(1) Changing position frequently.

(2) Good nutrition and hydration.

(3) Provide good perineal care keep resident clean and dry.

(4) Be careful of the resident’s skin no shearing or friction.

(5) Check resident’s skin carefully-provide good skin care.

(6) Assist your resident to the bathroom frequently.

(7) Encourage mobility.

(8) Use pressure reducing devices. 

1. Secure tubing to resident’s inner thigh or abdomen 

2. Place tubing over leg

3. Position tubing to facilitate gravitational flow, no kinks

4.   Attach to bed frame (not over or on side rail) always-below level of bladder

5.   Keep catheter bag from touching floor.

1. Demonstrate correct placement of O2 mask or nasal cannula (place prongs following the contour of the 

nasal passage)

2. Demonstrate how to check the oxygen flow meter and verbalize actions needed if flow rate is not accurate

3. Verbalize 3 oxygen use guidelines

a. Avoid lighting matches or smoking around oxygen use

b. Ensure that all electrical equipment is in good repair

c. No kinks in the tubing

d. Make sure the device is placed correctly on the resident

e. Do not adjust the flow of oxygen-if incorrect, alert nurse

f. Do not remove the mask or nasal cannula, unless you are specifically told to do so by a nurse

g. Make sure the water level in the humidity bottle does not get too low

h. Provide oral care frequently

i. Watch for signs of skin irritation behind the person’s ears, over his or her cheeks, or around his or her ears.

1. Place clean draw sheet on clean surface within reach (chair, over-the-bed table)

2. Provide privacy throughout procedure

3. Lower head of bed, placing patient in supine position

4. After raising side rail, assist resident to turn onto side, moving toward raised side rail

5. Loosen draw sheet, roll soiled draw sheet toward patient

6. Place and tuck in clean draw sheet on working side            

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

8. Remove soiled linens/draw sheet, avoiding contact with clothes, and place in appropriate location within room –

never on floor

9. Pull and tuck in clean draw sheet, finishing with sheet free of wrinkle

1. Cover cold pack/warm compress with towel or other protective cover (pack or compress should not be 

placed on bare skin without covering)

2. Properly place on correct site as directed by  skills examiner

3. When asked by examiner verbalize frequency of checks and how long you would leave pack/compress on 

resident (initially check after 5 minutes/do not leave on patient for more than 20 minutes)

1.    Calculate intake in mL

2.    Measure on a flat, level surface

3.    Record intake accurately within +/- 25 mL's of nurses reading. 

1.    Convert ounces to mL   

2.    Record intake accurately within +/- 25 mL's of nurses reading. 

1. Collect paper towel/measuring container

2. Place paper towel on floor and place measuring container on paper towel

3. Remove drainage tube from storage sheath

4. Unclamp while directed toward container and facilitate gravity flow

5. Empty contents- (tube should not touch side of graduate)

6. Clean tip of drainage tube with alcohol swab

7. Re-clamp and reinsert tube into storage sheath

8. Place on flat surface, measure accurately in mL's

9. Dispose of properly into toilet

10. Rinse and dry container

11. Remove gloves, wash hands

12. Record intake accurately within +/- 25 mL's of nurses reading

Step 1: Putting on Gown

1.Put on gown by slipping arms into the sleeves

2.Secure the gown around your neck

3.Overlap edges of gown so your uniform is completely covered

Step 3:  Putting on Gloves

1.Put on gloves- the cuffs of the gloves should extend over the cuffs of the gown

Step 4:  Remove Gloves

1.Make sure glove touches only glove

2.Grasp a glove just below the cuff

3.Hold the removed glove with the other gloved hand

4.Reach inside the other glove with the first two fingers of your ungloved hand

5.Pull the glove down (inside out)over your hand and the other glove

6.Discard the gloves in trash

Step 5:  Removing Gown:

1.Untie the ties of gown

2.Untie the neck tie and loosen the gown at the neck

3.Removing Gown:

· Slip the fingers of your dominant hand under the cuff of the gown on the opposite sleeve and pull the sleeve 

over your hand.  Be careful not to touch the outside of the gown with either hand

· Use your gown-covered hand to pull the cuff and sleeve over your other hand, and then pull the gown off both 

arms

OR

· because your hands are clean, you may use your dominant hand to grab the cuff (which is clean), and pull the 

sleeve over your hand, then 

· Use your gown-covered hand to pull the cuff and sleeve over your other hand, and then pull the gown off both 

arms.

