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CNA Skills Memory Locks
Animals
A-Z
Skills 1-26
Alligators
Alligators – Pressure Ulcer Prevention
Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to Prevent Pressure Ulcers.
Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to Prevent Pressure Ulcers.
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to prevent Pressure Ulcers:
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
2. Explain 2 other ways to prevent Pressure Ulcers:
Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to prevent Pressure Ulcers:
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
2. Explain 2 other ways to prevent Pressure Ulcers:
a. Changing Position Frequently.
b. Good Nutrition and Hydration.
Bears
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
• D. Attach to bed from (not over or on side
railing) always below level of the bladder.
Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
• D. Attach to bed from (not over or on side
railing) always below level of the bladder.
• Keep catheter bag from touching the floor.
Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
• If the person is a woman then separate the
labia, start @ vulva and stroke downwards
towards the anus. Repeat, using a separate
part of the wash cloth.
Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
• If the person is a man, place your washclothcovered hand at the tip of the penis and wash
in a circular motion, downward the base of
the penis. Repeat, suing a separate part of the
washcloth. Make sure to clean under foreskin
if the man is uncircumcised and return
foreskin to the proper position when finished.
Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Then, using a clean portion of the washcloth,
clean the catheter tubing, starting at the body
and moving outward about four inches. Hold
the catheter near the opening of the urethra.
This will help to prevent tugging at the site
tension as you clean.
Cougars
Cougars – Oxygen Care
Demonstrate correct placement of 02 tubing.
Cannula inside nose (snake bite up), around ears
and under chin.
Cougars – Oxygen Care
Demonstrate correct placement of 02 tubing.
Cannula inside nose (snake bite up), around ears
and under chin.
When asked by a nurse, demonstrate how to
properly check 02 levels and then explain that
you would report abnormalities to the nurse.
Cougars – Oxygen Care
Verbalize 3 Oxygen Use Guidelines.
a. Avoid lighting matches or smoking around
equipment.
b. Ensure that all electrical equipment is in
good repair.
c. No Kinks in Tubing.
d. Make sure that air is flowing.
Dingoes
Dingoes – Occupied Draw Sheet
Change
• A. Place clean draw sheet within reach on
clean surface.
Dingoes – Occupied Draw Sheet
Change
• A. Place clean draw sheet within reach on
clean surface.
• B Provide Privacy Through Procedure.
• C. Lower head of bed to a supine position.
• D. After raising side rail, assist resident to
turn to one side, moving toward raised side
rail.
Dingoes – Occupied Draw Sheet
Change
• E Loosen draw sheet toward resident.
• F. Place and tuck in clean draw sheet on the
working side (this must be done before turning
resident.
• Raise side rail and assist resident to turn onto
clean draw sheet.
• H. Remove soiled linens/draw sheet, avoiding
contact with clothes, and place in appropriate
location within room – never on floor.
Dingoes – Occupied Draw Sheet
Change
• I. Pull and tuck in clean draw sheet, finishing
with sheet free of wrinkles.
Elephant
Elephant – Apply Cold Compress
• A. Cover cold compress with towel or other
protective cover. (never on bare skin.)
• B. Properly place on correct site as directed by
skills examiner.
• C. When asked length of time that the cold
compress should remain on patient Explain
Checked every five minutes, removed no longer
than 20 mins.
• Assess for redness, swelling, irritation and or
pain. Report pain to nurse asap.
Frogs
Frogs – Measure and Record Fluid
Outtake
• A. Place container on flat surface, measure
accurately in mL’s
• B Dispose of properly in toilet
• C. Rinse and dry container
• D. Remove gloves, wash hands.
• E. Record output accurately within +/- 25
mL’s of nurses reading.
Giraffe
Giraffe – Covert Ounces to mL’s
• A. 30 mL’s = 1 oz.
Giraffe – Covert Ounces to mL’s
• A. 30 mL’s = 1 oz.
• B. Ex. 240 mL’s = 8 ounces
Hippos
Hippos – Measure/Record Urine
Output
• A. Calculate intake in mL’s
• B. Measure on a flat, level surface
• Record intake accurately within +/- 30 mL’s = 1
oz.
Ibex
Ibex – Conscious Choking
• A. Candidate is able to identify symptoms of
choking, asks resident “Are you choking?”
• B. Call for help.
• C. Stand behind resident and wraps arms
around resident’s waist.
• D. Places the thumb side of fist against the
resident’s abdomen.
