Questions and Answers
What is one of the beginning procedure actions?
Which action is part of the ending procedure actions?
What should you do before taking a blood pressure reading?
Clean ear pieces and diaphragm with antiseptic wipe.
What equipment needs to be used for taking a tympanic temperature?
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What should you ask a person before taking an oral temperature?
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You should document pulse accuracy within ___ beats per minute.
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What is an important step after washing hands?
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Match the skills with the appropriate equipment used:
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Name at least two ways to prevent pressure ulcers.
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You should keep the catheter bag touching the floor.
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What should be done with the probe after taking an oral temperature?
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Study Notes
Beginning Procedure Actions
- Wash hands thoroughly before entering the room or during the procedure.
- Assemble all necessary equipment prior to starting.
- Knock and pause before entering a resident's room.
- Introduce yourself by name and title to the resident.
- Identify the resident according to facility policies, addressing them by name.
- Ask visitors to leave the room and provide information on where they can wait.
- Ensure privacy by pulling curtains, shutting doors, and covering the patient as needed.
- Explain the procedure to the resident clearly, maintaining eye contact.
- Address any questions the resident may have about the procedure.
- Encourage resident participation in their own care.
- Adjust the bed height to a comfortable working position.
Ending Procedure Actions
- Position the resident comfortably after completing the procedure.
- Lower the bed to its lowest position.
- Ensure the signal cord, telephone, and water are within reach of the resident.
- Perform a general safety check in the surroundings.
- Open the curtain to provide visibility and accessibility.
- Follow facility policies for caring for equipment used during the procedure.
- Wash hands after completing the procedure.
- Inform visitors that they may return to the resident's room.
- Report and document the completion of tasks, noting any abnormalities observed.
Vital Signs: Blood Pressure
- Clean the ear pieces and diaphragm of the blood pressure monitor with antiseptic.
- Position the resident's arm palm up on a firm surface.
- Wrap the cuff around the arm above the elbow, ensuring it is snug and even.
- Insert ear pieces and place the diaphragm over the artery.
- Inflate the cuff to a maximum of 180 mm/Hg or use the pulse obliteration method.
- Gradually deflate the cuff, noting the systolic and diastolic readings accurately.
- Ensure readings are within a 4 mm/Hg window for accuracy.
- Record blood pressure measurements promptly and accurately.
Vital Signs: Temperature (Tympanic)
- Place a cover on the tympanic thermometer before use.
- Instruct the person to turn their head for easier access, adding a new probe cover.
- Pull back the ear gently to straighten the ear canal and insert the probe.
- Start the thermometer and wait for a beep or light indication to remove it.
- Accurately read and document the temperature.
Vital Signs: Temperature (Oral/Axillary)
- Confirm whether the person has eaten, drank, or smoked in the past 15 minutes.
- Use a sheath on the probe before placement.
- Ensure proper placement for oral or axillary readings.
- Hold the probe in place if necessary for oral readings.
- Leave the probe until the instrument signals completion.
- Dispose of the sheath properly and replace the probe.
- Accurately read and document the temperature measurement.
Vital Signs: Pulse (Radial/Apical)
- Locate the pulse at the appropriate site on the body.
- Count the pulse for 30 seconds and multiply by two, or count for a full minute.
- Maintain an accuracy of ±4 beats per minute when documenting.
Vital Signs: Respiratory Rate
- Count the number of breaths for one full minute.
- Document findings with an accuracy of ±2 breaths.
Handwashing
- Avoid touching the sink with any part of your uniform.
- Turn the water to a warm temperature before wetting hands.
- Thoroughly wet hands and apply soap.
- Wash hands with fingers pointed down for 15-30 seconds, including wrists and nails.
- Rinse hands with fingertips down to prevent contamination.
- Use a dry paper towel to dry hands completely.
- Use a paper towel to turn off the faucet to maintain cleanliness.
- Immediately discard the towels without letting them touch the other hand.
Skill 1: Pressure Ulcer Prevention
- Demonstrate methods for preventing pressure ulcers, including:
- Proper use of bed cradles.
- Use of elbow and heel protectors.
- Utilizing pillows to minimize skin contact.
- Ensuring wrinkle-free sheets.
- Explain additional preventive measures:
- Frequent position changes.
- Maintaining good nutrition and hydration.
- Providing proper perineal care.
- Being cautious of friction and shearing on the skin.
- Regularly checking and caring for the resident's skin.
- Assisting with bathroom needs frequently.
- Encouraging mobility and using pressure-reducing devices.
Skill 2: Position Foley Catheter/Bag/Tubing
- Secure catheter tubing to the resident's inner thigh or abdomen.
- Position tubing to allow for gravitational flow without kinks.
- Attach the catheter bag to the bed frame, ensuring it stays below bladder level.
- Prevent the catheter bag from touching the floor to reduce infection risk.
Skill 3: Oxygen
- Correctly position the nasal cannula, ensuring proper placement of prongs for effective oxygen delivery.
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Description
This quiz focuses on the essential steps to follow when starting procedures as a Certified Nursing Assistant (CNA). It includes the critical actions such as handwashing, introducing yourself, and ensuring privacy for residents. Test your knowledge and ensure you are prepared for real-life scenarios in healthcare settings.