Step 7: Wash Hands

1. Position the body supine in proper body alignment

2. Bathe soiled areas and dry thoroughly

3. Place a clean gown on the body

4. Gently pull eyelids over eyes

5. Insert dentures if needed

6. Remove any jewelry 

7. List all jewelry removed and secure according to facility policy

8. Brush and comb hair as nec essary

9. Cover the body to the shoulders with a sheet if the family will view the body

10. Make sure room is neat

11. Allow family to view the body, provide privacy

12. Give the person’s belongings to the family

13. Close mouth -place a rolled towel under the chin to support the mouth if necessary.

1. Position the body supine in proper body alignment

2. Bathe soiled areas and dry thoroughly

3. Place a clean gown on the body

4. Gently pull eyelids over eyes

5. Insert dentures if needed

6. Remove any jewelry 

7. List all jewelry removed and secure according to facility policy

8. Brush and comb hair as nec essary

9. Cover the body to the shoulders with a sheet if the family will view the body

10. Make sure room is neat

11. Allow family to view the body, provide privacy

12. Give the person’s belongings to the family

13. Close mouth -place a rolled towel under the chin to support the mouth if necessary. 

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

2. Call for help 

3. Stands behind resident and wraps arms around resident’s waist

4. Places the thumb side of the fist against the resident’s abdomen

5. Positions fist slightly above navel and below the xiphoid process

6. Grasp fist with other hand, press fist and hand into the resident’s abdomen with an inward, upward thrust

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

consciousness. 

OBTAIN AND RECORD WEIGHT AND HEIGHT

WEIGHT. 

(Standing scale only)

1. Move weights to zero before assisting resident on to scale

2. Assist resident to stand on scale

3. Ensure resident is balanced and centered on the scale with arms at side

4. Accurately record weight within +/- 0.25 lbs. of nurse's measurement. 

1. Assist patient to stand on scales with height measurement facing away from the measuring bar

2. Resident is balanced and centered on the scale with arms at side

3. Raise folded measuring bar above patient head, open and lower gently until bar rests on top of the head (not hair)

4. Accurately record height within +/- 0.5 inch of nurse's measurement . 

1. Should apply while resident is in bed or with feet elevated

2. Hold foot and heel of stocking and gather up stocking – turning the stocking inside out down to the heel, aids in 

application

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

4. Heel and toe in proper location

5. If there is a hole at the foot portion of the hose, it makes no difference if it is on top of the foot or the bottom. (The 

hole was put there by the different manufacturers, to check circulation of the toes). 

1. Exercise passively 2 joints

2.   Never exercise past the point of pain or resistance

3.   Provide support for joint

4.   Avoid fast jerky movements, use flexion, extension, adduction, abduction or rotation if applicable

5.   Repeat exercise at least 3 times or as ordered. 

1.Draw Sheet: 

· Move using a draw sheet (2 persons): Provide support for resident’s head. Grasp rolled draw sheet 

near residents shoulder’s and hips

2.Fowlers: 

· Position in Fowler’s (high Fowler’s is 60 -90 degrees; semi-Fowler’s is 30-45 degrees; all includes 

elevating knees approximately 15 degrees 

3.Supine:

· Position in supine, in proper anatomical alignment

4.Chair/Wheelchair: 

· Position in chair or W/C: provide good alignment-upper body and head erect, back and buttocks against 

back of chair, feet flat on floor or on W/C footrests

5.Sims/Enema/Semi Prone : 

· Position in Sims’ position -left side lying, right leg flexed, lower arm behind resident. Provide good 

alignment by placing a pillow under the head, upper arm and upper leg

6.Lateral:

· Position in lateral/side-lying on the correct side as directed by examiner, using pillows for proper 

anatomical alignment. 

ASSISTING TO AMBULATE. 

Demonstrating proper use of gait belt. 

1.Resident should have footwear with non-skid soles

2.Sit resident up, allow to dangle

3.Apply gait belt properly around resident's waist; avoid restricting circulation or breathing, or injury to skin

4.Assist resident to stand while holding gait belt

5.Maintain own body mechanics while assisting resident to stand

6.Walk at resident’s side or slightly behind (on weak side, if resident has a weak side)

7.Demonstrate proper use of assistive devices (walker, cane-should be place on residents strong side)

TRANSFERRING FROM A BED TO A WHEELCHAIR/

Demonstrating proper use of gait belt. 

1. Lock the bed wheels

2. Resident should have footwear with non-skid soles

3. Move or remove foot rests from wheelchair

4. Lock wheelchair brakes

5. Lower bed and rails

6. Sit resident up, allow to dangle

7. Apply gait belt properly around resident's waist; avoid restricting circulation or breathing, or injury to 

skin

8. Assist resident to stand while holding gait belt

9. Maintain own body mechanics while assisting resident to stand

10. Transfer to the strong side, using proper technique

11. Position resident properly in wheelchair with residents hips against back of seat

12. Remove gait belt without harming resident

13. Place footrests under residents’ feet. 

1. Apply restraint properly to individuals, secure but not tight (1-2 finger width)

2. You must secure restraint to stable foundation (bed frame if patient is in bed)

3. Demonstrate how to tie a quick-release knot

4. Assess breathing/circulation

5. When asked by examiner verbalize frequency of checks and how often to release restraint for exercise, 

toileting or other activity. 

