Clinical Skills Performance Checklists
Clinical skills performance checklists will help you to learn each CNA skill in detail. In order to pass your CST successfully you need to follow these steps carefully until you master them. Once you have done these procedures enough times, they will come naturally to you, which is really the end goal of these checklists.
There are 2 types of care procedures every CNA must know- indirect care and direct care. First one is the type of procedures that you will have to keep in mind throughout your daily tasks, second one is more specific to each patient.
Clinical Skills Performance Checklists
Indirect Care Procedures For CNAs
Indirect care are the kind of procedures you do before every direct care procedure. This will include washing hands, making sure the resident is feeling comfortable, protecting the rights of residents. It will also include things like safety procedures and standardized precautions like infection control. You will obtain a separate score for these requirements. Your evaluator will take observation of your performance, based on the following critical steps:
- You need to wash hands before and after each and every direct care procedure for the patient.
- Perform greetings for the patient, including name and address.
- Explain each procedure thoroughly to the patient to optimize performance.
- Keep track of the privacy of the patient, and make sure you close the door, or curtain before beginning work.
- Keep the resident safe: Proper identification; proper positioning for protection; use of the right assistive devices; make sure that the equipment is fully functional; bed, wheelchair, stretcher and other wheeled equipment should be locked while transferring the patient; keep by the side of the patient to protect from possible injuries; always leave a call light nearby when leaving the resident; provide thorough instructions for post-procedure timeframe in order to ensure safety.
- Maintaining the resident rights: provide information about the purpose and findings of the procedure; maintain the right of the resident to refuse the procedure.
- Standard precautions are required; removal of gloves is obligatory unless it is stated otherwise for the procedure.
- All supplies must be assembled by the bedside.
- Maintain comfort for the patient: Positioning, room temperature maintenance, removing unpleasant odors and others.
- Everything surrounding the procedure should be recorded in the resident’s form.
- Need to report each and every change in the resident’s condition to the nurse as soon as it is noticed.
- Complete maintenance of all working equipment, ensuring that it is functional.
- Replenishment of the bedroom supplies, and maintaining proper hygiene at all times.
Direct Care Procedures For CNAs
- Hand washing VIDEO
- Measuring Body Temperature
- Measuring the Radial and Apical Pulse
- Measuring the Respirations VIDEO
- Blood Pressure VIDEO
- Partial Bedbath VIDEO
- Perineal Care of the Female Resident VIDEO
- Nail Care (Fingers and Toes) VIDEO
- Mouth (Oral) Care VIDEO
- Mouth (Oral) Care: Care of Dentures VIDEO
- Dressing VIDEO
- Applying Elastic Support Hose VIDEO
- Making an Occupied Bed VIDEO
- Moving the Resident to the Side of the Bed VIDEO
- Supine Position GRAPH
- Fowler’s Position GRAPH
- Lateral (Side-Lying) Position GRAPH
- Sim’s Position GRAPH
- Prone Position GRAPH
- Orthopneic Position
- Logrolling the Resident
- Assisting the Resident to Sit on the Side of the Bed
- Assisting the Resident to Transfer from the Bed to a Chair or Wheelchair VIDEO
- Transferring the Resident from a Bed with a Mechanical Lift
- Moving the Resident from a Bed to a Stretcher or Gurney
- Using a Gait-Transfer Belt to Assist the Resident to Ambulate VIDEO
- Passive Range of Motion Exercises VIDEO
- Applying Restraints
- Feeding VIDEO
- Offering the Bedpan VIDEO
- Performing Ostomy Care
- Administering a Cleansing Enema
- Recording Intake and Output (I & O)
- Measuring and Recording Output from a Urinary Drainage Bag VIDEO
- Indwelling Catheter Care VIDEO
- Applying a Condom Catheter
- Collecting Specimens
- Heimlich Maneuver
- Isolation Procedures