Indirect Care and Gait Belt Skills

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Questions and Answers

What will happen if there is a technology issue at the test site?

The test will be canceled altogether.

You will receive your results later by mail.

The test will be rescheduled for another day.

You may not receive your score report on the day of testing. (correct)

What are you required to do during the Clinical Skills test?

Take notes while watching an instructor demonstrate the skills.

Review the procedures beforehand but not perform them.

Perform the skills on either an actor or a mannequin. (correct)

Simply observe the procedures being performed.

How are the skills checklists designed for the test?

They serve as a guide to what the nurse will observe. (correct)

They provide detailed procedures for each skill.

They are only intended to help with skill learning.

They are meant for candidates to memorize before testing.

What types of supplies will be present in the testing room?

Personal care supplies typically found in a resident’s room. Signup and view all the answers

What is indicated about the timing of the Clinical Skills test?

It is determined by the number of skills you need to perform. Signup and view all the answers

What should candidates do with the checklists during the test?

Refer to them as a guide to what to demonstrate during the test. Signup and view all the answers

During the test, what are candidates not allowed to do?

Ask the nurse for feedback on their performance. Signup and view all the answers

What should candidates do if they need to access their results after testing?

Refer to the candidate bulletin for online access information. Signup and view all the answers

What is the primary focus of Indirect Care during a clinical skills test?

Evaluating behaviors common to resident care Signup and view all the answers

Which of the following is NOT a checkpoint to evaluate Indirect Care skills?

Demonstrate physical strength during tasks Signup and view all the answers

When assisting a resident to ambulate, which behavior is essential in Indirect Care?

Maintain proper body mechanics while assisting Signup and view all the answers

How should a caregiver leave a resident positioned in a chair after assisting?

With proper body alignment and hips against the back of the seat Signup and view all the answers

What should a caregiver ask a resident regarding their needs during care?

About their comfort or needs during or before care is completed Signup and view all the answers

Which of the following best represents a key responsibility of the caregiver when providing care?

To promote resident’s safety during care Signup and view all the answers

Which of the following is an essential Component of Indirect Care during the use of a bedpan?

Providing a clear explanation before starting Signup and view all the answers

What should be practiced regarding infection control during indirect care?

Standard Precautions and infection control measures consistently Signup and view all the answers

What should you do before assisting a resident to bed when using a bedpan?

Raise the head of the bed after positioning. Signup and view all the answers

What is the best practice to ensure the resident can call for help after using a bedpan?

Ask the resident to call when finished or if help is needed. Signup and view all the answers

How should you assist a resident to stand when using a transfer/gait belt?

Use both hands to hold the belt securely. Signup and view all the answers

How should you position the resident's legs before they sit down?

Have the back of their legs against the seat. Signup and view all the answers

What should you do with the bedpan after emptying it?

Rinse it and dry it before storing. Signup and view all the answers

What action should you take while walking the resident?

Walk at least 10 steps with the resident. Signup and view all the answers

What should not be done before leaving a resident to use a bedpan?

Remove all supportive devices from the area. Signup and view all the answers

What should be offered to the resident after using the bedpan?

A damp washcloth or hand wipe for cleanliness. Signup and view all the answers

What is the first action the candidate should take when interacting with the resident?

Introduce themselves and greet the resident by name Signup and view all the answers

Which of the following is a key responsibility of the candidate during care?

Use a transfer/gait belt correctly for safety Signup and view all the answers

How should the transfer/gait belt be applied to the resident?

Around the resident's waist over their clothing, secured properly Signup and view all the answers

What should the candidate do with the protective pad before placing a bedpan?

Place it on the bed over the bottom sheet Signup and view all the answers

How should the candidate communicate with the resident during the care process?

Provide explanations about the care both before and during the process Signup and view all the answers

Which statement is incorrect regarding the placement of the bedpan?

The resident should never be on their side when using the bedpan Signup and view all the answers

What is the correct procedure after completing a skill involving a basin?

Rinse, dry, and store the basin. Signup and view all the answers

What should the candidate do after the bedpan has been used?

Promptly remove the bedpan and protective pad as needed Signup and view all the answers

What should be done if the water in the basin becomes cold or soapy during a task?

Replace the basin of water. Signup and view all the answers

Which is a critical factor when positioning the bedpan under the resident?

The position should align with the bedpan's design and shape Signup and view all the answers

How should lotion be warmed before applying it to a resident’s back?

Warming in hands or placing the bottle in warm water. Signup and view all the answers

What is required when providing passive range of motion exercises to a resident?

To perform three repetitions of each movement. Signup and view all the answers

Why is it important to keep the resident positioned safely during care?

To prevent falls and ensure safety. Signup and view all the answers

What should a candidate do when interacting with a resident?

Greet the resident and introduce themselves. Signup and view all the answers

When should standard precautions and infection control measures be implemented?

When providing care to all residents. Signup and view all the answers

What is the primary role of the resident during passive range of motion exercises?

