AND SOLUTIONS MARKED A+
✔✔*measures and records weight of ambulatory client* - ✔✔Records weight based on
indicator on scale. Weight is within PLUS OR MINUS 2 lbs. of evaluator's reading (If
weight recorded in kg weight is within plus or minus 0.9kg of evaluator's reading).
✔✔*performs passive range of motion (prom) for one knee and one ankle* - ✔✔While
supporting the limb, moves joints gently, slowly, and smoothly through the range of
motion, discontinuing exercise if client verbalizes pain.
✔✔*performs passive range of motion (prom) for one shoulder* - ✔✔While supporting
the limb, moves joints gently, slowly, and smoothly through the range of motion,
discontinuing exercise if client verbalizes pain.
✔✔*positions on side* - ✔✔*no bold.* Probably really important to provide privacy,
make sure head of bed is down and roll as one unit.
✔✔*provides catheter care for female* - ✔✔While holding catheter near meatus without
tugging, CLEANS at least 4 INCHES of catheter nearest meatus, moving in only one
diretion, away from meatus, using a clean are of the cloth for each stroke. While holding
catheter near meatus without tugging, RINSES at least 4 INCHES of catheter nearest
meatus, moving in only one diretion, away from meatus, using a clean are of the cloth
for each stroke.
✔✔*provides fingernail care on one hand* - ✔✔no bold. I'm betting it would be check
water temp and have client check water temp.
✔✔*provides foot care on one foot* - ✔✔no bold. I'm betting it would be check water
temp and have client check water temp.
✔✔*provides mouth care* - ✔✔cleans mouth (including TONGUE and surfaces of
TEETH) using GENTLE motions
✔✔*provides perineal caer (peri-care) for female* - ✔✔WASHES genital area, moving
from FRONT TO BACK, while using a clean area of the washcloth for each stroke.
Using CLEAN washcloth, RINSES soap from genital area, moving from FRONT TO
BACK, while using a clean area of the washcloth for each stroke.
✔✔*transfers from bed to wheelchair using transfer belt* - ✔✔before assisting to stand,
LOCK WHEELS on wheelchair.
✔✔washes hands - ✔✔[*don't touch inside of sink at any time!*]
*1* Hi, Mrs. Jones, I'm Jack. How are you today? (DO NOT HAVE TO RE-introduce
yourself after this 1st time while you wash hands !!)
, *2* turn on water, wet hands, apply soap.
*3 Lathers all surfaces of WRISTS, hands and fingers, producing friction for at least 15
(use 20+) seconds.
4* FINGERNAILS against palms of other hand
*5* RINSE. fingertils DOWN.
*6* DRY hands, toss paper towel.
*7* NEW PAPER TOWEL - turn off faucet
✔✔applies one knee-high elastic stocking - ✔✔*1* I'm going to be putting on your
stocking today, ok? If anything hurts at all, stop me, ok?
*2* PULL PRIVACY CURTAIN
*3* laying FACE UP
*4* turn stocking INSIDE OUT
*5* put on stocking GENTLY
*6 Finishes procedure with NO TWISTS OR WRINKLES and HEEL of stocking (if
present) is over heel and OPENING in toe area (if present) is either over or under toe
area.
7* SIGNALING DEVICE in reach
*8* BED in low position
*9* WASH HANDS
✔✔assists to ambulate using transfer belt - ✔✔*1* I'm going to be help you to stand and
walk today, ok? If anything hurts at all, stop me, ok?
*2 BEFORE assisting to stand, candidate ensures client is wearing SHOES.
3*BEFORE: bed at safe level (probably LOWEST)
*4*BEFORE: LOCK bed wheels
*5* BEFORE: assist client to SITTING position with feet FLAT on floor
*6* BEFORE: apply transfer BELT over clothing
*7* BEFORE: give 1-2-3 instructions
*8* STAND in front of client
*9* count to 3
*10* assist client to STAND
*11* walk behind and to 1 side of client for 10 FEET while HOLDING onto the belt.
*12* assist client to BED.
*13* remove BELT
*14* SIGNALING DEVICE in reach
*15* BED in low position
*16* WASH HANDS
✔✔assists with use of bedpan - ✔✔*1* I'm going to be help you with your bedpad today,
ok? If anything hurts at all, stop me, ok?
