I was taught to have the side rail rail raised on the opposite end of the bed or have someone there when turning patient over on their side. I am taking my test on Monday in Oregon...
This should be a good resource for you to prepare for the state exam as they demonstrate basic nursing principles, which are generally widely accepted. Good luck!
For the exam, you only need to change the bottom and top sheets and the pillowcase. You will not use a draw sheet and protective pad. However, you need to know how to use these items because you will need them in many healthcare settings. Thanks for the question!
Clean supplies should be placed on a clean barrier that has been placed on the overbed table. Clean supplies should not be placed on a chair (where patients and visitors sit) because the chair is not considered clean. This does matter for the test (and in real life!) to prevent contamination of the supplies. Contamination of the supplies before use will result in an infection control infraction. Thanks for such a great question!
Honestly I watched this video a week before my clinical and I it took me all 3 tried but if I would’ve knew about these videos before I would’ve passed. TYSM !!!!!
We are happy you are finding our videos helpful! Gloves are optional for this skill for the exam. You can wear them if you wish, but it is not required because there are no body fluids. You may raise the entire bed to make it more comfortable for you during this skill, but again, it is not required for the exam. If you do decide to elevate the bed to a comfortable height, you MUST remember to lower it at the end; failure to lower bed is an automatic failure because of safety! Good luck!
For the exam, the patient can be called any name you choose (or the evaluator may assign a name for you to use, like Mrs Jones). You should perform your opening "Hi Mrs Jones, my name is Patti and I am your CNA today. I am going to change your sheets, is that ok?" then close the curtain (the curtain is dirty from staff, visitors, etc) and wash your hands then gather your clean supplies with clean hands. Hope that helps!
The testing center may not have siderails on the beds because they are illegal in many settings. Siderails can be used as a restraint (a way of keeping a patient confined against their will) so you need to learn how to perform this skill safely without the use of siderails. Scooting the patient toward you and turning them away from you so they are lying in the center of the bed on their side is the proper way to position a patient in a bed without siderails. This should be done for the test.
We love questions! Questions let us know that people are thinking about the skills! We are very happy that you are viewing our videos and welcome all comments and questions! We wish you luck on your exam and in your new career!
Side rails are not graded on the exam because not all settings use side rails, since they are considered a restraint. You must know how to perform this skill safely without the use of siderails, as demonstrated in this video. Good luck!
Good luck on your test and in your new career! Make sure you subscribe to our channel to be notified of new videos and our new FREE continuing education for CNAs that will be offered later this summer!
Scoot the patient toward you before turning so that they remain safely on their side in the center of the bed. Side rails can only be used with a doctor's order. You will not always have another person to stand next to the bed when performing this skill. You should become accustomed to promoting safety when unable to use siderails or another person. Scooting a patient toward you first satisfies this requirement. Thanks and best of luck!
If the patient has an ID band on, you may use it for a secondary identification, but it should not be used for a primary identification. That should be done verbally by asking the patient their name or addressing them by name. Yes, the bed should be raised before washing your hands because the controls are not considered clean and you don't want to contaminate your hands after washing them by touching the bed controls. Good luck!
Gloves are optional for this skill for the Florida exam. You can wear them if you wish, but it is not required because you will not encounter body fluids during the exam. In real life, you may wish to wear them because you do not always know what is under the patient (body fluids) that you may be exposed to. But no, they are not required for the exam.
You can remove the dirty pillow case anytime during this skill. This is not a point that is listed on the clinical skills checklist (what they are testing you on). Understand that changing an occupied bed is not a perfect situation, you will always have cross-contamination between clean and dirty. A clean pillowcase on a dirty bed or a dirty pillowcase on a clean bed. The nurse (evaluator) already knows this and the board of nursing understands how infection control works so its not tested.
Practicing skills at home? Use the proper supplies for maximum performance! Our student practice kit gives you all the necessary supplies to master the skills in any setting! 4yourcna.com/product/student-practice-kit/
Gloves are required when touching body fluids, non-intact skin and personal skin. Since this patient is continent and completely dressed, gloves are not necessary. If I was unsure what I would find under the patient, or if the patient was undressed in any way, I would wear gloves. They are not necessary for the exam. Hope this helps! Good luck!
Florida does not require a draw sheet for the exam. The Florida clinical skills checklist states to change the top and bottom sheet and pillowcase while the patient remains in bed. I am unfamiliar with Kentucky standards, so I cannot offer you guidance on this point for your exam, but if a draw sheet is required, it will indicate so on the care plan. Just follow the directions you are given on your care plan and you will be fine. Good luck on the exam!
You will not need to put a waterproof pad on the bed for this skill. The testing care plan tells you to change the bottom sheet, top sheet and pillowcase on the bed. Drawsheets and pads are not required for the skill. Good luck on the exam!
