder over brachial

artery), with bottom of cuff positioned within an

inch above the antecubital?

6 Locate the brachial artery before placing the

stethoscope?

7 Position diaphragm of stethoscope over brachial

artery, and place stethoscope earpieces in his/her

ears, before inflating cuff?

Copyright © 2010 Prometric Inc., a Delaware

corporation. All Rights Reserved.

1 20100910


CLINICAL SKILLS TEST CHECKLIST

Blood Pressure

8 Inflate cuff safely (no more than 30mm past point

pulse last felt or heard)?

9 Control slow deflation of cuff?

10 Record blood pressure within +/- 4mm of CSO’s

systolic and diastolic readings?

11 Clean (earpieces and diaphragm of stethoscope with

alcohol swab or other disinfectant) and store

equipment at completion of procedure and leave

work area tidy?

12 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

13 Promote resident comfort throughout procedure?

14 Promote resident rights throughout procedure?

15 Promote resident safety throughout procedure?

Does the candidate:

Catheter Care

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Apply gloves before beginning catheter care?

4 Place incontinent pad under buttocks before

beginning procedure?

5 Ensure water is at safe and comfortable

temperature?

6 Use soapy washcloth to clean around the catheter

at insertion site?

7 Change spot on soapy washcloth for each washing

stroke, from front to back?

8 Cleanse catheter, washing away from body and

down the catheter about 3-4 inches?

9 Use clean wet washcloth for rinsing all washed

areas?

10 Change spot on washcloth for each rinsing stroke,

wiping from front to back?

11 Dry entire perineal area, from front to back, and

catheter after completing cleaning and rinsing of

each area?

12 Leave tubing coiled on bed, without kinks,

obstructions, or loops of tubing hanging over the

side of bed?

13 Remove incontinent pad at completion of

procedure?

14 Clean and store equipment at completion of

procedure and leave work area tidy?

15 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

16 Promote resident comfort throughout procedure?

17 Promote resident rights throughout procedure?

18 Promote resident safety throughout procedure?

Change an Occupied Bed

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Lower head of bed before changing linen?

4 Position resident safely on side and on nonworking

side of bed?

5 Roll dirty bottom linen and tuck under resident?

6 Place clean bottom linen on working side, securing

under mattress at head of bed and along working

side?

7 Extend clean bottom linen on working side, across

bed and tuck under resident?

8 Ask or assist resident to turn to face opposite side

of bed?

9 Complete placement of bottom linen, securing flat

sheet under mattress at head of bed and on along

working sides?

10 Leave bottom linen free of wrinkles?

11 Place clean top linen(s)?

12 Avoid exposure of resident throughout procedure?

13 Secure top linen(s) under foot of mattress allowing

room for foot movement?

14 Leave top linen(s) untucked on sides?

15 Replace pillowcase?

16 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

17 Promote resident comfort throughout procedure?

18 Promote resident rights throughout procedure?

19 Promote resident safety throughout procedure?

Does the candidate:

Change of Position

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Position and align resident to ensure safe turning?

4 Position device/padding/pillow behind resident’s

back to maintain side-lying position?

5 Align legs with knees slightly bent to alleviate hip

and back strain?

6 Position device/padding/pillow between legs to

avoid contact between bony prominences of knees

and ankles?

7 Position device/padding/pillow between legs to

ensure (upper) hip and leg in proper alignment?

8 Adjust resident’s left arm and shoulder to avoid

pressure?

9 Position pillow to provide support/alignment of neck

and head?

10 Provide positioning device/padding/pillow to support

right shoulder/arm?

11 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

12 Promote resident comfort throughout procedure?

2


CLINICAL SKILLS TEST CHECKLIST

Change of Position

13 Promote resident rights throughout procedure?

14 Promote resident safety throughout procedure?

Does the candidate:

Change of Position with Backrub

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Position and align resident to ensure safe turning?

4 Warm lotion in hands before applying to resident’s

back?

5 Provide backrub using strokes to cover from base of

spine and working towards neck and shoulders

using gentle strokes and circular motions?

6 Remove unabsorbed excess lotion on resident’s

back?

7 Position device/padding/pillow behind resident’s

back to maintain side-lying position?

8 Align legs with knees slightly bent to alleviate hip

and back strain?

9 Position device/padding/pillow between legs to

avoid contact between bony prominences of knees

and ankles?

10 Position device/padding/pillow between legs to

ensure (upper) hip and leg in proper alignment?

11 Adjust resident’s left arm and shoulder to avoid

pressure?

12 Position pillow to provide support/alignment of neck

and head?

13 Provide positioning device/padding/pillow to support

right shoulder/arm?

14 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

15 Promote resident comfort throughout procedure?

16 Promote resident rights throughout procedure?

17 Promote resident safety throughout procedure?

Does the candidate:

Dressing

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Include resident in decision-making about clothing

to wear?

4 Collect all garments (sockes, undergarments, pants,

shirt or dress) before undressing from gown?

5 Support affected right arm while undressing and

dressing?

6 Remove gown from affected right arm last?

7 Dress affected right arm first?

8 Gather up sleeve to ease pulling over affected arm?

9 Assist resident to put on underwear, T-shirt, slacks

and top/or dress, and socks?

Dressing

10 Move resident’s extremities gently and without

over-extension or force when assisting with

undressing and dressing?

11 Adjust all clothing for comfort, neatness and

alignment and close all fasteners?

12 Place dirty gown in hamper?

13 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

14 Promote resident comfort throughout procedure?

15 Promote resident rights throughout procedure?

16 Promote resident safety throughout procedure?

Does the candidate:

Feeding

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°) and in proper alignment, before

feeding?

4 Offer and assist resident to wash hands before

feeding?