*2* PRIVACY SCREEN
*3* lower head of BED
---
*4* GLOVES
*5* get BEDPAN
,*6 PLACES bedpan correctly (pointy end / open end toward the front ... just like a
regular toilet seat)
7* REMOVE GLOVES. WASH HANDS
---
*8* RAISE head of bed
*9* Toilet TISSUE in reach.
*10* WIPES in reach.
*11* INSTRUCT patient to clean hands with wipes.
*12* SIGNALING device in reach
*13* LEAVE - call me when you're done.
---
*14* come BACK
*15* put on GLOVES
*16* head of bed FLAT
*17* REMOVE bedpan. Don't OVEREXPOSE patient.
*18* EMPTY bedpan
*19* RINSE bedpan
*20* put bedpan in DIRTY area
*21* remove GLOVES. WASH HANDS.
*22* SIGNALING DEVICE in reach
*23* BED in low position
✔✔cleans upper or lower denture - ✔✔*no bold.*
[supplies: toothbrush. toothpaste. papertowels for sink. towels on counter. dentures.
cup.]
*1* GLOVES
*2* LINE SINK with paper towels
*3* RINSE denture
*4* TOOTHPASTE to toothbrush
*5* BRUSH denture
*6* RINSE denture
*7* RINSE denture cup and lid
*8* denture IN CUP and add tepid water
*9* rinse toothbrush and put it in its place
*10* maintain CLEAN technique...don't let toothbrush touch counter.
*11* remove PAPER TOWELS in sink.
*12* take off GLOVES
*13* WASH HANDS
✔✔counts and records radial pulse - ✔✔*1* I'm going to take your pulse, ok? If anything
hurts at all, stop me, ok?
*2* FIND PULSE. fingertips on thumb side of patient's hand. *3* COUNT for 1 MINUTE.
*4 After obtaining a pulse by palpating in radial artery position, records pulse rate within
PLUS OR MINUS 4 BEATS of evaluator's reading. Counts beats for ONE FULL
MINUTE. (JUST UNDER THUMB ... between edge of wrist and tendons). [I Really
Really like my thumb !]
, 5* SIGNALING DEVICE in reach
*6* WASH HANDS
✔✔counts and records respirations - ✔✔*1* I'm going to count your breathing, ok? If
anything hurts at all, stop me, ok?
*2* COUNTS respirations for 1 minute
*3 records respiration rate within PLUS OR MINUS 2 BREATHS of evaluator's reading.
Count for one full minute. For testing purposes you may explain to the client that you will
be counting the respirations.*
*4* SIGNALING DEVICE in reach
*5* WASH HANDS
✔✔donning and removing PPE (gown and gloves) - ✔✔*no bold.*
*1* PUT ON GOWN tying at neck and back.
*2* put on GLOVES (gloves overlap cuffs of gown)
---
*3* take OFF GLOVES (without touching the surface)
*4* DISPOSE of gloves
---
*5* UNFASTEN gown
*6* REMOVE gown without touching the outside
*7* FOLD gown in on itself
*8* DISPOSE of gown
*9* WASH HANDS
✔✔dresses client with affected (weak) right arm - ✔✔*1* I'm going to help you get into a
new gown, ok? If anything hurts at all, stop me, ok?
*2* pull the PRIVACY curtain
*3* HOLD UP TWO TOPS and have patient choose
*4* GOWN OFF GOOD SIDE and TUCK under arm. avoid overexposure.
*5* GOWN OFF BAD SIDE and TUCK under arm
---
*6*assists to put the right (affected / weak / frozen) arm through the right sleeve of the
top BEFORE placing garment on left (unaffected / normal) arm. You don't want to move
the weak / frozen arm. LEFT arm is the one you take it off first (since they can move it
the easiest) and the LEFT arm is the one you put it on LAST.*
7* be GENTLE. don't overextentend
*8* pull dirty gown off and put in DIRTY BIN
*9* SIGNALING DEVICE in reach
*10* BED in low position
*11* WASH HANDS
✔✔feeds client who cannot feed self - ✔✔*1* I'm going to help you eat, ok? If anything
hurts at all, stop me, ok?
*2* PICK UP NAME CARD from tray. Have client say THEIR NAME.