2026\2027 A+ Grade
Opening
- correct answer 1. Identify patient
2. Introduce self
3. Explain procedure
4. Close privacy curtain
5. Wash hands
6. Gather supplies/Set on barrier
Closing
- correct answer 1. Open privacy curtain
2. Place call light in reach
3. Ask patient if they need anything and are comfortable
4. Make sure work area is neat
5.Wash hands
6. Make any necessary corrections (tell evaluator you are making them)
7. Tell evaluator "My skill is done."
Wash Hands
- correct answer Supplies: Soap and Water, Paper Towels
1. Wet hands, apply soap, lather for 20 seconds over all surfaces (including wrists)
2. Clean nails by rubbing them into palm of other hand.
3. Rinse off all surfaces
4. Dry with paper towels, being sure not to touch clean hands on other surfaces.
, 5. Use clean paper towel to shut off water.
Measure and Record Pulse
- correct answer Supplies: Watch/Clock with second hand, pen, documentation sheet
1. Opening
2. Locate pulse on thumb side of patient's wrist. Support forearm while elbow is on the bed.
3. Count beats for one FULL MINUTE. Say start and stop to indicate what you are doing.
4. Closing
5. Document (Ex: 72/minute)
Measure and Record Respiration
- correct answer Supplies: Watch/Clock with second hand, pen, documentation sheet.
1. Opening
2. Holding wrist so they do not know you are counting respirations, say start and count respirations for
one FULL MINUTE. Say stop.
3. Closing.
4. Document (Ex: 16/minute)
Ambulate Resident Using a Gait Belt
- correct answer Supplies: Non-skid footwear, gait belt.
1. Opening and assure nonskid footwear is on.
2. Place gait belt around patient's waist.
3. Ensure a 4 finger space between patient and belt.
4. Have patient place hands on your shoulders while gripping the gait belt with both arms around
patient.
5. Assist patient with standing by counting to three. Let them stand still for a few seconds and ask if they
are dizzy.
6. Walk 10 steps and then 10 back while holding the gait belt with one hand on farthest side.
7. Frequently ask about comfort, dizziness, or weakness
8. In same position as helping stand, lower patient into chair on count of three.
9. Remove gait belt.