•
Ibex – Conscious Choking
• E. Positions fist slightly above the navel.
• F. Grasp fist with other hand, press fist and
hand into the resident’s abdomen with an
inward, upward thrust.
• G. Candidate should indicate that they would
repeat this procedure until it is successful or
until the victim loses consciousness.
Jaguar
Jaguar –
Obtain and Record Weight and Height
• Weight
• A. Move weights to zero before assisting
resident on to scale.
• B. Assist resident to stand on scale.
• C. Ensure resident is balanced and centered
on the scale with arms at side.
• D. Accurately record weight within +/- .25 lbs.
of nurse’s measurement.
Jaguar –
Obtain and Record Weight and Height
• Height
• A. Assist resident to stand on scales
• B. Resident is balanced and centered on the
scale with arms at side.
• C. Raise folded measuring bar above
resident’s head, open and lower gently until
bar rests on the top of the head (nor hair).
Kangaroo
Kangaroo – Application of TED Hose
• A. Explain what position resident should be in
when applying stocking – apply while resident
is in bed or with feet elevated.
• B. Hold foot and heel of stocking and gather
stocking inside out down to the heel, aids in
application.
Kangaroo – Application of TED Hose
• C. Smooth up and over leg so hose is even,
snug and not twisted or wrinkled.
• D. Heel and Toe in proper location.
• E. The toe hole may be on the top or bottom
of the toes, depending on the manufacturer's
design.
Lions
Lions – Passive range of motion
• A. Exercise passively 2 joints
• B. When asked by an examiner, explain or
demonstrate that you understand to never
exercise beyond the point of pain.
• C. Provide support for joint.
• D. Avoid fast and jerky movements.
Lions – Passive range of motion
• Demonstrate Flexion, Extension, Adduction,
Abduction and Rotation if applicable.
• E. Repeat exercise at least three times.
Moose
Moose – Moving and Positioning
Residents –
• With each of the above positions your
demonstrate:
• Raise side rail while turning patient except on
the side you are working on.
• Demonstrate proper body mechanics.
• Maintain Residents proper alignment at all
times for all positions.
Moose – Moving and Positioning
Residents –
• A. Draw Sheet – Move using a draw sheet (2
Persons): Provide support for the resident’s
head. Grasp rolled draw sheet near the
resident’s shoulders and hips.
• B. Fowler’s – Position the Resident in
Fowler’s (high Fowler’s is 60-90 degrees) and
(Semi-fowler’s is 30-45 degrees) knees may be
elevated approximately 15 degrees.
Moose – Moving and Positioning
Residents –
• C. Supine – Position in supine, in proper
anatomical alignment.
• D. Chair/Wheelchair – Position WC near bed:
Provide good alignment – upper body and
head erect, back and buttocks against back of
chair, feet flat in floor or in W/C footrests.
Moose – Moving and Positioning
Residents –
• E. Sims – Semi-prone – Position Sims prone on
the correct side as directed by the resident as
directed by the examiner. Left: resident left
side lying, right leg flexed, lower arm behind
resident. Right: Resident right side, left leg
flexed, lower arm behind resident Provide
good alignment. Place a pillow under the
head, upper arm and flexed leg.
Moose – Moving and Positioning
Residents –
• F. Lateral (Right or Left): Position Lateral/sidelying on the correct side as directed by the
examiner. Provide good alignment. Place a
pillow between legs, behind back and under
arm.
Narwhal
Narwhal – Assisting to Ambulate
• Use Gait Belt:
• A: Resident should have footwear with nonskid soles.
• B: Sit resident up and allow to dangle.
• C: Apply gait belt properly around resident’s
waist; avoid restricting circulation or
breathing, or injuring skin.
Narwhal – Assisting to Ambulate
• D. Assist resident to stand while hold gait
belt. Grasp each side, not the front. Do not
allow resident to hold around your neck
while transferring.
• E. Maintain own body mechanics while
assisting resident to stand.
Narwhal – Assisting to Ambulate
• F. Walk at resident’s side or slightly behind
(on weak side).
• G. Demonstrate proper use of assistive
devices (walker or cane should be placed on
resident’s strong side.)
Orca’s
Orca’s – Pivot Transfer
• A. Unlock W/C wheels.
• B. Resident should have footwear with nonskid soles.
• C. Position W/C close to the bed on resident’s
strong side.
• D. Move or remove foot rests from W/C.
