LEAVE BE SQUEAKY CLEAN! (Daily Hygiene and Bathing)
When giving a resident a bed bath, you do this part of the body first.
What is...
The Face
While undressing a patient, a CNA should always ensure to do this.
What is...
Provide privacy
The term used for the involuntary loss or leakage of urine.
What is...
Incontinence (urinary)
This is a surgically created opening between the colon and abdominal wall.
What is...
a colostomy
This is a substance that appears in urine from the rapid breakdown of FAT OR ENERGY
What is...
Acetone
Ketone (or ketone bodies)
Perineal care on a female patient should be done in this order.
What is ...
from FRONT TO BACK
To better assist a person with Dementia, to get dressed, the CNA will do this.
What is...
Stack the clothes in the order that they are put on.
A foley catheter drainage bag should always be hung to the ___ when the patient is in bed.
What is...
The Bed Frame (the bag should be lower than the bladder).
This is the alternating contraction and relaxation of intestinal muscles, which allows feces to move through the intestines.
What is...
Peristalsis
This term is used when there is sugar (glucose) in the urine.
What is ...
GLUCOSURIA
Perineal care of a male patient should be done in this order.
What is ...
Start at the meatus (urethral opening)
Clean in a circular motion down to the scrotal area
(Note: If uncircumsized, retract and replace foreskin. )
When assisting a person with right sided weakness to dress, the CNA will remove clothing from this side first and put on clothing this side first.
What is...
Off - Good to Bad (left)
On - Bad to good (right)
The CNA ensures that urine can flow freely through the catheter to the drainage bag, by taking these 2 actions.
What is
1. Ensure the tubing is free of kinks.
2. Position the drainage bag below the bladder.
A CNA observes that a patient’s stool is black in color and has a tarry consistency. Apart, from assisting the patient back to bed, the CNA should also...
What is...
Save the stool
Tell the nurse
Have the resident start their flow of urine. Stop, then the CNA should cleanse the urinary meatus and after that - collect the specimen by having the resident continue to urinate.
What is...
A clean catch specimen
As a CNA you notice a big bruise that was not there before on patient's left hip. After putting the patient safely back to bed, you will need to do this.
What is...
Tell the nurse
(Complete an incident report)
When working with a resident with dementia and choosing clothing...
What is...
Allow the resident to make appropriate choices that maintain dignity and is appropriate for the weather etc.
A CNA should be familiar with these four types of catheters.
What is...
Indwelling
External (Texas or Condom)
Suprapubic
Straight
The CNA knows to follow the patient's care plan during bowel training. These are the two main purposes for bowel training a person. (Name both purposes).
What is...
• Gain control of bowel movements
• Develops a regular pattern of elimination (This helps to prevent fecal impaction, constipation, and fecal incontinence)
This would need to be done if you forget to save one of the samples for a 24-hour urine specimen.
What is...
Restart the collection.
Before assisting the person out of the tub, the CNA will do this.
What is...
Drain the tub
A CNA can promote patient independence when assisting with dressing, by doing this.
What is...
Encourage the resident to do as much as possible for themselves. (Allow extra time and be patient)
The risk for UTIs is high with urinary catheters. For this reason CNA's ensure to do these things during their care, to help prevent UTIs and risk for infection. (Name 2)
What is:
• Prevent urine from flowing back into the bladder when moving the drainage bag
• Use a clean area of the washcloth for each stroke during catheter care
• Keep the drain from touching the graduate or other surface
• Use a clean, separate graduate to empty each person's drainage bag
• Always wear gloves
The CNA knows to empty ostomy pouches when they are ____full to help prevent the pouch from leaking stools or flatus.
What is...
One third to half (full)
This is normally done to check for stones in the urine.
What is...
Strain the urine