5 Sit to maintain eye level contact with resident while

feeding?

6 Apply clothing protector before feeding?

7 Offer fluid to drink to moisten mouth before offering

food?

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 protective clothing cover and tidy work

area at completion of task?

15 Accurately record percent of food intake on Food

Acceptance Record?

16 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

17 Promote resident comfort throughout procedure?

18 Promote resident rights throughout procedure?

19 Promote resident safety throughout procedure?

3


CLINICAL SKILLS TEST CHECKLIST

Does the candidate:

Hair and Nail Care

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Use comb or brush to groom hair, pulling gently

through hair without breaking hair or causing

discomfort to the resident?

4 Soak nails in water of safe, comfortable

temperature before removing residue from under

nails?

5 Remove residue from under nails with either

nailbrush or orangewood stick?

6 Dry hands after soaking?

7 Leave nails smooth and free of jagged edges?

8 Apply lotion to hands after nails are cleaned and

shaped?

9 Clean and store equipment at completion of

procedure and leave work area tidy?

10 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

11 Promote resident comfort throughout procedure?

12 Promote resident rights throughout procedure?

13 Promote resident safety throughout procedure?

Does the candidate:

Height and Weight

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Ensure scale balanced zero before measuring

weight?

4 Provide assistance to help resident onto scale

platform?

5 Provide assistance to help resident off scale

platform?

6 Record resident’s height within +/-1 inch of CSO’s

measurement?

7 Record resident’s weight within +/-2 lbs. of CSO’s

measurement?

8 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

9 Promote resident comfort throughout procedure?

10 Promote resident rights throughout procedure?

11 Promote resident safety throughout procedure?

Measure and Record Contents of

Urinary Drainage Bag

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Empty urinary drainage bag into graduated

container without touching tubing against the

container?

4 Wipe drain with alcohol swab after emptying urine

contents?

5 Clamp and tuck drain into protective pocket of

urinary drainage bag after emptying?

6 Leave bag secured to nonmovable part of bed,

ensuring drainage bag and tubing are not touching

floor?

7 Set graduated container on flat surface in bathroom

to read?

8 Position self to read urine amount in graduated

container at eye level?

9 Empty urine in graduated container into toilet, rinse

container and store?

10 Remove gloves and wash hands before recording

output?

11 Record output within +/- 50cc’s of CSO’s reading?

12 Record output as urine and indicate the correct time

on the I&O sheet?

13 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

14 Promote resident comfort throughout procedure?

15 Promote resident rights throughout procedure?

16 Promote resident safety throughout procedure?

Does the candidate:

Mouth Care ~ Brush Teeth

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Position resident in a sitting position (minimum of

45 degrees) before beginning mouth care?

4 Place protective covering over resident’s clothing

before providing mouth care?

5 Moisten toothbrush with water and apply toothpaste

before brushing teeth?

6 Brush all surfaces of teeth and gumline with a

gentle motion?

7 Offer resident opportunity to rinse mouth and spit

into emesis basin as needed?

8 Leave area around resident’s mouth clean and dry?

9 Clean and store equipment at completion of

procedure, remove protective clothing cover and

leave work are tidy?

10 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

11 Promote resident comfort throughout procedure?

12 Promote resident rights throughout procedure?

13 Promote resident safety throughout procedure?

4


CLINICAL SKILLS TEST CHECKLIST

Does the candidate:

Mouth Care ~ Dentures

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Transport denture to sink in a denture cup or

emesis basin?

4 Line sink with washcloth or paper towels, or fill sink

with water to reduce risk of denture breakage?

5 Use cool or tepid running water to clean and rinse

dentures?

6 Brush all surfaces of the dentures?

7 Brush dentures over sink?

8 Rinse dentures to remove toothpaste/denture

cleaner?

9 Store clean dentures in denture cup filled with clean

cool or tepid water?

10 Protect resident’s clothing before beginning mouth

care?

11 Provide mouth care to resident using a toothbrush/

toothette/swab to massage gums, freshen mouth

and remove food residue from gum pockets?

12 Offer resident the opportunity to rinse mouth and

spit into emesis basin?

13 Leave area around resident’s mouth clean and dry?

14 Clean and store equipment after use and leave work

are tidy?

15 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

16 Promote resident comfort throughout procedure?

17 Promote resident rights throughout procedure?

18 Promote resident safety throughout procedure?

Does the candidate:

Partial Bed Bath

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 (avoid

soap poured directly into bath basin)?

11 Rinse neck, hands, arms and chest removing soap

residue?

12 Dry neck, hands, arms and chest?

Partial Bed Bath

13 Ask or 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 base of spine and work

toward neck and shoulders using gentle strokes and

circular motions?

17 Remove unabsorbed excess lotion from resident’s

back?

18 Replace hospital gown without exposing resident

and secure gown in back?

19 Clean and store equipment after use and leave work

area tidy?

20 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

21 Promote resident comfort throughout procedure?

22 Promote resident rights throughout procedure?

23 Promote resident safety throughout procedure?

Perineal Care ~ Female

Instructions: The female resident has been incontinent of

urine and needs perienal care. The pad under the

resident is wet, but the hospital gown is dry.

Does the candidate:

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?

4 Replace soiled pad under resident’s buttocks before

beginning perineal care?

5 Ensure water in basin is at safe and comfortable

temperature?

6 Use soapy washcloth to cleanse genital area?

7 Pass over urinary meatus with first stroke of

washcloth?

8 Change spot on washcloth for each washing stroke?

9 Wipe from front to back with all washing and rinsing

strokes?

10 Remove all soap from perineal area using a fresh

wet washcloth for rinsing?

11 Change spot on washcloth for each rinsing stroke?

12 Cleanse all skin folds of perineal area, front and

back?

