cna skills animal memory locks

CNA Skills Memory Locks

Animals A-Z

Skills 1-26

Alligators

Alligators – Pressure Ulcer Prevention


1. Demonstrate 2 ways to Prevent Pressure Ulcers.


1. Demonstrate 2 ways to Prevent Pressure Ulcers.a. Proper Use of a Bed Cradleb. Elbow/Heel Protectors.


1. Demonstrate 2 ways to prevent Pressure Ulcers:a. Proper Use of a Bed Cradleb. Elbow/Heel Protectors.

2. Explain 2 other ways to prevent Pressure Ulcers:


1. Demonstrate 2 ways to prevent Pressure Ulcers:a. Proper Use of a Bed Cradleb. Elbow/Heel Protectors.

2. Explain 2 other ways to prevent Pressure Ulcers:c. Changing Position Frequently.d. Good Nutrition and Hydration.

Bears – Positioning Foley Catheter/Bag/Tubing

• Position Foley Catheter /Bagtubing


• Position Foley Catheter /Bagtubing• A. Secure tubing to resident’s inner thigh or

abdomen.



abdomen.• B. Place tubing over leg.



abdomen. • B. Place tubing over leg.• C. Position tubing to facilitate gravitational

flow w/ no kinks.



abdomen. • B. Place tubing over leg.• C. Position tubing to facilitate gravitational

flow w/ no kinks.• D. Attach to bed from (not over or on side

railing) always below level of the bladder.


• Position Foley Catheter /Bagtubing• A. Secure tubing to resident’s inner thigh

or abdomen. • B. Place tubing over leg.• C. Position tubing to facilitate gravitational

flow w/ no kinks.• D. Attach to bed from (not over or on side

railing) always below level of the bladder.• Keep catheter bag from touching the floor.


• To provide care:• Fill basin with warm water. Put on Gloves.

Form a mitt.



Form a mitt.• If the person is a woman then separate the

labia, start @ vulva and stroke downwards towards the anus. Repeat, using a separate part of the wash cloth.



Form a mitt.• If the person is a man, place your washcloth-

covered hand at the tip of the penis and wash in a circular motion, downward the base of the penis. Repeat, suing a separate part of the washcloth. Make sure to clean under foreskin if the man is uncircumcised and return foreskin to the proper position when finished.


• To provide care:• Then, using a clean portion of the washcloth,

clean the catheter tubing, starting at the body and moving outward about four inches. Hold the catheter near the opening of the urethra. This will help to prevent tugging at the site tension as you clean.

Cougars

Cougars – Oxygen Care

Demonstrate correct placement of 02 tubing. Cannula inside nose (snake bite up), around ears and under chin.


Demonstrate correct placement of 02 tubing. Cannula inside nose (snake bite up), around ears and under chin.When asked by a nurse, demonstrate how to properly check 02 levels and then explain that you would report abnormalities to the nurse.


Verbalize 3 Oxygen Use Guidelines.a. Avoid lighting matches or smoking around

equipment.b. Ensure that all electrical equipment is in good

repair.c. No Kinks in Tubing.d. Make sure that air is flowing.

Dingoes

Dingoes – Occupied Draw Sheet Change

• A. Place clean draw sheet within reach on clean surface.


• A. Place clean draw sheet within reach on clean surface.

• B Provide Privacy Through Procedure.• C. Lower head of bed to a supine position.• D. After raising side rail, assist resident to

turn to one side, moving toward raised side rail.


• E Loosen draw sheet toward resident.• F. Place and tuck in clean draw sheet on the

working side (this must be done before turning resident.

• Raise side rail and assist resident to turn onto clean draw sheet.

• H. Remove soiled linens/draw sheet, avoiding contact with clothes, and place in appropriate location within room – never on floor.


• I. Pull and tuck in clean draw sheet, finishing with sheet free of wrinkles.

Elephant

Elephant – Apply Cold Compress

• A. Cover cold compress with towel or other protective cover. (never on bare skin.)

• B. Properly place on correct site as directed by skills examiner.

• C. When asked length of time that the cold compress should remain on patient Explain Checked every five minutes, removed no longer than 20 mins.

