Summary CNA 21 skills

CNA 21 skills
1. Hand washing - Answer 1. Turn on the faucet so that clothes do not touch the sink
2. Wet wrists & hands (lower than elbow level)
3. Soap to hands
4. Wash with friction for 15-20 secs
5. Rinse with fingers pointed down
6. Dry hands with paper towels & toss
7. Use dry towel to turn faucet off & dispose

2A. Oral hygiene: teeth - Answer 1. Wash hands & put on gloves
2. Position resident & put towel across chest
3. Rinse mouth with mixture of 1/2 water & 1/2 mouthwash
4. Have emesis basin under chin to spit out
5. Brush teeth
6. Dispose of equipment

2B. Oral hygiene: dentures - Answer 1. Wash hands & put on gloves
2. Take dentures & place in a paper lined basin
3. Place washcloth or paper in sink to avoid breakage
4. Brush teeth with toothpaste or denture cleanser
5. Rinse with cool water
6. Dispose of equipment

3A. Shave a resident: razor - Answer 1. Wash hands & put on gloves
2. Position resident & put towel across chest
3. With basin full of warm water, apply warm washcoth to soften
4. Apply shaving cream/soap
5. With taut skin & going in the direction of growth. Rinse as needed.
6. Wash off the rest of soap/cream with washcloth
7. Apply aftershave as appropriate
8. Dispose of razor

3B. Shave a resident: electric shave - Answer 1. Wash hands & put on gloves
2. Position resident & put towel across chest
3. Make sure razor is clean & that resident has clean & dry face
4. With taut skin & going in the direction of growth.
5. Clean razor after use
6. Apply aftershave as appropriate

4. Nail care - Answer 1. Wash hands & put on gloves
2. Fill basin with warm water
3. Soak resident hands for 10 mins & dry
4. Clean under the nails
5. Trim one at a time

, 6. File
7. Apply lotion as needed

5A. Perineal care: female - Answer 1. Wash hands & put on gloves
2. Fill basin with warm water & have washcloth ready
3. Provide privacy. Cover the resident appropriately to avoid exposure.
4. Place waterproof pad under butt
5. Wet washcloth & apply cleansing solution
6. Separate labia, cleaning front to back, using clean area of cloth with each downward
motion. Use additional cloths as needed.
7. Turn patient on side, facing away, clean anal area by washing front to back
8. Remove waterproof pad & discard it

5B. Perineal care: male - Answer 1. Wash hands & put on gloves
2. Fill basin with warm water & have washcloths ready
3. Provide privacy. Cover the resident appropriately to avoid exposure
4. Place waterproof pad under butt
5. Wet washcloth & apply cleansing solution
6. Grasp penis, cleaning tip in circular motion, wash down shaft of penis, & wash
testicles. Use additional cloths as needed.
7. Turn patient on side, facing away, clean anal area by washing front to back
8. Remove waterproof pad & discard it

6. Partial bath: - Answer 1. Wash hands & put on gloves
2. Position resident
3. Provide privacy. Cover the resident appropriately to avoid exposure
3. Fill basin with warm water & have washcloths ready
4. Wash face (nose to outside of face), ears, neck
5. Place towel under arm. Put patient's hand in water and wash. Wash the armpit.
6. Wash perineal areas
7. Dispose of linens
8. Prepare for dressing

7. Shower / Tub bath - Answer 1. Wash hands & put on gloves
2. Prepare resident to go in robe & slippers
3. Place towel on floor outside shower.
4. Adjust water temperature to resident preference
5. Wash, rinse, and dry in head to toe sequence
6. Shampoo hair as appropriate. Covering eyes.
7. Prepare resident to leave shower / tub area.
8. Comb hair was appropriate.

8. Occupied bed - Answer 1. Wash hands & put on gloves.
2. Remove top bedspread, keeping resident covered with sheet.
3. Flatten bed as allowed. Loosen sheets. Position resident on side with side rail up as
needed.