HCA SKILLS EXAM
Assist a client to walk - answer-1. Script
2. Wash hands
3. put on gloves
4. verbalize client is in proper body alignment
5. discuss destination
6. check that consumer is wearing non-skid shoes
7. ask client to move forward on seat before standing
8. check body position (position knees and feet)
9. stand on consumers effected side (if applicable)
10. ask them to place their hand on the chair arm
11. ask client to rock forward 3 times and push up from chair with arm
12. walk with hand near clients back
13. ask how they feel
14. walk to designated destination
15. have client stand with back to chair, back up until they can feel the chair on the back of their
legs
16. stand on affected side, ask them to reach hand back for chair arm
17. on the count of three ease into chair
18. ensure proper body alignment, remove gloves/wash hands, ask if you can get anything,
ending script
assisting a consumer with eating - answer-1. opening script, gather supplies, wash hands,
gloves, proper body alignment
2. ask if they would like a clothing protector
3. sit to the side of them
4. assist in taking a drink of water
5. ask the client what they would like (applesauce or applesauce), assist in taking a bite *TALK
TO CLIENT DURING PROCESS
6. ask if they would like a drink
7. ask if they are ready for another bite
8. ask if they would like a drink
9. ask if they are ready for another bite (TOTAL OF 3 DRINKS AND 3 BITES)
10. ask if you can wipe their mouth
11. ask if you can remove clothing protector
12. *verbalize* please remain upright for 20-30 minutes after the meal to prevent choking and
promote proper digestion
13. proper body alignment, clean up and disinfect, remove gloves and wash hands
14. ask if you can get them anything, closing script
body mechanics - answer-plan and review your lift, maintain a wide base of support, use your
legs and keep your back straight, turn your whole body, stay close to the person or object,
catheter care - answer-1. opening script, gather supplies, wash hands, put on FIRST pair of
gloves, proper body alignment
2. cover client with privacy towel
3. place 1st chex pad under the penis between the catheter tubing and skin
4. inspect tubing for kinks (MAKE SURE URINARY BAG IS LOWER THAN THE BLADDER)
5. fold section of privacy towel back
, 6. have consumer check water temperature
7. wet washcloth and apply soap causing a lather
8. hold catheter tubing at tip of penis, clean first 4 inches of tubing using a downward motion
using all 4 corners
9. get washcloth wet, rinse catheter tubing using all 4 corners
10. pat dry genital area and catheter tubing
11. check catheter for kinks, make sure urinary bag is lower than the bladder
12. remove bed protector and place it in trash, cover exposed area
13. REMOVE GLOVES and put on 2nd pair
14. remove privacy towel and replace covers
15. ensure proper body alignment, clean up and disinfect items, remove gloves and wash hands
16. ask if you can get the client anything, closing script
Cleaning and Disinfecting - answer-clean with soap and water first, then use:
1 teaspoon of bleach per 1 gallon of water (cool water temperature)
alternative is one part vinegar to three parts water
Cleaning and storing dentures - answer-1. opening script, gather supplies (put all on dirty side),
wash hands, gloves, ensure client is in proper body alignment
2. line sink with wash cloth (v shape)
3. put one wash cloth on each side of the sink
4. ask consumer to hand you dentures
5. *verbalize* inspect dentures for cracks and dents
6. rinse dentures with cool water
7. wet toothbrush, apply denture toothpaste
8. rinse dentures to remove toothpaste
9. place dentures on clean towel
10. repeat on other set of dentures
11. rinse and place denture storage container on clean towel
12. put clean cool water in denture storage cup, remove first set of gloves, turn off water and put
on 2nd pair of gloves
13. put dentures in storage container, walk back to consumer
14. Ask where they want the container
15. clean up/disinfect items, ensure proper body alignment, remove gloves/wash hands
16. ask if you can get them anything, closing script
dressing a consumer - answer-*only skill with affected side*
1. opening script, gather supples (2 choices of clothing, take one they did not chose back), wash
hands, gloves, proper body alignment
2. offer to place towel over exposed areas (pants)
3. ask if they have preferences in assistance with dressing, offer choice of clothing if haven't
already
4. bunch sleeve down toward cuff of arm, place on affected arm, hold hand while pulling sleeve
over shoulder
5. stand behind client and drape over clients back
6. have client put unaffected arm through sleeve
7. make sure clothing fits
8. *verbalize* would you like assistance with the zipper?
