Cares
You are assigned to Ms. L., who has a chronic non-healing pressure injury, with a bath. She is not on Contact Precautions but is known to be colonized with MRSA.
Do you need EBP?
YES.
Bathing is a high-contact care activity that risks contact with skin and wound drainage.
Resident is colonized with MRSA but is fully mobile with supervision only.
Do you need EBP?
NO.
Ambulation assistance without physical support does not require EBP.
Mr. M is colonized with an MDRO, he is able to toilet himself, but a staff member needs to prompt him to wipe due to impaired cognition.
Do you need EBP?
No,
High-contact tasks are not talking place
Mrs. M has an MDRO and needs staff to hand her the clothes she is going to wear for the day, but is able to dress herself.
Do you need EBP?
No.
No physical contact is needed.
During rounds, the CNA must turn a bedbound resident colonized with an MDRO. No wound care is done, but the resident is incontinent and may have moisture issues.
Do you need EBP?
YES.
Repositioning is a classic high‑contact task.
Mr. J has a colostomy bag and needs it emptied.
Do you need EBP?
No.
A colostomy bag is not an indwelling medical device.
Resident Mr. K. is colonized with MDRO but is otherwise independent once sitting. You only need to assist with lifting and pivoting.
Do you need EBP?
YES.
Transfers involve close physical contact and potential exposure to contaminated clothing, bedding, and the resident’s skin.
Resident has a history of ESBL colonization. CNA must clean the resident after a loose stool accident.
Do you need EBP?
YES.
High‑fluid exposure and contact with fecal matter require EBP
Resident requires daily compression stockings due to edema. The CNA must handle the legs, feet, and manipulate the stocking fabric.
Do you need EBP?
YES.
This requires full, hands-on lower extremity handling, which is high-contact care.
Resident Ms. T. is colonized with VRE but only needs setup assistance with meals—no physical contact.
Do you need EBP?
NO.
Normal social contact and meal setup do not require gown + gloves.
Mr. W. is colonized with an MDRO and needs help brushing his teeth and cleaning his mouth after breakfast. You will need to hold his chin, clean his mouth.
Do you need EBP?
YES.
Oral care is a high-contact activity with exposure to oral secretions.
Mrs. F. calls for help urgently to go to the bathroom. You must assist her to stand, pivot, and steady her during toileting. She has no indwelling medical device, wound, or infection with MDROs.
Do you need EBP?
No
She has no need of EBP due to not having an indwelling medical device, infection with MDROs, or wound.
Mrs. P who has a feeding tube and needs to brought to the bathroom before lunch.
Do you need EBP?
Yes
A feeding tube is an indwelling medical device so EBP is needed
You helped a resident shower and now you must help the MDRO-colonized resident with full dressing and lotion application.
Do you need EBP?
YES.
Dressing and lotion application require close physical contact.
Resident asks for their breakfast tray to be taken and a sip of water, while in their room. CNA must remove the breakfast tray, wipe crumbs, and help steady the cup for a sip.
Do you need EBP?
NO.
Light meal assistance, tray handling, and simple food handling does not need EBP unless combined with direct care.
Mrs. S has a central line and is getting ready for bed. You set everything up in their room for them to complete cares independently.
Do you need EBP?
No,
While Mrs. S has and indwelling medical device, you are not completing any high contact tasks.
Resident has a catheter and is walking to the dining room for mealtime.
No
EBP does not need to be used in common areas.
Mr. R. has a wound, is partially mobile but requires assistance with toileting and sometimes has incontinent episodes requiring cleanup of stool.
Do you need EBP?
YES.
Incontinence care is considered high-risk for transmission.
Resident has a colostomy bag and is independent while in their room but you need to help them get dressed.
Do you need EBP?
No
The resident does not have an indwelling medical device
A CNA is changing linens for a resident with an indwelling urinary catheter colonized with CRE. The resident is lying in bed and needs repositioning.
Do you need EBP?
YES.
Bed mobility and handling of potentially contaminated linens requires EBP.
Resident has a catheter and is colonized with a MDRO. The CNA must empty the drainage bag and reposition the tubing to avoid pulling.
Do you need EBP?
YES.
All catheter cares need EBP due to it being an indwelling medical device.
A resident who is colonized with VRE needs to be transferred to their wheelchair using a Hoyer lift.
Do you need EBP?
Yes
Transfers involving close physical contact and potential exposure to contaminated clothing, bedding, and the resident’s skin need gown and gloves
Mrs. G is is known to be colonized with MRSA and has an open wound on her ear, she is totally dependent on her caregivers for completing peri-cares and changing her brief.
Do you need EBP?
Yes
Toileting is a high-contact care activity that risks contact with skin and bodily fluids.
Mr. H. is an immobile resident who is colonized with an MDRO. He requires Prevalon heel‑offloading boots to prevent pressure injuries. During morning care, the CNA needs to remove the existing boots, clean and reposition his legs, and apply clean Prevalon boots.
Do you need EBP?
YES.
Applying Prevalon boots involves high-contact resident care activities including: handling the resident’s lower legs and feet, performing repositioning, making contact with skin and linens, potentially dealing with moisture or skin breakdown.
CNA is tidying the room while the MDRO-colonized resident is lying in bed. The resident asks for help raising the head of bed.
Do you need EBP?
NO
Adjusting bed controls is not a high-contact interaction.