Vital Signs: Temperature (Oral/Axillary) - ANSWER-1. *Ask the person if they have
eaten or consumed a beverage, cold or hot or smoked within the last 15 minutes.
2. Place a sheath on the probe.
3. Correct placement for obtaining oral reading or axillary reading.
4. If necessary, hold the probe in place for oral
5. Leave the probe in place until the instrument beeps.
6. Remove the probe sheath from the probe and dispose of properly.
7. Replace the probe.
8.*Red the temperature and record accurately.
Vital Signs: Pulse (Radial/Apical) - ANSWER-1. Locate pulse at the correct site.
2. Count pulse for 30 seconds and double or count for 1 full minute. Accuracy within +
or -4 beats per minute.
3.*Document Accurately
Vital Signs: Respiratory Rate - ANSWER-1. Count respirations for 1 full minute.
Accuracy within + or -2 breaths.
2.*Document Accurately
Handwashing - ANSWER-1. Don't touch the sink with your uniform.
2. Turn water to warm
3. Wet and soap hands
4.*Wash hands with fingers down for 15-30 seconds, including wrist, nails and between
fingers.
5. Rinse with fingertips down.
6. Use dry paper towel to dry hands.
7.*Use a paper towel to turn off faucets.
8.*Immediately discard paper towels in trash without touching to your other hand.
Skill 1: Pressure Ulcer Prevention
*Equipment: Pillows, Elbow/Heel Protectors - ANSWER-1.*Demonstrate 2 ways to
prevent pressure ulcers:
-Proper use of bed cradle
-Elbow/heel protector*
-Using pillows to reduce skin to skin contact*
-Making sure sheets are wrinkle free
2.*Explain 2 other ways to prevent pressure ulcers:
-Changing position frequently
-Good nutrition and hydration
-Provide good perineal care (keep resident clean and dry)
-Be careful of the resident's skin (no shearing or friction)
, -Check resident's skin carefully-provide good skin care
-Assist your resident to the bathroom frequently
-Encourage mobility
-Use pressure reducing devices
Skill 2: Position Foley Catheter/Bag/Tubing
*Equipment: Catheter Bag (Could already be on patient) - ANSWER-1.Secure tubing to
resident's inner thigh or abdomen.
2.*Place tubing over leg
3. Position tubing to facilitate gravitational flow, no kinks.
4.*Attach to bed frame (not over or on side rail) always-below level of bladder.
5. Keep catheter bag from touching floor.
Skill 3: Oxygen
*Equipment: Nasal Cannula (Could already be on patient) - ANSWER-1.*Demonstrate
correct placement of O2 nasal cannula (place prongs following the contour of the nasal
passage, tubing around ears and under chin (not behind head))
2.*When asked by nurse-demonstrate how to check the oxygen flow meter and
verbalize actions needed if flow rate is not accurate. Do not adjust the flow of oxygen-if
incorrect, alert the nurse immediately.
3.*Verbalize 3 oxygen use guidelines.
-Avoid lighting matches or smoking around oxygen use
-Ensure that all electrical equipment is in good repair
-No kinks in the tubing
-Make sure the device is placed correctly on the resident
-Do not remove the mask or nasal cannula, unless you are specifically told to do so by a
nurse.
-Make sure the water level in the humidity bottle does not get too low
-Provide oral care frequently
-Watch for signs of skin irritation behind the person's ears, over their cheeks, or around
their ears and nose
-Check to make sure oxygen is flowing
Skill 4: Occupied Draw Sheet Change
*Equipment: Clean Draw Sheet - ANSWER-1. Place clean draw sheet on clean surface
within reach (chair, over-the-bed table)
2. Provide privacy throughout procedure
3. Lower head of bed, placing resident in supine position
4.*After raising side rail, assist resident to turn onto side, moving toward raised side rail.
5. Loosen draw sheet, roll soiled draw sheet toward resident
6.*Place and tuck in clean draw sheet on working side (this must be done before turning
resident)
7.*Raise side rail and assist resident to turn onto clean draw sheet
8.*Remove soiled linens/draw sheet, avoiding contact with clothes, and place in
appropriate location within room-never on floor
9. Pull and tuck in clean draw sheet, finishing with sheet free of wrinkles