9. take of shoes if applicable, bunch legs of pants and have client life their leg to put on pants,
pull pants up to knees
10. ask the client if they need help putting on their socks and shoes *DONT FORGET*
Assist a client to walk - answer-1. Script
2. Wash hands
3. put on gloves
4. verbalize client is in proper body alignment
5. discuss destination
6. check that consumer is wearing non-skid shoes
7. ask client to move forward on seat before standing
8. check body position (position knees and feet)
9. stand on consumers effected side (if applicable)
10. ask them to place their hand on the chair arm
11. ask client to rock forward 3 times and push up from chair with arm
12. walk with hand near clients back
13. ask how they feel
14. walk to designated destination
15. have client stand with back to chair, back up until they can feel the chair on the back of their
legs
16. stand on affected side, ask them to reach hand back for chair arm
17. on the count of three ease into chair
18. ensure proper body alignment, remove gloves/wash hands, ask if you can get anything,
ending script
assisting a consumer with eating - answer-1. opening script, gather supplies, wash hands,
gloves, proper body alignment
2. ask if they would like a clothing protector
3. sit to the side of them
4. assist in taking a drink of water
5. ask the client what they would like (applesauce or applesauce), assist in taking a bite *TALK
TO CLIENT DURING PROCESS
6. ask if they would like a drink
7. ask if they are ready for another bite
8. ask if they would like a drink
9. ask if they are ready for another bite (TOTAL OF 3 DRINKS AND 3 BITES)
10. ask if you can wipe their mouth
11. ask if you can remove clothing protector
12. *verbalize* please remain upright for 20-30 minutes after the meal to prevent choking and
promote proper digestion
13. proper body alignment, clean up and disinfect, remove gloves and wash hands
14. ask if you can get them anything, closing script
body mechanics - answer-plan and review your lift, maintain a wide base of support, use your
legs and keep your back straight, turn your whole body, stay close to the person or object,
catheter care - answer-1. opening script, gather supplies, wash hands, put on FIRST pair of
gloves, proper body alignment
2. cover client with privacy towel
3. place 1st chex pad under the penis between the catheter tubing and skin
4. inspect tubing for kinks (MAKE SURE URINARY BAG IS LOWER THAN THE BLADDER)
5. fold section of privacy towel back
, 6. have consumer check water temperature
7. wet washcloth and apply soap causing a lather
8. hold catheter tubing at tip of penis, clean first 4 inches of tubing using a downward motion
using all 4 corners
9. get washcloth wet, rinse catheter tubing using all 4 corners
10. pat dry genital area and catheter tubing
11. check catheter for kinks, make sure urinary bag is lower than the bladder
12. remove bed protector and place it in trash, cover exposed area
13. REMOVE GLOVES and put on 2nd pair
14. remove privacy towel and replace covers
15. ensure proper body alignment, clean up and disinfect items, remove gloves and wash hands
16. ask if you can get the client anything, closing script
Cleaning and Disinfecting - answer-clean with soap and water first, then use:
1 teaspoon of bleach per 1 gallon of water (cool water temperature)
alternative is one part vinegar to three parts water
Cleaning and storing dentures - answer-1. opening script, gather supplies (put all on dirty side),
wash hands, gloves, ensure client is in proper body alignment
2. line sink with wash cloth (v shape)
3. put one wash cloth on each side of the sink
4. ask consumer to hand you dentures
5. *verbalize* inspect dentures for cracks and dents
6. rinse dentures with cool water
7. wet toothbrush, apply denture toothpaste
8. rinse dentures to remove toothpaste
9. place dentures on clean towel
10. repeat on other set of dentures
11. rinse and place denture storage container on clean towel
12. put clean cool water in denture storage cup, remove first set of gloves, turn off water and put
on 2nd pair of gloves
13. put dentures in storage container, walk back to consumer
14. Ask where they want the container
15. clean up/disinfect items, ensure proper body alignment, remove gloves/wash hands
16. ask if you can get them anything, closing script
dressing a consumer - answer-*only skill with affected side*
1. opening script, gather supples (2 choices of clothing, take one they did not chose back), wash
hands, gloves, proper body alignment
2. offer to place towel over exposed areas (pants)
3. ask if they have preferences in assistance with dressing, offer choice of clothing if haven't
already
4. bunch sleeve down toward cuff of arm, place on affected arm, hold hand while pulling sleeve
over shoulder
5. stand behind client and drape over clients back
6. have client put unaffected arm through sleeve
7. make sure clothing fits
8. *verbalize* would you like assistance with the zipper?
9. take of shoes if applicable, bunch legs of pants and have client life their leg to put on pants,
pull pants up to knees
10. ask the client if they need help putting on their socks and shoes *DONT FORGET*