• E. Move Footrests.
Orca’s – Pivot Transfer
• F. Lower bed and rails.
• G. Sit resident up and allow to dangle.
• H. Apply gait belt properly around resident’s
waist; avoid restricting circulation or
breathing, or injury to skin.
• I. Assist resident to stand while holding gait
belt. Grasp on sides, not front. Do not allow
resident to hold on to neck.
Orca’s – Pivot Transfer
• J. Maintain own good body mechanics while
assisting resident to stand.
• K. Transfer to the strong side by pivoting to
the strong side towards the wheelchair, using
proper technique.
• L. Position resident properly in W/C, with
residents hips against back seat
Orca’s – Pivot Transfer
• M. Remove gait belt without harming
resident.
• N. Place foot rests under residents’ feet.
Pandas
Pandas – Feeding the Dependent
Resident
• A. Check the name and diet on the meal tray
matches to the name of resident receiving it.
• B. Position the resident in an upright
position. Minimum 60 degrees.
• C. Wash and dry resident’s hands before
feeding.
• D. If resident wears dentures, check to make
sure dentures are in.
Pandas – Feeding the Dependent
Resident
• E. Protect clothing form soiling by using
napkin, clothing protector or towel.
• F. Describes the foods being offered to the
resident and maintain eye level contact while
feeding resident.
• G. Offer resident fluids frequently.
• H. When asked by examiner, explain the pace
and amount when feeding (Offer food in small
amounts, allow resident to chew and swallow.
Pandas – Feeding the Dependent
Resident
• I. Wipe resident’s hands and face during mea
as needed.
• J. When asked by examiner, verbalize need
to stop feeding when complications occur and
report to nurse.
• K. Leave resident clean and in a position of
comfort.
Quail
Quail – Denture Care
• A. Before handling dentures, protect
dentures from possible damage (line the
bottom of sink with a towel/washcloth or fill
with water).
• B. When asked by examiner, explain that
water for cleaning dentures should be
lukewarm.
Quail – Denture Care
• C. Brush dentures under running water with
brush and paste provided.
• D. Place dentures in denture cap with water,
adding cleaning tablet (if available) and cover
with lid and allow to soak.
• E. Perform mouth care while dentures are
out of the mouth.
Rabbit
Rabbit – Log Rolling a Resident with
Hip Fractures Precautions
•
•
•
•

A. Use @ least 2 people.
B. Lower head of bed as flat as possible.
C. Do not roll resident onto injured side.
D. Place abduction splint or pillows between
legs to support hip.
• E. On the count of three, roll person in a
single movement, being sure to keep the
person’s head, spine and legs aligned.
Snake
Snake – Oral Care for an Unconscious
Resident
• A. Verbalize that oral care should be done
every 2 hours.
• B. Place towel or drape under the resident’s
head.
• C. Positions resident (as resident’s medical
condition indicates.) to prevent choking or
HOB raised and head turned to side.
Snake – Oral Care for an Unconscious
Resident
• D. Insert swab/sponge tip gently into resident’s
mouth.
• E. Do not use toothpaste/toothbrush unless
approved by nurse.
• F. Rotate against all tooth surfaces, mucous
membranes and tongue.
• G. Clean resident’s lips.
• H. Moisturize lips.
• I. Report abnormalities such as bleeding gums.
Tiger
Tiger – Back Rub/Massage
• A. Place resident in a sitting or lateral
position.
• B. Pour small amount of lotion into the palm
of your hands and rub lotion warm.
• C. Apply with gently pressure, using both
hands from the buttocks to back of neck
without pulling skin, using long firm strokes.
• D. Use short circular strokes across the
shoulders using both hands.
Tiger – Back Rub/Massage
• E. Perform backrub for 3-5 minutes or as
ordered.
• F. Assess skin condition.
• G. Remove excess lotion.
• I. When asked by examiner, verbalize actions
needed if redness or skin breakdown are
noticed. Do not rub reddened area and report
redness to nurse.
Unicorn
Unicorn – Foot and Nail Care
• A. inspect for cracked, broken nails/skin and
between toes
• B. Do not clip toenails!
• C. Soak feet in warm water.
• D. Dry feet completely including between toes.
• E. Apply lotion if desired but not between toes.
• F. Apply socks/Shoes.
• G Report Abnormalities.
Viper
Viper – Dressing/Undressing Resident
• A. Demonstrate hoe to dress/undress
resident with hemiplegia.