• Assess for redness, swelling, irritation and or pain. Report pain to nurse asap.

Frogs – Measure and Record Fluid Outtake

• A. Place container on flat surface, measure accurately in mL’s

• B Dispose of properly in toilet• C. Rinse and dry container• D. Remove gloves, wash hands.• E. Record output accurately within +/- 25

mL’s of nurses reading.

Giraffe

Giraffe – Covert Ounces to mL’s

• A. 30 mL’s = 1 oz.

Giraffe – Covert Ounces to mL’s

• A. 30 mL’s = 1 oz.• B. Ex. 240 mL’s = 8 ounces

Hippos

Hippos – Measure/Record Urine Output

• A. Calculate intake in mL’s• B. Measure on a flat, level surface• Record intake accurately within +/- 30 mL’s = 1

oz.

Ibex – Conscious Choking

• A. Candidate is able to identify symptoms of choking, asks resident “Are you choking?”

• B. Call for help.• C. Stand behind resident and wraps arms

around resident’s waist.• D. Places the thumb side of fist against the

resident’s abdomen.•

Ibex – Conscious Choking

• E. Positions fist slightly above the navel.• F. Grasp fist with other hand, press fist and

hand into the resident’s abdomen with an inward, upward thrust.

• G. Candidate should indicate that they would repeat this procedure until it is successful or until the victim loses consciousness.

Jaguar

Jaguar – Obtain and Record Weight and Height

• Weight• A. Move weights to zero before assisting

resident on to scale.• B. Assist resident to stand on scale.• C. Ensure resident is balanced and centered

on the scale with arms at side.• D. Accurately record weight within +/- .25 lbs.

of nurse’s measurement.

Jaguar – Obtain and Record Weight and Height

• Height• A. Assist resident to stand on scales• B. Resident is balanced and centered on

the scale with arms at side.• C. Raise folded measuring bar above

resident’s head, open and lower gently until bar rests on the top of the head (nor hair).

Kangaroo

Kangaroo – Application of TED Hose

• A. Explain what position resident should be in when applying stocking – apply while resident is in bed or with feet elevated.

• B. Hold foot and heel of stocking and gather stocking inside out down to the heel, aids in application.

Kangaroo – Application of TED Hose

• C. Smooth up and over leg so hose is even, snug and not twisted or wrinkled.

• D. Heel and Toe in proper location.• E. The toe hole may be on the top or bottom

of the toes, depending on the manufacturer's design.

Lions – Passive range of motion

• A. Exercise passively 2 joints• B. When asked by an examiner, explain or

demonstrate that you understand to never exercise beyond the point of pain.

• C. Provide support for joint.• D. Avoid fast and jerky movements.

Lions – Passive range of motion

• Demonstrate Flexion, Extension, Adduction, Abduction and Rotation if applicable.

• E. Repeat exercise at least three times.

http://www.youtube.com/watch?v=hitcSiPONKo

http://www.youtube.com/watch?v=XORFTjO9Dgk

http://www.youtube.com/watch?v=fSkO-c7-Nw4

Moose – Moving and Positioning Residents –

• With each of the above positions your demonstrate:

• Raise side rail while turning patient except on the side you are working on.

• Demonstrate proper body mechanics.• Maintain Residents proper alignment at all

times for all positions.


• A. Draw Sheet – Move using a draw sheet (2 Persons): Provide support for the resident’s head. Grasp rolled draw sheet near the resident’s shoulders and hips.

• B. Fowler’s – Position the Resident in Fowler’s (high Fowler’s is 60-90 degrees) and (Semi-fowler’s is 30-45 degrees) knees may be elevated approximately 15 degrees.


• C. Supine – Position in supine, in proper anatomical alignment.

• D. Chair/Wheelchair – Position WC near bed: Provide good alignment – upper body and head erect, back and buttocks against back of chair, feet flat in floor or in W/C footrests.


• E. Sims – Semi-prone – Position Sims prone on the correct side as directed by the resident as directed by the examiner. Left: resident left side lying, right leg flexed, lower arm behind resident. Right: Resident right side, left leg flexed, lower arm behind resident Provide good alignment. Place a pillow under the head, upper arm and flexed leg.