1. Before handling dentures, protect dentures from possible damage (line the sink or basin with a towel or 

washcloth or fill with water)

2. Brush dentures under running water (neither hot nor cold) with toothbrush and toothpaste

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

4. Perform mouth care while dentures are out of the mouth. 

1. Use at least 2 persons and draw sheet

2. Lower head of bed as flat as possible

3. Do not roll resident onto injured side

4. Place abduction splint or pillows between legs to support hip

5. Maintain proper body alignment a throughout movement. 

1. Verbalize frequency of oral care (every 2 hours)

2. Place towel or drape under the resident’s head

3. Position resident (as resident’s medical condition indicates) to prevent aspiration:

a. Position patient/resident in supine position with head to side or side lying (lateral) to prevent 

aspiration or with HOB elevated and head turned to side, as patient’s/resident’s medical condition 

indicates

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

5. Do not use toothpaste/toothbrush

6. Rotate against all tooth surfaces, mucous membranes and tongue

7. Clean resident’s lips

8. Moisturize lips

9. Report abnormalities such as bleeding gums. 

1. Pour small amount of lotion into palm of hand and rub hands together to warm lotion

2. Apply with gentle pressure, using both hands from buttocks to back of neck without pulling skin, using long firm 

strokes

3. Use short circular strokes across the shoulders using both hands

4. Perform backrub for 3-5 min. or as ordered

5. Asses skin condition 

6. When asked by examiner verbalize actions needed if redness or skin break down are noticed. 

1. Inspect for cracked, broken nails/skin and between toes 

2. Do not clip toenails

3. Soak feet in warm water

4. Dry feet completely including between toes

5. Apply lotion if desired but not between toes

6. Apply socks/shoes 

7. Report abnormalities

1. Demonstrate how to properly dress/undress resident with hemiplegia

2. Provide privacy during entire procedure

3. Dress weak side first

4. Undress weak side last.

1. Place towel to protect resident’s clothing (electric/blade)

2. Soften beard with warm washcloth and apply shaving cream (blade)

3. Gently pull skin taut (electric/blade)

4. Use short strokes of razor in the direction the hair is growing (electric/blade)

5. Rinse razor often (blade)

6. Rinse and dry resident’s face

7. Apply after shave if desired

8. Dispose blade in sharps container

FEMALE

1. Assist resident in removing clothing, only as necessary, exposing only area being washed 

2. Provide privacy (remembering dignity) 

3. Obtain bath basin with water of a safe and comfortable temperature

4. Cleanse labia (inside then outside) and all skin folds from front to back (clean to dirty) with soapy wash cloth

5. Rinse and gently dry each area thoroughly after washing

6. Clean the anal area from front to back

7. Rinse and gently dry each area thoroughly after washing

8. Redress resident

MALE

1. Assist resident in removing clothing, only as necessary, exposing only area being washed

2. Provide privacy (remembering dignity) 

3. Obtain bath basin with water of a safe and comfortable temperature

4. Cleanse the penis from tip to base (clean to dirty) with soapy wash cloth

a. If male is uncircumcised retract the foreskin by gently pushing the skin toward the base of the penis and 

clean as directed above.  Replace foreskin.

5. Rinse and gently dry each area thoroughly after washing

6. Clean the anal area from front to back

7. Rinse and gently dry each area thoroughly after washing

8. Redress resident

1. Positions the bedpan/fracture pan under the patient correctly (If using a fracture pan, the flat side should 

be toward the back of the patient)

2. Raises head of bed to a comfortable level

3. Place tissue within reach of resident

4. Position call light within reach of the resident

5. Provide privacy

6. Gently removes bedpan

7. Provide or assist with peri- care as needed

8. Empty bedpan in toilet

9. Rinse, dry and store bedpan in proper location

10. Washes/assists resident to wash and dry hands

11. Record results accurately. 

1. Properly label specimen container with residents name, DOB, date and time of specimen collection and 

type of specimen

2. Using a tongue depressor take a sample of feces from the bedpan or specimen collection device

3. Note color, amount and quality of the feces

4. Dispose of tongue depressor in a disposable bag

5. Empty remaining contents of bedpan or specimen collection device into toilet

6. Put lid tightly on the specimen cup 

7. Place specimen cup into transport bag

8. Wash hands

9. Take the specimen cup to the designated location.