To remain completely still and inactive. Signup and view all the answers

Study Notes

Indirect Care

Indirect Care is a skill assessed during each skill evaluation
Indirect Care focuses on behaviors common to any resident care, such as infection control, safety, communication, and resident preferences, needs, comfort, and rights
Candidates are not instructed to perform the Indirect Care skill, as it is observed by the nurse during other skills
Indirect Care checkpoints include:
- Greeting resident by name and introducing self
- Providing explanations to resident about care before and during care
- Asking resident about preferences during care
- Using Standard Precautions and infection control when providing care
- Asking resident about comfort or needs during care or before care is completed
- Promoting resident’s rights during care
- Promoting resident’s safety during care

Ambulate the Resident Using a Transfer/Gait Belt

The candidate is asked to walk a resident who needs assistance standing
A transfer/gait belt is used while walking the resident
Checkpoints for the skill include:
- Applying the transfer/gait belt before standing the resident, placing it around the resident's waist over clothing, securing it so that only flat fingers/hand fit under the belt and the belt does not catch skin or skin folds
- Providing a signal or cue to the resident before assisting them to stand
- Assisting the resident to stand while holding onto the transfer/gait belt without holding only at the front or only at nearest side
- Asking about how the resident feels upon standing
- Walking the resident while standing to the side and slightly behind resident
- Providing support while walking the resident with an arm around the resident's back holding the transfer/gait belt
- Asking about how the resident feels during ambulation
- Walking the resident at least 10 steps
- Assisting the resident to turn and have the back of their legs positioned against the seat of the chair before they sit
- Providing support to sit the resident back into the chair
- Removing the transfer/gait belt from the resident's waist without harming them when seated in the chair
- Maintaining own body mechanics when assisting the resident to stand and sit
- Leaving the resident positioned in the chair in proper body alignment and hips against the back of the seat
- Asking the resident about preferences during care
- Using Standard Precautions and infection control measures when providing care
- Asking the resident about comfort or needs during care or before care is completed
- Promoting resident’s rights during care
- Promoting resident’s safety during care

Assist Resident Needing to Use a Bedpan

The candidate is asked to help a resident who needs a bedpan
The role of the resident is played by a person wearing a hospital-style gown over clothing
For the purpose of testing, the candidate will pretend the resident is not wearing underpants
Checkpoints for the skill include:
- Greeting resident by name and introducing self
- Providing explanations to resident about care before beginning and during care
- Placing a protective pad on the bed over the bottom sheet, under buttocks/upper thigh area, before placing the bedpan, and removing the pad after the bedpan is removed
- Placing and removing the bedpan by either having the resident positioned on their side to turn onto/off the bedpan, or having the resident raise their hips off the bed
- Positioning the bedpan under the resident according to the form/shape of the selected bedpan
- Positioning the bedpan to allow for collection
- Raising the head of the bed after positioning the resident on the bedpan, and lowering the head of the bed before removing the bedpan
- Asking the resident to call when finished or if they need help, leaving the call light within the resident's reach before leaving the resident to use the bedpan
- Leaving toilet paper within the resident's reach before leaving the resident to use the bedpan
- Wearing gloves when removing the bedpan and while emptying and cleaning the bedpan
- Emptying the contents of the bedpan into the toilet, rinsing the bedpan pouring the contents into the toilet, and drying the bedpan
- Offering the resident a damp washcloth or paper towel, or hand wipe, to cleanse their hands after the bedpan used, before end of care
- Completing the skill having rinsed, dried and stored the basin, placing soiled linens in the hamper, disposing of trash, disposing of or storing emery board and orangewood stick, and leaving the overbed table dry
- Asking the resident about preferences during care
- Using Standard Precautions and infection control measures when providing care

Change Bed Linen While Resident Remains in Bed

The candidate is asked to change the bed linen of a resident who remains in the bed (no assistance needed with moving)
Checkpoints for the skill include:
Remove old linens (e.g. sheets, blanket, spread) placing them in the hamper
Place clean bottom sheet under resident
Ensure that bottom sheet remains in place, tucked in at sides and top, and at the foot of the bed
Place clean blanket on bed over resident
Ensure blanket remains smoothly in place, tucked in at sides and top
Place clean spread on bed over blanket
Ensure spread remains smoothly in place, tucked in at sides and top
Placing soiled linens in the hamper, disposing of trash, and leaving the overbed table dry
Keeping the resident positioned a safe distance from the edge of the bed at all times
Asking the resident about preferences during care
Using Standard Precautions and infection control measures when providing care

Provide Resident a Partial Bed Bath and Back Rub

The candidate is asked to provide a resident with a partial bed bath, including washing the back and providing a back rub
Checkpoints for the skill include:
- Fill basin with warm water
- Pour water over resident’s back, ensuring the water is the correct temperature
- Wash resident’s back with soap, rinsing the soap off before applying lotion to the back
- Use lotion to provide a back rub with long gliding and circular motions
- Place a clean hospital gown on the resident and secure the gown in the back
- Complete the skill having rinsed, dried, and stored the basin, placing soiled linens in the hamper, disposing of trash, and leaving the overbed table dry
- Keeping the resident positioned a safe distance from the edge of the bed at all times
- Asking the resident about preferences during care
- Using Standard Precautions and infection control measures when providing care

Provide Resident with Passive Range of Motion (ROM) Exercises to One Shoulder

The candidate is asked to provide range of motion exercises to a resident who is unable to assist with the exercises
For the purpose of testing, the resident needs three repetitions of both shoulder flexion and extension, as well as abduction and adduction
The candidate will follow instructions on which side of the shoulder to exercise
Checkpoints for the skill include:
- Greeting resident by name and introducing self
- Asking the resident about preferences during care
- Providing explanations to resident about care before beginning and during care
- Using Standard Precautions and infection control measures when providing care

Other Notes:

The candidate bulletin provides information on accessing results online if a score report is not provided on the day of testing
The testing room will be set up similar to a resident's room with personal care supplies provided
The candidate must actually perform the skills during the Clinical Skills test, using water if required
The nurse is not allowed to answer any questions about how skills are performed

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Description

This quiz assesses your understanding of Indirect Care and the appropriate techniques for ambulating a resident using a transfer/gait belt. You'll explore key behaviors related to resident care, including communication, safety, and infection control. Prepare to demonstrate your knowledge on these essential skills in healthcare settings.