• F. Lateral (Right or Left): Position Lateral/side-lying on the correct side as directed by the examiner. Provide good alignment. Place a pillow between legs, behind back and under arm.

Narwhal

Narwhal – Assisting to Ambulate

• Use Gait Belt:• A: Resident should have footwear with non-

skid soles.• B: Sit resident up and allow to dangle.• C: Apply gait belt properly around

resident’s waist; avoid restricting circulation or breathing, or injuring skin.


• D. Assist resident to stand while hold gait belt. Grasp each side, not the front. Do not allow resident to hold around your neck while transferring.

• E. Maintain own body mechanics while assisting resident to stand.


• F. Walk at resident’s side or slightly behind (on weak side).

• G. Demonstrate proper use of assistive devices (walker or cane should be placed on resident’s strong side.)

Orca’s

Orca’s – Pivot Transfer

• A. Unlock W/C wheels.• B. Resident should have footwear with non-

skid soles.• C. Position W/C close to the bed on

resident’s strong side.• D. Move or remove foot rests from W/C.• E. Move Footrests.


• F. Lower bed and rails.• G. Sit resident up and allow to dangle.• H. Apply gait belt properly around

resident’s waist; avoid restricting circulation or breathing, or injury to skin.

• I. Assist resident to stand while holding gait belt. Grasp on sides, not front. Do not allow resident to hold on to neck.


• J. Maintain own good body mechanics while assisting resident to stand.

• K. Transfer to the strong side by pivoting to the strong side towards the wheelchair, using proper technique.

• L. Position resident properly in W/C, with residents hips against back seat


• M. Remove gait belt without harming resident.

• N. Place foot rests under residents’ feet.

Pandas

Pandas – Feeding the Dependent Resident

• A. Check the name and diet on the meal tray matches to the name of resident receiving it.

• B. Position the resident in an upright position. Minimum 60 degrees.

• C. Wash and dry resident’s hands before feeding.

• D. If resident wears dentures, check to make sure dentures are in.


• E. Protect clothing form soiling by using napkin, clothing protector or towel.

• F. Describes the foods being offered to the resident and maintain eye level contact while feeding resident.

• G. Offer resident fluids frequently.• H. When asked by examiner, explain the pace

and amount when feeding (Offer food in small amounts, allow resident to chew and swallow.


• I. Wipe resident’s hands and face during mea as needed.

• J. When asked by examiner, verbalize need to stop feeding when complications occur and report to nurse.

• K. Leave resident clean and in a position of comfort.

Quail – Denture Care

• A. Before handling dentures, protect dentures from possible damage (line the bottom of sink with a towel/washcloth or fill with water).

• B. When asked by examiner, explain that water for cleaning dentures should be lukewarm.

Quail – Denture Care

• C. Brush dentures under running water with brush and paste provided.

• D. Place dentures in denture cap with water, adding cleaning tablet (if available) and cover with lid and allow to soak.

• E. Perform mouth care while dentures are out of the mouth.

Rabbit

Rabbit – Log Rolling a Resident with Hip Fractures Precautions

• A. Use @ least 2 people.• B. Lower head of bed as flat as possible.• C. Do not roll resident onto injured side.• D. Place abduction splint or pillows

between legs to support hip.• E. On the count of three, roll person in a

single movement, being sure to keep the person’s head, spine and legs aligned.

Snake – Oral Care for an Unconscious Resident

• A. Verbalize that oral care should be done every 2 hours.

• B. Place towel or drape under the resident’s head.

• C. Positions resident (as resident’s medical condition indicates.) to prevent choking or HOB raised and head turned to side.

Snake – Oral Care for an Unconscious Resident

• D. Insert swab/sponge tip gently into resident’s mouth.

• E. Do not use toothpaste/toothbrush unless approved by nurse.

• F. Rotate against all tooth surfaces, mucous membranes and tongue.

• G. Clean resident’s lips.• H. Moisturize lips.• I. Report abnormalities such as bleeding gums.

Tiger – Back Rub/Massage

• A. Place resident in a sitting or lateral position.