Just verbally say "Correction: I would not have..." You will not have to start over in most cases. However, if you are missing many steps or failing to do important steps, the evaluator may allow you to start over. Just take a deep breath and think about how this skill should be done if you were the patient. Good luck!
Raising the entire bed to make this skill more comfortable for you is not REQUIRED for the exam. You can do so if you wish, however. This is not a graded point on the exam. If you do decide to raise the bed to a comfortable height, you MUST remember to lower it at the end of the skill. If you do not put the bed in its LOWEST position, it is an automatic failure because if the patient tries to get out of bed, the floor will be much farther away than expected, causing them to fall! Thanks!
when you get into the "real world" you dont have time to do things in this manner. I work 11 to 7 in a nursing home and take care of 28 to 31 residents at night according to how filled we are. i WISH i could ask someone to simply "roll over" lmao.
Where are clean linens placed before bed making? In class we were taught to put them in the chair. If so would we use a chuck in the chair or does it even matter for the exam.
I am from Kentucky and taking the test in Kentucky, and obviously regulations vary by state, but does Florida not require a draw sheet to run under the patient, on top of the bottom sheet?
That step is not required for the exam. Only steps required for the exam are demonstrated in this video. You may find that step is helpful in a clinical setting, however. Good luck!
so does that mean that im no longer going to look at the patients id band or something? and am are we going raise the level of the bed first before washing the hands? thanks for the help :)
I have 2 questions...does the patient have to scoot over to the other side of the bed by himself or are you supposed to use body mechanics to manually move him ? Like what if he can't move due to back pain or something.I'll be taking my exam in 2 days and I just want to miss any crucially important step...also I'm very curious how can wrinkled linen contribute to bed sores ? When they are soft and harmless...
Every patient will be different and have different levels of ability. For the exam, you can ask them to scoot, but you have to turn them. In a clinical setting, you will use the method detailed in the care plan on how to move the patient (draw sheet, slide sheet, segmented move, etc.). Sit on your hand for 2 minutes then look at it...see the lines? The color changes? This was only 2 minutes...can you imagine what your hand would look like in 2 hours? Gravity pulls the body down and anything the skin encounters will leave a mark as gravity continues to pull. The longer the pull, the deeper the mark. Eventually, the skill will give way and a sore will develop. This is a bedsore. Best of luck!
Gloves may be worn for this skill if you wish. Gloves are required if the patient is incontinent, has an open wound, any drainage or non-intact skin. I am not familiar with your state's standards so I am not able to answer your question, other than to indicate current nursing standard. Changing gloves is not required as cross contamination is not an issue when the patient remains in bed. Good luck!
I am seeing the clean sheet coming in contact with the edge of the soiled sheet tucked under the patient. Haven't taken the class yet, but it seems to defeat the purpose. If that soiled sheet is wet, the clean sheet is now damp, also?
+Julie Evans The patient (the source of the contamination) is still in the bed, so this is not an issue with regards to infection control. For the exam, the care plan does not indicate that the sheet is soiled or wet, so there is no transfer of fluid for the exam. However, in a clinical setting, if the soiled sheet is wet, you could roll a chucks or towel over the soiled sheet as it is rolled toward the patient and tucked underneath to prevent the new sheet from getting wet. Since the soiled sheet is rolled toward the patient, and the clean sheet is rolled toward you, the undersides of each sheet are all that come into contact with each other, not the portions of the sheet that were in direct contact with the patient. The patient cannot be positioned on a bare mattress, so you cannot completely remove the soiled sheet from the bed and apply the clean one without the two touching. The point is, the patient cannot get up and must have the sheets changed - the goal is to make this happen as easily and safely as possible, with a minimum of wrinkles that would contribute to bedsore formation. Your instructor should be able to provide more information regarding this skill once you begin your training. Best of luck!
in the exam do you know already the name of the resident? when is the best to time identify the patient and how do we do it? isnt it wash your hands before checking the id band? im kinda confused.. pls help me :) thank you! :)
That makes no sense. The same patient is on the clean sheets that was on the dirty sheets. If the patient can touch the clean sheet, why can't the pillowcase touch the clean sheet? This is NOT a point on the clinical skills checklist (you can view it on Prometric's website). This is not why you failed. You received a print out after the exam that lists all deficiencies on the exam (why you failed). They can only grade you on the points listed on the clinical skills checklist.
I saw another video in which a towel, in case of wet bed is placed by patients bottom, and also gloves are worn to remove used linens. Then new gloves are worn anytime the new sheets are worked with. ??? Paranoid about flunking the test!
I was taught to have the side rail rail raised on the opposite end of the bed or have someone there when turning patient over on their side. I am taking my test on Monday in Oregon...
This should be a good resource for you to prepare for the state exam as they demonstrate basic nursing principles, which are generally widely accepted. Good luck!