• B. Provide privacy during entire procedure.
• C. Dress weak side first.
• D. Undress weak side last.
Worm
Worm – Shaving with Razor Blade
• A. Place towel to protect resident’s clothing.
• B. Soften beard with warm washcloth and
apply shaving cream.
• C. Gently pull skin taut.
• D. Use short strokes of razor in the direction
the hair is growing.
• E. Rinse Razor often.
Worm – Shaving with Razor Blade
• F. Rinse and dry resident’s face
• G. Apply after shave if desired.
• H. Dispose blade in sharps container.
Xenosaur!
Xenosaur! – Provide Peri-Care
• Female
• A. Assist resident in removing clothing, only
as necessary, exposing only area being
washed. Providing privacy (remembering
dignity.
• B. Obtain basin with water of a safe and
comfortable temperature.
• C. Apply appropriate cleanser preferred by
resident to wash cloth.
Xenosaur! – Provide Peri-Care
• Female
• D. Separate the Labia, clean inside the labia
downward from front to back (clean to dirty).
Then wash the outside of the labia from the
front to the back. Starting outside the labia
and then going to the inside of the thigh.
Repeat until clean, using a different part of the
was cloth every stroke.
Xenosaur! – Provide Peri-Care
• Female
• E. Rinse and gently dry each area thoroughly
after washing.
• F. Turn the resident on their side.
• G. Clean the anal area from front to back.
• H. Rinse and gently dry each area thoroughly
after washing.
• I. Redress resident.
Xenosaur! – Provide Peri-Care
• Male
• A. Assist resident in removing clothing, only
as necessary, exposing only area being
washed. Providing privacy (remembering
dignity.
• B. Obtain basin with water of a safe and
comfortable temperature.
Xenosaur! – Provide Peri-Care
• Male
• C. Apply appropriate cleanser preferred by
resident to wash cloth. Cleanse the penis from
tip to base (clean to dirty). Repeat until the
area is clean, using a different part of the
washcloth for each stroke.
– If a resident is uncircumcised, retract foreskin by
gently pushing the skin toward the base of the
penis and clean as directed above, then replace
foreskin.
Xenosaur! – Provide Peri-Care
• Male
• D. Rinse and gently dry each area thoroughly
after washing.
• E. Turn the resident on their side.
• F. Clean the anal area from front to back.
• G. Rinse and gently dry each area thoroughly
after washing.
• H. Redress resident.
Yak
Yak – Assisting with a Bedpan or
Fracture Pan
• A. Position the bedpan/fracture pan under
the resident correctly (if using a fracture pan,
the flat side should be towards the back of
the resident.
• B. Raises head of bed to a comfortable level
• C. Place tissue within reach of resident.
• D. Position call light within reach.
• E. Provide privacy.
Yak – Assisting with a Bedpan or
Fracture Pan
•
•
•
•

F. Gently remove bedpan.
G. Provide Peri-Care as need.
H. Empty bedpan in toilet.
I. Rinse, dry and store bedpan in proper
location.
• J. Washes/assists with resident to wash and
dry hands.
• K. Record results accurately.
Zebra
• A. Properly fill out label given and place it on
the specimen container.
• B. Using a tongue depressor take a sample of
feces from the bedpan or specimen container
device.
• C. Note color, amount and quality of feces.
• D. Dispose of tongue depressor in a
disposable.
Zebra
• E. Empty remaining contents of bedpan or
specimen container device into toilet.
• F. Put lid tightly onto the specimen cup.
• G. Place specimen cup into transport bag.
• Wash Hands!
• Take specimen cup to the designated location.

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CNA Skills Animal Memory Locks

  • 1. CNA Skills Memory Locks Animals A-Z Skills 1-26
  • 3. Alligators – Pressure Ulcer Prevention
  • 4. Alligators – Pressure Ulcer Prevention 1. Demonstrate 2 ways to Prevent Pressure Ulcers.
  • 5. Alligators – Pressure Ulcer Prevention 1. Demonstrate 2 ways to Prevent Pressure Ulcers. a. Proper Use of a Bed Cradle b. Elbow/Heel Protectors.