13 Dry entire perineal area, from front to back, after

completing cleansing and rinsing of each area?

14 Replace basin of water during task if it becomes

cold or soapy?

15 Position resident on side for cleansing of buttocks

and rectal area?

16 Cleanse, rinse and dry rectal and buttocks area?

17 Leave resident on dry underpad at completion of

procedure?

18 Clean and store equipment at completion of

procedure and leave work area tidy?

5


CLINICAL SKILLS TEST CHECKLIST

Perineal Care ~ Female

19 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

20 Promote resident comfort throughout procedure?

21 Promote resident rights throughout procedure?

22 Promote resident safety throughout procedure?

Pulse and Respirations

Instructions: Measure the resident’s pulse and

respirations. Count each one for one full minute. Record

your results on the Pulse and Respiration Form.

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

Pulse

3 Support resident’s forearm while taking pulse?

4 Place fingers over radial pulse?

5 Count pulse for at least one full minute?

6 Record pulse rate?

7 Report pulse rate within +/- 4 beats per minute of

CSO’s measurement?

Respirations

8 Conceal counting of respirations by not telling

resident?

9 Count respirations for at least one full minute?

10 Record rate of respirations?

11 Report respirations within +/- 2 breaths per minute

of CSO’s measurement?

12 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

13 Promote resident comfort throughout procedure?

14 Promote resident rights throughout procedure?

15 Promote resident safety throughout procedure?

Range of Motion ~ Lower Extremity

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Support extremity above and below joints

throughout ROM exercises?

4 Take resident’s hip and knee through ROM, flexing

knee and hip, raising toward torso, returning back

to mattress?

5 Take resident’s hip through abduction/adduction

ROM exercises (moving leg away from midline and

returning to midline, with leg lifted slightly off the

bed)?

6 Take resident’s hip through rotation ROM exercises

(e.g., rolling leg toward midline and out toward bed,

or by turning foot toward midline and out toward

edge of bed)?

7 Flex and extend ankle through ROM exercises?

8 Rotate ankle through ROM exercises?

Range of Motion ~ Lower Extremity

9 Provide three repetitions of each ROM exercise?

10 Determine resident’s comfort with movement either

verbally or by observing resident’s face throughout

ROM exercises?

11 Control extremity throughout ROM exercises

providing smooth, slow, nonforceful movement?

12 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

13 Promote resident comfort throughout procedure?

14 Promote resident rights throughout procedure?

15 Promote resident safety throughout procedure?

Range of Motion ~ Upper Extremity

Does the candidate:

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Support extremity above and below joints

throughout ROM exercises?

4 Take resident’s shoulder through ROM, raising and

lowering straightened arm along side, toward head

of bed and back to mattress?

5 Take resident’s shoulder through abduction/

adduction ROM exercises (moving straightened arm

away from side, up toward head, and returning

along resident’s side)?

6 Take resident’s shoulder through rotation ROM

exercises (positioning shoulder extended straight to

the side with elbow flexed, rotating shoulder by

moving forearm forward toward mattress and

backward toward mattress)?

7 Flex and extend elbow through ROM exercises?

8 Rotate wrist through ROM exercises (e.g., gently

moving wrist in circular motion to include flexion

and extension, abduction, and adduction of wrist)?

9 Flex and extend finger and thumb joints through

ROM exercises?

10 Provide three repetitions of each ROM exercise?

11 Determine resident’s comfort with movement either

verbally or by observing resident’s face throughout

ROM exercises?

12 Control extremity throughout ROM exercises

providing smooth, slow, nonforceful movement?

13 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

14 Promote resident comfort throughout procedure?

15 Promote resident rights throughout procedure?

16 Promote resident safety throughout procedure?

6


CLINICAL SKILLS TEST CHECKLIST

Does the candidate:

Transfer

1 Greet resident, address by name and introduce self?

2 Provide explanations to resident before beginning

and throughout procedure?

3 Place wheelchair near bed before assisting resident

to sitting position 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 Provide support to assist resident to sitting position

on side of bed?

8 Apply gait belt securely around waist and ensure

gait belt is not restricting circulation or breathing,

or injuring 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 around resident, under 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 in back of seat?

17 Place resident’s feet on footrests?

18 Remove gait belt from resident’s waist without

harming resident when transfer completed?

19 Utilize standard (universal) precautions throughout

procedure to include handwashing at the beginning

and end of task?