• B. Pour small amount of lotion into the palm of your hands and rub lotion warm.

• C. Apply with gently pressure, using both hands from the buttocks to back of neck without pulling skin, using long firm strokes.

• D. Use short circular strokes across the shoulders using both hands.

Tiger – Back Rub/Massage

• E. Perform backrub for 3-5 minutes or as ordered.

• F. Assess skin condition.• G. Remove excess lotion.• I. When asked by examiner, verbalize

actions needed if redness or skin breakdown are noticed. Do not rub reddened area and report redness to nurse.

Unicorn

Unicorn – Foot and Nail Care

• A. inspect for cracked, broken nails/skin and between toes

• B. Do not clip toenails!• C. Soak feet in warm water.• D. Dry feet completely including between toes.• E. Apply lotion if desired but not between toes.• F. Apply socks/Shoes.• G Report Abnormalities.

Viper – Dressing/Undressing Resident

• A. Demonstrate hoe to dress/undress resident with hemiplegia.

• B. Provide privacy during entire procedure.• C. Dress weak side first.• D. Undress weak side last.

Worm – Shaving with Razor Blade

• A. Place towel to protect resident’s clothing.

• B. Soften beard with warm washcloth and apply shaving cream.

• C. Gently pull skin taut.• D. Use short strokes of razor in the

direction the hair is growing.• E. Rinse Razor often.

Worm – Shaving with Razor Blade

• F. Rinse and dry resident’s face• G. Apply after shave if desired.• H. Dispose blade in sharps container.

Xenosaur!

Xenosaur! – Provide Peri-Care

• Female• A. Assist resident in removing clothing, only

as necessary, exposing only area being washed. Providing privacy (remembering dignity.

• B. Obtain basin with water of a safe and comfortable temperature.

• C. Apply appropriate cleanser preferred by resident to wash cloth.


• Female• D. Separate the Labia, clean inside the labia

downward from front to back (clean to dirty). Then wash the outside of the labia from the front to the back. Starting outside the labia and then going to the inside of the thigh. Repeat until clean, using a different part of the was cloth every stroke.


• Female• E. Rinse and gently dry each area

thoroughly after washing.• F. Turn the resident on their side.• G. Clean the anal area from front to back.• H. Rinse and gently dry each area

thoroughly after washing.• I. Redress resident.


• Male• A. Assist resident in removing clothing, only

as necessary, exposing only area being washed. Providing privacy (remembering dignity.

• B. Obtain basin with water of a safe and comfortable temperature.


• Male• C. Apply appropriate cleanser preferred by

resident to wash cloth. Cleanse the penis from tip to base (clean to dirty). Repeat until the area is clean, using a different part of the washcloth for each stroke.– If a resident is uncircumcised, retract foreskin by

gently pushing the skin toward the base of the penis and clean as directed above, then replace foreskin.


• Male• D. Rinse and gently dry each area

thoroughly after washing.• E. Turn the resident on their side.• F. Clean the anal area from front to back.• G. Rinse and gently dry each area thoroughly

after washing.• H. Redress resident.

Yak – Assisting with a Bedpan or Fracture Pan

• A. Position the bedpan/fracture pan under the resident correctly (if using a fracture pan, the flat side should be towards the back of the resident.

• B. Raises head of bed to a comfortable level• C. Place tissue within reach of resident.• D. Position call light within reach.• E. Provide privacy.

Yak – Assisting with a Bedpan or Fracture Pan

• F. Gently remove bedpan.• G. Provide Peri-Care as need.• H. Empty bedpan in toilet.• I. Rinse, dry and store bedpan in proper

location.• J. Washes/assists with resident to wash

and dry hands.• K. Record results accurately.

Zebra

• A. Properly fill out label given and place it on the specimen container.

• B. Using a tongue depressor take a sample of feces from the bedpan or specimen container device.

• C. Note color, amount and quality of feces.• D. Dispose of tongue depressor in a

disposable.

Zebra

• E. Empty remaining contents of bedpan or specimen container device into toilet.

• F. Put lid tightly onto the specimen cup.• G. Place specimen cup into transport bag.• Wash Hands!• Take specimen cup to the designated location.

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