  • 6. Alligators – Pressure Ulcer Prevention 1. Demonstrate 2 ways to prevent Pressure Ulcers: a. Proper Use of a Bed Cradle b. Elbow/Heel Protectors. 2. Explain 2 other ways to prevent Pressure Ulcers:
  • 7. Alligators – Pressure Ulcer Prevention 1. Demonstrate 2 ways to prevent Pressure Ulcers: a. Proper Use of a Bed Cradle b. Elbow/Heel Protectors. 2. Explain 2 other ways to prevent Pressure Ulcers: a. Changing Position Frequently. b. Good Nutrition and Hydration.
  • 9. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing
  • 10. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing • A. Secure tubing to resident’s inner thigh or abdomen.
  • 11. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing • A. Secure tubing to resident’s inner thigh or abdomen. • B. Place tubing over leg.
  • 12. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing • A. Secure tubing to resident’s inner thigh or abdomen. • B. Place tubing over leg. • C. Position tubing to facilitate gravitational flow w/ no kinks.
  • 13. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing • A. Secure tubing to resident’s inner thigh or abdomen. • B. Place tubing over leg. • C. Position tubing to facilitate gravitational flow w/ no kinks. • D. Attach to bed from (not over or on side railing) always below level of the bladder.
  • 14. Bears – Positioning Foley Catheter/Bag/Tubing • Position Foley Catheter /Bagtubing • A. Secure tubing to resident’s inner thigh or abdomen. • B. Place tubing over leg. • C. Position tubing to facilitate gravitational flow w/ no kinks. • D. Attach to bed from (not over or on side railing) always below level of the bladder. • Keep catheter bag from touching the floor.
  • 15. Bears – Positioning Foley Catheter/Bag/Tubing • To provide care: • Fill basin with warm water. Put on Gloves. Form a mitt.
  • 16. Bears – Positioning Foley Catheter/Bag/Tubing • To provide care: • Fill basin with warm water. Put on Gloves. Form a mitt. • If the person is a woman then separate the labia, start @ vulva and stroke downwards towards the anus. Repeat, using a separate part of the wash cloth.
  • 17. Bears – Positioning Foley Catheter/Bag/Tubing • To provide care: • Fill basin with warm water. Put on Gloves. Form a mitt. • If the person is a man, place your washclothcovered hand at the tip of the penis and wash in a circular motion, downward the base of the penis. Repeat, suing a separate part of the washcloth. Make sure to clean under foreskin if the man is uncircumcised and return foreskin to the proper position when finished.
  • 18. Bears – Positioning Foley Catheter/Bag/Tubing • To provide care: • Then, using a clean portion of the washcloth, clean the catheter tubing, starting at the body and moving outward about four inches. Hold the catheter near the opening of the urethra. This will help to prevent tugging at the site tension as you clean.
  • 20. Cougars – Oxygen Care Demonstrate correct placement of 02 tubing. Cannula inside nose (snake bite up), around ears and under chin.
  • 21. Cougars – Oxygen Care Demonstrate correct placement of 02 tubing. Cannula inside nose (snake bite up), around ears and under chin. When asked by a nurse, demonstrate how to properly check 02 levels and then explain that you would report abnormalities to the nurse.
  • 22. Cougars – Oxygen Care Verbalize 3 Oxygen Use Guidelines. a. Avoid lighting matches or smoking around equipment. b. Ensure that all electrical equipment is in good repair. c. No Kinks in Tubing. d. Make sure that air is flowing.
  • 24. Dingoes – Occupied Draw Sheet Change • A. Place clean draw sheet within reach on clean surface.
  • 25. Dingoes – Occupied Draw Sheet Change • A. Place clean draw sheet within reach on clean surface. • B Provide Privacy Through Procedure. • C. Lower head of bed to a supine position. • D. After raising side rail, assist resident to turn to one side, moving toward raised side rail.
  • 26. Dingoes – Occupied Draw Sheet Change • E Loosen draw sheet toward resident. • F. Place and tuck in clean draw sheet on the working side (this must be done before turning resident. • Raise side rail and assist resident to turn onto clean draw sheet. • H. Remove soiled linens/draw sheet, avoiding contact with clothes, and place in appropriate location within room – never on floor.
  • 27. Dingoes – Occupied Draw Sheet Change • I. Pull and tuck in clean draw sheet, finishing with sheet free of wrinkles.
  • 29. Elephant – Apply Cold Compress • A. Cover cold compress with towel or other protective cover. (never on bare skin.) • B. Properly place on correct site as directed by skills examiner. • C. When asked length of time that the cold compress should remain on patient Explain Checked every five minutes, removed no longer than 20 mins. • Assess for redness, swelling, irritation and or pain. Report pain to nurse asap.