20 Promote resident comfort throughout procedure?

21 Promote resident rights throughout procedure?

22 Promote resident safety throughout procedure?

7

<strong>Clinical</strong> <strong>Skills</strong> <strong>Test</strong> <strong>Checklist</strong> The checklist for each of the skills that may be on the <strong>Clinical</strong> <strong>Skills</strong> <strong>Test</strong> is provided on the following pages. These checklists are not procedures and are not necessarily provided in the order that you will perform the skill. The skills should not be learned from the checklists; however, the checklists can be helpful for you and your instructor to evaluate your performance in the classroom or clinical setting. All candidates are scored on Handwashing and on a skill called Indirect Care, which is scored throughout the candidate’s entire test. Indirect Care represents aspects of care related to resident rights, communication with the resident, resident safety and comfort, and infection control. When reviewing the checklist, you will notice that these checkpoints are a part of every skill. Handwashing Note: Your handwashing technique is evaluated at the beginning of the test. This skill is not prompted, which means you will not be told to wash your hands. Nurse aides are expected to know to wash their hands before and after physical contact (touching) with the resident. Handwashing Does the candidate: 1 Greet resident, address by name and introduce self? 2 Wet hands and apply soap? 3 Work up lather cleansing front and back of hands and wrists, between fingers, around cuticles, under nails, and up wrists (halds-width)? 4 Provide cleansing friction for a minimum of 10 seconds? 5 Remove all soap, rinsing while holding fingers lower than wrists? 6 Dry hands with paper towel and limit contact of towel to cleansed skin surfaces? 7 Turn off water with paper towel and dispose of towel? 8 Complete task without contaminating hands, such as against sink? 9 Promote resident comfort throughout procedure? Does the candidate: Bedmaking - Unoccupied 1 Remove linen rolling away from uniform with dirty side in? 2 Secure bottom sheet to mattress at top and sides of mattress for flat sheet and on all sides if using fitted sheets? 3 Center drawsheet over bottom sheet and secure, leaving wrinkle free? 4 Align top sheet at/near head of mattress? 5 Leave sides of top sheet untucked? 6 Secure top sheet under foot of mattress? 7 Replace pillowcase? 8 Apply blank and/or bedspread over top sheet and secure at foot of mattress? 9 Utilize standard (universal) precautions throughout procedure to include handwashing at the beginning and end of task? 10 Promote resident safety throughout procedure? Does the candidate: Bedpan 1 Greet resident, address by name and introduce self? 2 Provide explanations to resident before beginning and throughout procedure? 3 Place protective pad on bed over bottom sheet, under buttocks before placing bedpan? 4 Position bedpan under resident according to form/shape of the selected bedpan to allow for comfort and collection? 5 Raise the head of bed to level of resident’s comfort, after positioning the resident on the bedpan? 6 Provide resident with toilet paper before removing bedpan? 7 Lower head of bed before removing bedpan? 8 Empty contents of bedpan into toilet? 9 Rinse, dry and store bedpan in bottom shelf/drawer of bedside cabinet? 10 Utilize standard (universal) precautions throughout procedure to include handwashing at the beginning and end of task? 11 Promote resident comfort throughout procedure? 12 Promote resident rights throughout procedure? 13 Promote resident safety throughout procedure? Does the candidate: Blood Pressure 1 Greet resident, address by name and introduce self? 2 Provide explanations to resident before beginning and throughout procedure? 3 Expose the resident’s antecubital area? 4 Position the resident’s arm with palm up, and elbow at the level of the heart? 5 Wrap cuff evenly around arm (bladder over brachial artery), with bottom of cuff positioned within an inch above the antecubital? 6 Locate the brachial artery before placing the stethoscope? 7 Position diaphragm of stethoscope over brachial artery, and place stethoscope earpieces in his/her ears, before inflating cuff? Copyright © 2010 <strong>Prometric</strong> Inc., a Delaware corporation. All Rights Reserved. 1 20100910

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Cna Clinical Skills Checklist- Campbell

1 Wet hands and apply soap?
2 lather --front and back -
hands, wrists, between
fingers, cuticles & under nails?
3 friction for min of 15 seconds?
4 Remove soap, rinsing holding
fingers lower than wrists?
5 Dry hands with Several paper
towels & limit contact of
towel to cleansed skin
surfaces?
6 Turn off water with paper
towel and dispose -towel?
7 Complete task without
contaminating hands, such
as against sink?

Assist resident to use a bedpan:
PART 1

1. Greet resident-Use their
name Self Intro
2 Explain Procedure {throughout}
2a. Utilize Standard Precautions
3. Use protective pad over
bottom sheet & under
buttocks before bedpan
4 Position bedpan under
5 Raise head of bed after
positioning on bedpan.
6 Toilet paper within reach
before removing bedpan?
7 Lower head of bed before
removing bedpan? [SEE PART 2]

8 Goves before bedpan Removal
& during emptying &
cleaning bedpan?
9 Empty contents into toilet?
10 Rinse, dry & Remove gloves
before or use a barrier when
storing bedpan?
11. Store bedpan Bottom Shelf
Bedside Cabinet
12 Offer resident a damp
washcloth/towelette to
cleanse hands
13. Utilize Standard precautions
& infection control

14 Promote resident comfort &
resident rights
16 Promote resident safety

Ambulate the resident using a gait belt:

1. Greet resident, intro-self?
2 Explain procedure?
3 Apply gait belt [email protected]
Securley [not 2 tight] B4-
resident stands.
4 shores or non-slip socks?
5. Properly hold Gait belt while
resident to stands
6 Ask about dizziness?
7 Walk slightly behind & 1side
Hold gait belt in back
8 Match resident's pace
9 Walk resident a min- 20 steps
10 Ask re: tolerance, comfort,
dizziness or fatigue?
11 Assist to turn and position to
sit back in chair.
12 Control gentle lowering of
resident into chair?
13 Remove gait belt- No harm or
shake resident.
14 Use Standard Precautions
15 Promote Comfort, safety &
resident rights throughout
procedure?

1. Greet resident, intro-self?
2 Explain procedure?
3 Lower head of bed before
changing sheet?
4 Move resident safely 2 non
working side of bed?
5 Loosen dirty bottom sheet
@working side, push dirty
sheet& tuck against resident?
6 Place clean bottom [email protected]
workside, & secure @ corners
7 Extend clean sheet across
bed and tuck under resident?
8 Assist resident 2 roll onto
working side of bed?
9 Complete placement of
bottom sheet, secure
sheet (all four corners)?
10 bottom sheet NOT wrinkled
11 Place clean top sheet?
12 Avoid resid. exposure.
13 Secure top [email protected] bottom of
bed create foot pocket.
14 Top sheet untucked on
sides (USE hospital corners)
15 Replace pillowcase {NO
Pillows on bed/under Chin}
16 Soiled linen in hamper?
17 Resident on top & under
bottom sheet& pillow @ head?
18 Use Standard Precautions
19 Promote Comfort, safety &
resident rights throughout
procedure?