Good luck on your exam! We are happy that you are finding our videos helpful as you prepare for the exam! Best of luck!
We are very happy that you have found our videos helpful! Good luck in your new career!
Congratulations! We are very happy that you found our videos helpful!
I'm going over all these videos 2 or 3 times a day. I take my test next week and I know for sure my nerves will get to me.
For the exam, you only need to change the bottom and top sheets and the pillowcase. You will not use a draw sheet and protective pad. However, you need to know how to use these items because you will need them in many healthcare settings. Thanks for the question!
Clean supplies should be placed on a clean barrier that has been placed on the overbed table. Clean supplies should not be placed on a chair (where patients and visitors sit) because the chair is not considered clean. This does matter for the test (and in real life!) to prevent contamination of the supplies. Contamination of the supplies before use will result in an infection control infraction. Thanks for such a great question!
Honestly I watched this video a week before my clinical and I it took me all 3 tried but if I would’ve knew about these videos before I would’ve passed. TYSM !!!!!
We hope you passed the CNA exam and wish you luck in your new career!
We are happy you are finding our videos helpful! Gloves are optional for this skill for the exam. You can wear them if you wish, but it is not required because there are no body fluids. You may raise the entire bed to make it more comfortable for you during this skill, but again, it is not required for the exam. If you do decide to elevate the bed to a comfortable height, you MUST remember to lower it at the end; failure to lower bed is an automatic failure because of safety! Good luck!
For the exam, the patient can be called any name you choose (or the evaluator may assign a name for you to use, like Mrs Jones). You should perform your opening "Hi Mrs Jones, my name is Patti and I am your CNA today. I am going to change your sheets, is that ok?" then close the curtain (the curtain is dirty from staff, visitors, etc) and wash your hands then gather your clean supplies with clean hands. Hope that helps!
The testing center may not have siderails on the beds because they are illegal in many settings. Siderails can be used as a restraint (a way of keeping a patient confined against their will) so you need to learn how to perform this skill safely without the use of siderails. Scooting the patient toward you and turning them away from you so they are lying in the center of the bed on their side is the proper way to position a patient in a bed without siderails. This should be done for the test.
We love questions! Questions let us know that people are thinking about the skills! We are very happy that you are viewing our videos and welcome all comments and questions! We wish you luck on your exam and in your new career!
thank you for the reply. These videos are helping me a lot.
We hope that you were successful in passing your exam!
Side rails are not graded on the exam because not all settings use side rails, since they are considered a restraint. You must know how to perform this skill safely without the use of siderails, as demonstrated in this video. Good luck!
Good luck on your test and in your new career! Make sure you subscribe to our channel to be notified of new videos and our new FREE continuing education for CNAs that will be offered later this summer!
Scoot the patient toward you before turning so that they remain safely on their side in the center of the bed. Side rails can only be used with a doctor's order. You will not always have another person to stand next to the bed when performing this skill. You should become accustomed to promoting safety when unable to use siderails or another person. Scooting a patient toward you first satisfies this requirement. Thanks and best of luck!
If the patient has an ID band on, you may use it for a secondary identification, but it should not be used for a primary identification. That should be done verbally by asking the patient their name or addressing them by name. Yes, the bed should be raised before washing your hands because the controls are not considered clean and you don't want to contaminate your hands after washing them by touching the bed controls. Good luck!
Gloves are optional for this skill for the Florida exam. You can wear them if you wish, but it is not required because you will not encounter body fluids during the exam. In real life, you may wish to wear them because you do not always know what is under the patient (body fluids) that you may be exposed to. But no, they are not required for the exam.
You can remove the dirty pillow case anytime during this skill. This is not a point that is listed on the clinical skills checklist (what they are testing you on). Understand that changing an occupied bed is not a perfect situation, you will always have cross-contamination between clean and dirty. A clean pillowcase on a dirty bed or a dirty pillowcase on a clean bed. The nurse (evaluator) already knows this and the board of nursing understands how infection control works so its not tested.
Practicing skills at home? Use the proper supplies for maximum performance! Our student practice kit gives you all the necessary supplies to master the skills in any setting! 4yourcna.com/product/student-practice-kit/
Gloves are required when touching body fluids, non-intact skin and personal skin. Since this patient is continent and completely dressed, gloves are not necessary. If I was unsure what I would find under the patient, or if the patient was undressed in any way, I would wear gloves. They are not necessary for the exam. Hope this helps! Good luck!
great. I will be taking the exam this month
Florida does not require a draw sheet for the exam. The Florida clinical skills checklist states to change the top and bottom sheet and pillowcase while the patient remains in bed. I am unfamiliar with Kentucky standards, so I cannot offer you guidance on this point for your exam, but if a draw sheet is required, it will indicate so on the care plan. Just follow the directions you are given on your care plan and you will be fine. Good luck on the exam!