  • 30. Frogs
  • 31. Frogs – Measure and Record Fluid Outtake • A. Place container on flat surface, measure accurately in mL’s • B Dispose of properly in toilet • C. Rinse and dry container • D. Remove gloves, wash hands. • E. Record output accurately within +/- 25 mL’s of nurses reading.
  • 33. Giraffe – Covert Ounces to mL’s • A. 30 mL’s = 1 oz.
  • 34. Giraffe – Covert Ounces to mL’s • A. 30 mL’s = 1 oz. • B. Ex. 240 mL’s = 8 ounces
  • 36. Hippos – Measure/Record Urine Output • A. Calculate intake in mL’s • B. Measure on a flat, level surface • Record intake accurately within +/- 30 mL’s = 1 oz.
  • 37. Ibex
  • 38. Ibex – Conscious Choking • A. Candidate is able to identify symptoms of choking, asks resident “Are you choking?” • B. Call for help. • C. Stand behind resident and wraps arms around resident’s waist. • D. Places the thumb side of fist against the resident’s abdomen. •
  • 39. Ibex – Conscious Choking • E. Positions fist slightly above the navel. • F. Grasp fist with other hand, press fist and hand into the resident’s abdomen with an inward, upward thrust. • G. Candidate should indicate that they would repeat this procedure until it is successful or until the victim loses consciousness.
  • 41. Jaguar – Obtain and Record Weight and Height • Weight • A. Move weights to zero before assisting resident on to scale. • B. Assist resident to stand on scale. • C. Ensure resident is balanced and centered on the scale with arms at side. • D. Accurately record weight within +/- .25 lbs. of nurse’s measurement.
  • 42. Jaguar – Obtain and Record Weight and Height • Height • A. Assist resident to stand on scales • B. Resident is balanced and centered on the scale with arms at side. • C. Raise folded measuring bar above resident’s head, open and lower gently until bar rests on the top of the head (nor hair).
  • 44. Kangaroo – Application of TED Hose • A. Explain what position resident should be in when applying stocking – apply while resident is in bed or with feet elevated. • B. Hold foot and heel of stocking and gather stocking inside out down to the heel, aids in application.
  • 45. Kangaroo – Application of TED Hose • C. Smooth up and over leg so hose is even, snug and not twisted or wrinkled. • D. Heel and Toe in proper location. • E. The toe hole may be on the top or bottom of the toes, depending on the manufacturer's design.
  • 46. Lions
  • 47. Lions – Passive range of motion • A. Exercise passively 2 joints • B. When asked by an examiner, explain or demonstrate that you understand to never exercise beyond the point of pain. • C. Provide support for joint. • D. Avoid fast and jerky movements.
  • 48. Lions – Passive range of motion • Demonstrate Flexion, Extension, Adduction, Abduction and Rotation if applicable. • E. Repeat exercise at least three times.
  • 49. Moose
  • 50. Moose – Moving and Positioning Residents – • With each of the above positions your demonstrate: • Raise side rail while turning patient except on the side you are working on. • Demonstrate proper body mechanics. • Maintain Residents proper alignment at all times for all positions.
  • 51. Moose – Moving and Positioning Residents – • A. Draw Sheet – Move using a draw sheet (2 Persons): Provide support for the resident’s head. Grasp rolled draw sheet near the resident’s shoulders and hips. • B. Fowler’s – Position the Resident in Fowler’s (high Fowler’s is 60-90 degrees) and (Semi-fowler’s is 30-45 degrees) knees may be elevated approximately 15 degrees.
  • 52. Moose – Moving and Positioning Residents – • C. Supine – Position in supine, in proper anatomical alignment. • D. Chair/Wheelchair – Position WC near bed: Provide good alignment – upper body and head erect, back and buttocks against back of chair, feet flat in floor or in W/C footrests.
  • 53. Moose – Moving and Positioning Residents – • E. Sims – Semi-prone – Position Sims prone on the correct side as directed by the resident as directed by the examiner. Left: resident left side lying, right leg flexed, lower arm behind resident. Right: Resident right side, left leg flexed, lower arm behind resident Provide good alignment. Place a pillow under the head, upper arm and flexed leg.
  • 54. Moose – Moving and Positioning Residents – • F. Lateral (Right or Left): Position Lateral/sidelying on the correct side as directed by the examiner. Provide good alignment. Place a pillow between legs, behind back and under arm.