Feed the resident who is in bed
Does the candidate:

1. Greet resident, intro-self?
2 Explain procedure?
3 Raise bed 2 sitting position
(minimum 60 degrees)
4 Offer/assist R' to wash hands
5 Eye level contact with R'
6 Apply clothing protector
7 Offer drink before feeding?
8 Use spoon to feed?
9 Offer drink throughout feeding
(every3-4 bites of food)?
10 Check 2 see R' swallowed B4
next bite?
11 Encourage R' 4 food intake?
12 Converse with R
13 R' mouth clean and dry?
14 Remove linen/trash
15 Accurately record food intake
Use Standard Precautions
16 Promote Comfort, safety &
resident rights throughout
procedure?

Measure and record the contents of urinary drainage bag

1. Greet resident, intro-self?
2 Explain procedure?
3 Gloves B4 handling urinary
drainage bag?
4 Empty bag into graduated
container without touching
tubing against container?
5 Wipe drain with alcohol swab
after emptying urine.
6 Close/protect drain(clamp/tuck)
7 Leave bag secured to bed
[No touch Floor]
8 Container on flat surface
[use barrier]
9 Read urine @ eye level?
10 Empty urine in2 toilet
rinse and dry container?
11 Remove gloves & wash hands
B4 recording output?
12 Record output within +/-
50cc’s of nurse’s reading?
13 Record output as urine and
indicate the correct time
on the I&O Form?
14) Use Standard Precautions
Promote Comfort, safety &
resident rights throughout
procedure?

Measure and record the resident’s blood pressure

1. Greet resident, intro-self?
2 Explain procedure?
3 Expose R's antecubital?
4 Position R's arm-palm up,
elbow level of heart?
5 Wrap cuff evenly- bottom of
cuff positioned inch above
antecubital?
6 Locate the brachial artery
B4 stethoscope?
7 Position diaphragm of
stethoscope over brachial
artery, and place stethoscope
earpieces B4 inflating cuff?
8 Inflate cuff safely (e.g., inflate
not more than 30mm past
point pulse last felt or heard)?
9 Control deflation of cuff?
10 Record systolic blood pressure within +/-4mm of
nurse’s readings?
11 Record diastolic blood pressure within +/-4mm of
nurse’s readings?
12 Clean earpieces and diaphragm of stethoscope and
store equipment at completion of procedure and
leave work area tidy?
13 Utilize Standard Precautions and infection control
measures throughout procedure?
14 Promote resident comfort throughout procedure?

Measure and record the resident’s
pulse and respirations

1. Greet resident, intro-self?
2 Explain procedure?
3 Support R's forearm - taking
pulse?
4 Place fingers over radial pulse?
5 Count pulse for at least one
full minute?
6 Record pulse rate?
7 Report pulse within +/- 4
beats per minute of
nurse’s measurement?
8 Refrain from telling resident
respirations are being
counted?
9 Count respirations for at least
one full minute?
10 Record respirations within +/- 2 breaths per min of nurse’s
measurement?
11 Utilize Standard Precautions
and infection control
measures throughout
procedure?
12 Promote resident comfort
throughout procedure?

Perform passive range of motion exercises to
resident’s upper extremity
(shoulder, elbow, wrist and fingers)

1. Greet resident, intro-self?
2 Explain procedure?
3 Perform range of motion on
the correct side?
4 Support extremity above and
below joints throughout ROM
exercises?
5 Take shoulder through ROM,
raising and lowering
straightened arm along
side, towards head of bed
(HOB) and back to mattress?
6 Take resident’s shoulder
through abduction/
adduction ROM exercises?
7 Take resident’s shoulder
through rotation ROM
exercises?
8 Flex and extend elbow through
ROM exercises?
9 Provide ROM exercises to wrist
(e.g., gently rotate,
or flex/extend and move side
to side)?
10 Flex and extend finger and
thumb joints through
ROM exercises?
11 Provide three repetitions of
each ROM exercise?
12 Ascertain resident’s comfort with movement either
verbally or by observing resident’s face throughout
ROM exercises?
13 Control extremity throughout ROM exercises
providing smooth, slow, nonforceful movement?

Provide catheter care to the resident who has an
indwelling urinary catheter

1. Greet resident, intro-self?
2 Explain procedure?
3 Apply gloves before using soapy washcloth to clean
around catheter insertion site?
4. Place incontinent pad under buttocks before
beginning procedure?
5 Obtain bath basin with water of safe and
comfortable temperature?
6 Apply small amount of soap directly to wet
washcloth before cleansing?
7 Change spot on soapy washcloth for each washing
stroke, wiping inside labia from front to back?
8 Cleanse catheter, washing away from body and
down the catheter about 3-4 inches?
9 Use clean wet washcloth to rinse washed areas?
10 Change spot on washcloth for each rinsing stroke,
wiping inside labia from front to back?
11 Replace water in basin during procedure if becomes
too cool or soapy?
12 Dry perineal area, from front to back after
completing cleaning and rinsing?
13 Adjust linen to avoid unnecessary exposure of
resident throughout procedure?
14 Avoid tugging or pulling on catheter?
15 Leave tubing free of kinks or obstructions and not
t

Provide foot care to the resident

1. Greet resident, intro-self?
2 Explain procedure?
3 Obtain water in bath basin, checking to ensure
water is safe and comfortable temperature?
4 Offer resident opportunity to check water
temperature before submerging foot in water?
5 Place water filled basin on protective barrier on
floor?
6 Place resident’s barefoot in water to soak?
7 Refrain from adding soap directly to basin of water?
8 Wash foot using washcloth with small amount of
soap applied directly to wash cloth?
9 Wash top and bottom of foot and between toes?
10 Submerge foot in water in basin to remove soap
residue?
11 Remove foot from water and dry entire top and
bottom of foot including between toes?
12 Warm lotion in hand before applying to foot?
13 Apply lotion to top and bottom of foot, excluding
between toes?
14 Remove unabsorbed excess lotion?
15 Apply sock to foot ensuring sock is smooth and
replace shoe?

