One, Two & Three
These two steps must ALWAYS be done before and after every skill.
What is hand hygiene or handwashing?
There are 30 mL in 1 ounce. A resident drinks 4 ounces of juice.
What is 120 mL?
You assist a resident from bed to chair using this safety device.
What is a gait belt?
When should you wash your hands with soap and water? (List four specific skills.)
The observer says, "The resident is cold."
What is offer a blanket.
These three things must be done when entering the room.
What is knock, introduce yourself, and identify the resident?
A resident eats:
What is 300 mL of intake?
(4 oz = 120 mL, 6 oz = 180 mL → total = 300 mL)
Before ambulating, you must ensure the resident is not dizzy by doing this first.
What is dangling when going from lying down to sitting and wait 20 seconds to assess for dizziness when standing.
This must be maintained throughout the skill (principles of care).
What is provide privacy.
The observer says, "The resident complains of pain" during range of motion.
What is stop and report to the nurse.
Three safety steps must be completed before leaving the resident.
What are bed low, call light within reach, and side rails per care plan?
When weighing a resident, you must do this to ensure accuracy each time.
What is use the same scale and weigh at the same time of day?
When walking a resident, you should stand on this side.
What is the weaker side?
Before leaving the room, the most important step you must do.
What is ensure the resident has the call light within reach.
You tell the observer you forgot to do a step.
What is you then perform the step you forgot.
These three actions are required before starting any procedure.
What is explain the procedure, identify the patient and provide privacy?
You measure urine output slightly above the 100 mL line. You should document:
What is 100 mL?
(Do NOT estimate higher—always measure at the lowest visible marking. However, you can be within 25 mLs so 125 mL would be considered passing.)
You notice the resident begins to fall. Your first action is:
What is lower them to the floor safely?
What is the abbreviation for your documentation that you gave the person their call light?
CLWR
The observer says, "The resident refuses care."
What is respect the refusal and report it to the nurse.
These steps “add up” to automatic failure if missed.
What are critical (bolded) steps?
This amount of urine output in 24 hours is considered oliguria.
What is less than 400 mL?
Before transferring, you must check this FIRST.
What is locked the brakes on the wheelchair and bed.
When rounding on the patient at the beginning of your shift, you want to ensure this.
What is the CLWR and the bed is at a safe position in line with their careplan.
The observer says, "Your patient has left-sided hemipelegia and needs your help with dressing."
Take of the strong side first when removing the gown. Put on the weak side first when dressing with the shirt.