  • 56. Narwhal – Assisting to Ambulate • Use Gait Belt: • A: Resident should have footwear with nonskid soles. • B: Sit resident up and allow to dangle. • C: Apply gait belt properly around resident’s waist; avoid restricting circulation or breathing, or injuring skin.
  • 57. Narwhal – Assisting to Ambulate • D. Assist resident to stand while hold gait belt. Grasp each side, not the front. Do not allow resident to hold around your neck while transferring. • E. Maintain own body mechanics while assisting resident to stand.
  • 58. Narwhal – Assisting to Ambulate • F. Walk at resident’s side or slightly behind (on weak side). • G. Demonstrate proper use of assistive devices (walker or cane should be placed on resident’s strong side.)
  • 60. Orca’s – Pivot Transfer • A. Unlock W/C wheels. • B. Resident should have footwear with nonskid soles. • C. Position W/C close to the bed on resident’s strong side. • D. Move or remove foot rests from W/C. • E. Move Footrests.
  • 61. Orca’s – Pivot Transfer • F. Lower bed and rails. • G. Sit resident up and allow to dangle. • H. Apply gait belt properly around resident’s waist; avoid restricting circulation or breathing, or injury to skin. • I. Assist resident to stand while holding gait belt. Grasp on sides, not front. Do not allow resident to hold on to neck.
  • 62. Orca’s – Pivot Transfer • J. Maintain own good body mechanics while assisting resident to stand. • K. Transfer to the strong side by pivoting to the strong side towards the wheelchair, using proper technique. • L. Position resident properly in W/C, with residents hips against back seat
  • 63. Orca’s – Pivot Transfer • M. Remove gait belt without harming resident. • N. Place foot rests under residents’ feet.
  • 65. Pandas – Feeding the Dependent Resident • A. Check the name and diet on the meal tray matches to the name of resident receiving it. • B. Position the resident in an upright position. Minimum 60 degrees. • C. Wash and dry resident’s hands before feeding. • D. If resident wears dentures, check to make sure dentures are in.
  • 66. Pandas – Feeding the Dependent Resident • E. Protect clothing form soiling by using napkin, clothing protector or towel. • F. Describes the foods being offered to the resident and maintain eye level contact while feeding resident. • G. Offer resident fluids frequently. • H. When asked by examiner, explain the pace and amount when feeding (Offer food in small amounts, allow resident to chew and swallow.
  • 67. Pandas – Feeding the Dependent Resident • I. Wipe resident’s hands and face during mea as needed. • J. When asked by examiner, verbalize need to stop feeding when complications occur and report to nurse. • K. Leave resident clean and in a position of comfort.
  • 68. Quail
  • 69. Quail – Denture Care • A. Before handling dentures, protect dentures from possible damage (line the bottom of sink with a towel/washcloth or fill with water). • B. When asked by examiner, explain that water for cleaning dentures should be lukewarm.
  • 70. Quail – Denture Care • C. Brush dentures under running water with brush and paste provided. • D. Place dentures in denture cap with water, adding cleaning tablet (if available) and cover with lid and allow to soak. • E. Perform mouth care while dentures are out of the mouth.
  • 72. Rabbit – Log Rolling a Resident with Hip Fractures Precautions • • • • A. Use @ least 2 people. B. Lower head of bed as flat as possible. C. Do not roll resident onto injured side. D. Place abduction splint or pillows between legs to support hip. • E. On the count of three, roll person in a single movement, being sure to keep the person’s head, spine and legs aligned.
  • 73. Snake
  • 74. Snake – Oral Care for an Unconscious Resident • A. Verbalize that oral care should be done every 2 hours. • B. Place towel or drape under the resident’s head. • C. Positions resident (as resident’s medical condition indicates.) to prevent choking or HOB raised and head turned to side.
  • 75. Snake – Oral Care for an Unconscious Resident • D. Insert swab/sponge tip gently into resident’s mouth. • E. Do not use toothpaste/toothbrush unless approved by nurse. • F. Rotate against all tooth surfaces, mucous membranes and tongue. • G. Clean resident’s lips. • H. Moisturize lips. • I. Report abnormalities such as bleeding gums.
  • 76. Tiger
  • 77. Tiger – Back Rub/Massage • A. Place resident in a sitting or lateral position. • B. Pour small amount of lotion into the palm of your hands and rub lotion warm. • C. Apply with gently pressure, using both hands from the buttocks to back of neck without pulling skin, using long firm strokes. • D. Use short circular strokes across the shoulders using both hands.