Provide foot care to the resident

PART 2

16 Provide support to lower extremity throughout
procedure as needed to avoid strain?
17 Avoid placing resident’s barefeet directly on floor
before, during or after foot care?
18 Clean and dry basin, store equipment, and dispose
of soiled linen when procedure completed?
19. Utilize Standard Precautions
and infection control
measures throughout
procedure?
20. Promote resident comfort
throughout procedure?

Sours: https://www.cram.com/flashcards/cna-clinical-skills-checklist-campbell-2950600
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Clinical Skills Test Checklist - Prometric

ClinicalSkillsTestChecklist

Nurse aide training program instructors often find it helpful to have information available about how their students

are performing on the ClinicalSkillsTest. The information provided below is based on statewide data (not program

specific) that identifies checkpoints that more than 10% of candidates are getting incorrect. Those checkpoints that

are bolded are checkpoints that 20% or more of candidates are getting incorrect. When a candidate gets a

checkpoint incorrect it may be because the candidate overlooked performing that aspect of the skill, or that the

candidate did not meet the requirements of the checkpoint. In some cases, the checkpoint might include several

requirements, and perhaps the candidate met some, but not all of the requirements.

The information provided in this document is expected to be helpful to instructors, who may use it in considering

teaching strategies or aspects of skills that may require additional emphasis when training students. Prometric

recognizes that there are challenges in teaching and that this information does not necessarily reflect any

deficiencies in how instructors are teaching or covering material. Because a student is taught to do something, it

does not guarantee that they will actually perform it correctly or perform it correctly consistently. However, it is

recognized that any improvements in candidates’ performances potentially impacts improved resident care.

Indirect Care

Indirect Care is a skill that is evaluated during the

performance of each skill. This skill evaluates behaviors

that are common to any resident care such as: infection

control, safety, communication, and resident preferences,

needs, comfort and rights. Candidates are not given

instructions to perform the Indirect Care skill. The

evaluator watches for these behaviors while you perform

each skill.

Does the candidate:

Ask resident about preferences during care? (IC)

Use Standard Precautions and infection control

measures when providing care? (IC)

Promote resident’s rights during care? (IC)

Promote resident’s safety during care? (IC)

Ambulate the resident using a transfer/gait belt

Does the candidate:

Apply transfer/gait belt before standing resident, placing

around the resident’s waist and over clothing, secure so

that only flat fingers/hand fit under belt, and the belt

does not catch skin or skin folds (e.g. breast tissue)?

Ask about how resident feels upon standing?

Walk resident while standing to the side and slightly

behind resident?

Ask about how resident feels during ambulation?

Assist resident needing to use a bedpan

Does the candidate:

Place protective pad on bed over bottom sheet,

under buttocks/upper thigh area, before placing

bedpan, and remove the pad after bedpan is

removed?

Position bedpan under resident according to form/shape

of the selected bedpan?

Position bedpan to allow for collection?

Raise the head of the bed after positioning the

resident on the bedpan, and lower the head of the

bed before removing bedpan?

Empty contents of bedpan into toilet, rinse bedpan

pouring contents into toilet, and dry bedpan?

Offer resident damp washcloth or paper towel, or

hand wipe, to cleanse hands after bedpan used,

before end of care?

Change bed linen while the resident remains in bed

Does the candidate:

Tuck top sheet under foot of mattress leaving sheet

placed loosely, avoiding pressure against toes and

allowing for foot movement?

Does the candidate:

Change resident’s position to a

supported side-lying position

Leave resident positioned on side with upper knee

bent in front of the lower leg?

Leave the resident positioned on side without lying on the

shoulder, arm, and hand?

Place device/padding or pillow positioned to

support the resident’s upper arm, supporting both

the shoulder and arm?

Copyright © 2011 Prometric Inc., a Delaware

corporation. All Rights Reserved.

1 20110729


C L I N I C A L S K I L L S T E S T C H E C K L I S T

Dress a resident who has a weak arm

Does the candidate:

Include resident in decision-making about clothing

to wear?

Dress affected arm first?

Empty contents of resident’s urinary drainage bag,

and measure and record urine output on an

Intake and Output (I&O) form

Does the candidate:

Set graduate or bedpan on barrier placed on floor and

empty full contents of drainage bag into the graduate or

bedpan?

Set graduate on flat surface protected with barrier

to read, obtaining measurement by reading

graduate at eye level, and if urine poured into

graduate from a bedpan, complete task over toilet

pouring the full amount of urine into the graduate?

Empty urine in graduate into toilet after measuring,

rinse and dry container, pouring rinse water into

toilet?

Record output with clean hands?

Provide foot care to a resident who is

sitting in a chair

Does the candidate:

Place water filled basin on protective barrier on floor to

prepare for foot care?

Use soapy washcloth to wash foot without adding soap

directly to basin of water?

Provide support to lower extremity throughout procedure

as needed to avoid strain?

Does the candidate:

Provide mouth care to a resident

who has a denture

Protect denture from damage while cleaning by lining

sink, filling sink with water, or holding denture directly

over basin?

Handle clean denture maintaining cleanliness after

brushed, placing denture in denture cup filled with

clean cool or tepid water?

Protect resident’s clothing before providing mouth

care and remove protective cover when care is

completed?

Feed a resident who is sitting in a chair

Does the candidate:

Assist or cue resident to sit upright in chair before

feeding?

Offer and assist resident to wash hands before

feeding using a damp washcloth, paper towel, or

hand wipe?

Sit while feeding the resident?

Measure and record a resident’s radial pulse

Does the candidate:

Record resident’s pulse rate on Measurement Form within

+/- 4 beats per minute of nurse’s measurement?

Provide catheter care to a female resident who has

an indwelling urinary catheter

Does the candidate:

Position towel or underpad under buttocks/thigh

area before cleansing, and when care completed

remove towel or underpad, or leave resident on a

dry underpad?

Change spot on soapy washcloth for each washing

stroke, wiping from front to back when cleansing inside

labia?

Use clean soap-free wet washcloth to remove

soap?

Change spot on washcloth for each rinsing stroke,

wiping front to back inside labia, and away from

body when rinsing catheter?

Dry perineal area, from front to back after completing

cleansing and rinsing?

Provide mouth care to a resident who has teeth

Does the candidate:

Assist resident to sitting position in bed by raising HOB

and using pillows as needed to position resident upright

at 60° to 90° before offering fluid or brushing teeth?

Moisten toothbrush with water and apply toothpaste

before brushing teeth?

Provide perineal care to a female resident

who is incontinent of urine

Does the candidate:

Remove soiled underpad and replace with dry

underpad before beginning cleansing?

Change spot on washcloth for washing and rinsing

strokes when cleansing inside the vulva?

Use clean, soap-free, wet washcloth to remove soap from

resident’s skin on front perineum?

Position resident on side to prepare for cleansing of

buttocks and rectal area?

Wash, rinse, and dry buttocks and rectal area?

Wipe from front to back with all washing and

rinsing strokes when cleansing the rectal area?

2


C L I N I C A L S K I L L S T E S T C H E C K L I S T

Provide resident hand and nail care

Does the candidate:

Clean hand surfaces using wet washcloth, cleaning

between fingers, and if soap used, rinse or remove

soap using a clean, soap-free, wet washcloth?

Use flat edge of orangewood stick to remove

residue under tips of each fingernail, and remove

residue from edge of orangewood stick, if present,

before using again to clean under another

fingernail?

Provide resident a partial bed bath and back rub

Does the candidate:

Cleanse eyes by using soap-free washcloth wiping eye

from the inside corner to the outside corner, changing to

clean area of washcloth before returning to inner corner

and before cleansing the other eye?

Wash resident’s face using a soap-free wet washcloth,

unless ascertains resident’s preference to use soap before

washing face?

Protect bed linen from becoming wet during

washing and rinsing of body (non-face)?

Use clean, soap-free, wet washcloth to remove soap from

resident’s skin?

Warm lotion before applying to resident’s back (e.g.,

warming in hands, placing bottle in warm water)?

Use lotion to provide back rub with long gliding and

circular motions?

Place clean hospital gown on resident and secure gown in

back?

Provide resident with passive range of motion

(ROM) exercises (all ROM skills)

Does the candidate:

Exercise correct joints and only correct side when

performing range of motion (ROM)?

Ask resident to report discomfort during ROM or ask if

resident has discomfort during ROM exercises?

Transfer the resident from the bed into a

wheelchair using a pivot technique and a

transfer/gait belt

Does the candidate:

Place nonskid footwear (e.g., shoes) on resident before

standing resident for transfer?

Position resident’s feet flat on the floor before standing to

begin transfer?

Transfer resident as a pivot completed without

having resident take step(s) to reach wheelchair,

and before assisting resident to sit in wheelchair,

positions with the back of resident’s legs against

the seat of wheelchair?

Remove transfer/gait belt from resident’s waist without

harming resident (e.g., pulling transfer/gait belt) when

transfer is complete?

3

<strong>Clinical</strong> <strong>Skills</strong> <strong>Test</strong> <strong>Checklist</strong> Nurse aide training program instructors often find it helpful to have information available about how their students are performing on the <strong>Clinical</strong> <strong>Skills</strong> <strong>Test</strong>. The information provided below is based on statewide data (not program specific) that identifies checkpoints that more than 10% of candidates are getting incorrect. Those checkpoints that are bolded are checkpoints that 20% or more of candidates are getting incorrect. When a candidate gets a checkpoint incorrect it may be because the candidate overlooked performing that aspect of the skill, or that the candidate did not meet the requirements of the checkpoint. In some cases, the checkpoint might include several requirements, and perhaps the candidate met some, but not all of the requirements. The information provided in this document is expected to be helpful to instructors, who may use it in considering teaching strategies or aspects of skills that may require additional emphasis when training students. <strong>Prometric</strong> recognizes that there are challenges in teaching and that this information does not necessarily reflect any deficiencies in how instructors are teaching or covering material. Because a student is taught to do something, it does not guarantee that they will actually perform it correctly or perform it correctly consistently. However, it is recognized that any improvements in candidates’ performances potentially impacts improved resident care. Indirect Care Indirect Care is a skill that is evaluated during the performance of each skill. This skill evaluates behaviors that are common to any resident care such as: infection control, safety, communication, and resident preferences, needs, comfort and rights. Candidates are not given instructions to perform the Indirect Care skill. The evaluator watches for these behaviors while you perform each skill. Does the candidate: Ask resident about preferences during care? (IC) Use Standard Precautions and infection control measures when providing care? (IC) Promote resident’s rights during care? (IC) Promote resident’s safety during care? (IC) Ambulate the resident using a transfer/gait belt Does the candidate: Apply transfer/gait belt before standing resident, placing around the resident’s waist and over clothing, secure so that only flat fingers/hand fit under belt, and the belt does not catch skin or skin folds (e.g. breast tissue)? Ask about how resident feels upon standing? Walk resident while standing to the side and slightly behind resident? Ask about how resident feels during ambulation? Assist resident needing to use a bedpan Does the candidate: Place protective pad on bed over bottom sheet, under buttocks/upper thigh area, before placing bedpan, and remove the pad after bedpan is removed? Position bedpan under resident according to form/shape of the selected bedpan? Position bedpan to allow for collection? Raise the head of the bed after positioning the resident on the bedpan, and lower the head of the bed before removing bedpan? Empty contents of bedpan into toilet, rinse bedpan pouring contents into toilet, and dry bedpan? Offer resident damp washcloth or paper towel, or hand wipe, to cleanse hands after bedpan used, before end of care? Change bed linen while the resident remains in bed Does the candidate: Tuck top sheet under foot of mattress leaving sheet placed loosely, avoiding pressure against toes and allowing for foot movement? Does the candidate: Change resident’s position to a supported side-lying position Leave resident positioned on side with upper knee bent in front of the lower leg? Leave the resident positioned on side without lying on the shoulder, arm, and hand? Place device/padding or pillow positioned to support the resident’s upper arm, supporting both the shoulder and arm? Copyright © 2011 <strong>Prometric</strong> Inc., a Delaware corporation. All Rights Reserved. 1 20110729