  • 78. Tiger – Back Rub/Massage • E. Perform backrub for 3-5 minutes or as ordered. • F. Assess skin condition. • G. Remove excess lotion. • I. When asked by examiner, verbalize actions needed if redness or skin breakdown are noticed. Do not rub reddened area and report redness to nurse.
  • 80. Unicorn – Foot and Nail Care • A. inspect for cracked, broken nails/skin and between toes • B. Do not clip toenails! • C. Soak feet in warm water. • D. Dry feet completely including between toes. • E. Apply lotion if desired but not between toes. • F. Apply socks/Shoes. • G Report Abnormalities.
  • 81. Viper
  • 82. Viper – Dressing/Undressing Resident • A. Demonstrate hoe to dress/undress resident with hemiplegia. • B. Provide privacy during entire procedure. • C. Dress weak side first. • D. Undress weak side last.
  • 83. Worm
  • 84. Worm – Shaving with Razor Blade • A. Place towel to protect resident’s clothing. • B. Soften beard with warm washcloth and apply shaving cream. • C. Gently pull skin taut. • D. Use short strokes of razor in the direction the hair is growing. • E. Rinse Razor often.
  • 85. Worm – Shaving with Razor Blade • F. Rinse and dry resident’s face • G. Apply after shave if desired. • H. Dispose blade in sharps container.
  • 87. Xenosaur! – Provide Peri-Care • Female • A. Assist resident in removing clothing, only as necessary, exposing only area being washed. Providing privacy (remembering dignity. • B. Obtain basin with water of a safe and comfortable temperature. • C. Apply appropriate cleanser preferred by resident to wash cloth.
  • 88. Xenosaur! – Provide Peri-Care • Female • D. Separate the Labia, clean inside the labia downward from front to back (clean to dirty). Then wash the outside of the labia from the front to the back. Starting outside the labia and then going to the inside of the thigh. Repeat until clean, using a different part of the was cloth every stroke.
  • 89. Xenosaur! – Provide Peri-Care • Female • E. Rinse and gently dry each area thoroughly after washing. • F. Turn the resident on their side. • G. Clean the anal area from front to back. • H. Rinse and gently dry each area thoroughly after washing. • I. Redress resident.
  • 90. Xenosaur! – Provide Peri-Care • Male • A. Assist resident in removing clothing, only as necessary, exposing only area being washed. Providing privacy (remembering dignity. • B. Obtain basin with water of a safe and comfortable temperature.
  • 91. Xenosaur! – Provide Peri-Care • Male • C. Apply appropriate cleanser preferred by resident to wash cloth. Cleanse the penis from tip to base (clean to dirty). Repeat until the area is clean, using a different part of the washcloth for each stroke. – If a resident is uncircumcised, retract foreskin by gently pushing the skin toward the base of the penis and clean as directed above, then replace foreskin.
  • 92. Xenosaur! – Provide Peri-Care • Male • D. Rinse and gently dry each area thoroughly after washing. • E. Turn the resident on their side. • F. Clean the anal area from front to back. • G. Rinse and gently dry each area thoroughly after washing. • H. Redress resident.
  • 93. Yak
  • 94. Yak – Assisting with a Bedpan or Fracture Pan • A. Position the bedpan/fracture pan under the resident correctly (if using a fracture pan, the flat side should be towards the back of the resident. • B. Raises head of bed to a comfortable level • C. Place tissue within reach of resident. • D. Position call light within reach. • E. Provide privacy.
  • 95. Yak – Assisting with a Bedpan or Fracture Pan • • • • F. Gently remove bedpan. G. Provide Peri-Care as need. H. Empty bedpan in toilet. I. Rinse, dry and store bedpan in proper location. • J. Washes/assists with resident to wash and dry hands. • K. Record results accurately.
  • 96. Zebra • A. Properly fill out label given and place it on the specimen container. • B. Using a tongue depressor take a sample of feces from the bedpan or specimen container device. • C. Note color, amount and quality of feces. • D. Dispose of tongue depressor in a disposable.
  • 97. Zebra • E. Empty remaining contents of bedpan or specimen container device into toilet. • F. Put lid tightly onto the specimen cup. • G. Place specimen cup into transport bag. • Wash Hands! • Take specimen cup to the designated location.