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Magazine: Clinical Skills Test Checklist - Prometric

Sours: https://www.yumpu.com/en/document/view/25527616/clinical-skills-test-checklist-prometric

A clinical skills test is a part of the CNA exam and requires candidates to perform five nursing tasks in front of an evaluator. You’ll be asked to demonstrate five duties in 30 minutes.

You probably already know what you need to do to become a Certified Nursing Assistant (CNA). Here’s a quick recap:

Nearly every future CNA is most nervous about the Skills part of the certification examination. After all, there are about thirty basic procedures that you can be tested on. Except for handwashing — which every state includes — CNA candidates can’t know in advance which skills will be requested by the evaluator. There are about 30 basic procedures that you can be tested on. What’s the best way to prepare for the exam? How can you be confident when you walk in?

3

Step Three: Know your state

Although the states all have similar requirements for the skills exam, their testing methods may vary. If your training program didn’t give you any specifics, find your state here. You’ll find useful information on how many skills will be tested and how much time you will have. You may also find out whether you’ll have an actor (another person taking the test) or a mannequin for your demonstrations and whether you’ll be required to “act” as a patient for another CNA candidate’s skills test.

Every state includes handwashing as a skill.

Every state includes handwashing as a skill. Some will make it the first skill; others will include it during your other demonstrations. Handwashing is the primary technique for infection control. Absolutely, positively do not mess this up; it’s an instant fail if you do.

Besides handwashing, most states will also test for one of these two skills:

  1. Recording a measurement: Be ready to demonstrate taking a resident’s blood pressure, radial pulse, or respiration. Measuring urine output is common, too.
  2. Indirect care: This skill requires you to communicate with a resident and pay attention to the person’s comfort, needs, and safety. The scenario might include knowledge about Residents’ Rights. Infection control is part of this skill, too.

Each state chooses an approved provider to administer the skills examination. These are professional organizations that provide independent and unbiased tests to CNA candidates.

Here are the test providers for each state, as of December 26, 2019:

Headmaster: AZ, MT, ND, NH, NJ, NV, OH, OR, SD, TN, WI
Pearson VUE: AL, AK, CA, CO, DC, GA, MD, MN, MS, NH, NC, PA, RI, SC, TX, VA, VT, WA
Prometric: AL, AR, CT, DE, FL, HI, ID, LA, MI, NM, NY, OK
American Red Cross, university, or private: CA, IL, IN, KY, MA, ME, NH, UT, VT, WV

5

Step Five: The big day

If you have prepared, you may still be nervous, but you will be ready for the challenge. If your skills exam is on a different date from the written part, be sure to arrive about 20 minutes early.

Greet your evaluator politely. Listen to the instructions carefully and ask questions if you need additional information. As the exam begins, take a deep breath. You are less than an hour from qualifying as a Certified Nursing Assistant!

  • As you go through each skill, it’s fine to verbalize what you are doing, but you must perform each step of the skill.
  • If you make a mistake or forget a step, tell the evaluator right away. Go back to the step that you think you missed and continue. You can make corrections during the skill but not afterward.
  • The passing score is usually about 80%. Of course, you want to do your best, but perfection isn’t the goal. It’s about going through all the steps to the best of your ability, keeping the patient in mind the entire time.

Examinations are always nerve-racking. And the one that stands between you and your future can be the scariest. But if you study and prepare, your knowledge and confidence will take over and you will sail through with ease.

Sours: https://cna.plus/pass-cna-skills-test-how-to/

Skills checklist clinical test

PDF4PRO ⚡AMP

Example: tourism industry

Handwashing Does the candidate: 1 Begin handwashing by wetting hands and applying soap to hands? 2 Use friction to distribute soap and create lather cleansing front and back of hands, between fingers, around cuticles, under nails, and wrists? 3 Provide cleansing friction for a minimum of 20 seconds with hands lathered with soap? 4 Rinse hands and wrists removing soap? 5 Use clean paper towel(s) to dry hands and wrists, and dispose of used paper towel in trash? 6 End handwashing skill with clean hands avoiding recontamination of hands before procedure completed ( , having direct contact with faucet handles or sink surfaces once hands washed)? ClinicalSkills Test Checklist During training, you learn many Skills that are important in caring for residents. There are 22 Skills that are part of the ClinicalSkills Test. When you are registered to test, a computer will decide which Skills will be on your test.

A Clinical Skills Test consists of five scored skills. All candidates taking this test are scored on the Handwashing and Indirect Care skills. When you take your test, you will be given instructions for the other three skills that are part of your test. Because you may

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ASSESSMENT OF SKILLS -Observation checklist, Rating scale, OSPE [PART-C]

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