Thanks for answering my many questions. :-)
You will not need to put a waterproof pad on the bed for this skill. The testing care plan tells you to change the bottom sheet, top sheet and pillowcase on the bed. Drawsheets and pads are not required for the skill. Good luck on the exam!
Just verbally say "Correction: I would not have..." You will not have to start over in most cases. However, if you are missing many steps or failing to do important steps, the evaluator may allow you to start over. Just take a deep breath and think about how this skill should be done if you were the patient. Good luck!
thanks for the information. that helps a lot :)
no gloves?
Raising the entire bed to make this skill more comfortable for you is not REQUIRED for the exam. You can do so if you wish, however. This is not a graded point on the exam. If you do decide to raise the bed to a comfortable height, you MUST remember to lower it at the end of the skill. If you do not put the bed in its LOWEST position, it is an automatic failure because if the patient tries to get out of bed, the floor will be much farther away than expected, causing them to fall! Thanks!
me too! i take mine tomorrow!
when you get into the "real world" you dont have time to do things in this manner. I work 11 to 7 in a nursing home and take care of 28 to 31 residents at night according to how filled we are. i WISH i could ask someone to simply "roll over" lmao.
Ikr and also when they showed the bed pan... almost none of the residents can lift there knees up and the but too hahahahahahaha
Do you need to put on a drawsheet and protective pad? We were told we had to do that.
Where are clean linens placed before bed making? In class we were taught to put them in the chair. If so would we use a chuck in the chair or does it even matter for the exam.
I am from Kentucky and taking the test in Kentucky, and obviously regulations vary by state, but does Florida not require a draw sheet to run under the patient, on top of the bottom sheet?
That step is not required for the exam. Only steps required for the exam are demonstrated in this video. You may find that step is helpful in a clinical setting, however. Good luck!
so does that mean that im no longer going to look at the patients id band or something? and am are we going raise the level of the bed first before washing the hands? thanks for the help :)
changing soiled linen without gloves? And the bed hieght is almost on her knee is that correct? No need to adjust the bed?
Say you make a mistake -such as lines touching uniform- and you realize it right away, do you start over or say you made a mistake and proceed?
I live in California..will these help me pass my skills test? Ive been watching them now about a week 2-3 times a day
Am in florida and was just wondering dont we need a waterprofpad how do i see what my state requires my test is the 20 on monday
I have 2 questions...does the patient have to scoot over to the other side of the bed by himself or are you supposed to use body mechanics to manually move him ? Like what if he can't move due to back pain or something.I'll be taking my exam in 2 days and I just want to miss any crucially important step...also I'm very curious how can wrinkled linen contribute to bed sores ? When they are soft and harmless...
Every patient will be different and have different levels of ability. For the exam, you can ask them to scoot, but you have to turn them. In a clinical setting, you will use the method detailed in the care plan on how to move the patient (draw sheet, slide sheet, segmented move, etc.). Sit on your hand for 2 minutes then look at it...see the lines? The color changes? This was only 2 minutes...can you imagine what your hand would look like in 2 hours? Gravity pulls the body down and anything the skin encounters will leave a mark as gravity continues to pull. The longer the pull, the deeper the mark. Eventually, the skill will give way and a sore will develop. This is a bedsore. Best of luck!
Is this technique the same for Jersey....I was taught one pair of gloves for this skill...Test on Wed and don't want to fail
Gloves may be worn for this skill if you wish. Gloves are required if the patient is incontinent, has an open wound, any drainage or non-intact skin. I am not familiar with your state's standards so I am not able to answer your question, other than to indicate current nursing standard. Changing gloves is not required as cross contamination is not an issue when the patient remains in bed. Good luck!
OH! Also, the vid I saw stressed the use of the safety rails.
I am seeing the clean sheet coming in contact with the edge of the soiled sheet tucked under the patient. Haven't taken the class yet, but it seems to defeat the purpose. If that soiled sheet is wet, the clean sheet is now damp, also?
+Julie Evans The patient (the source of the contamination) is still in the bed, so this is not an issue with regards to infection control. For the exam, the care plan does not indicate that the sheet is soiled or wet, so there is no transfer of fluid for the exam. However, in a clinical setting, if the soiled sheet is wet, you could roll a chucks or towel over the soiled sheet as it is rolled toward the patient and tucked underneath to prevent the new sheet from getting wet. Since the soiled sheet is rolled toward the patient, and the clean sheet is rolled toward you, the undersides of each sheet are all that come into contact with each other, not the portions of the sheet that were in direct contact with the patient. The patient cannot be positioned on a bare mattress, so you cannot completely remove the soiled sheet from the bed and apply the clean one without the two touching. The point is, the patient cannot get up and must have the sheets changed - the goal is to make this happen as easily and safely as possible, with a minimum of wrinkles that would contribute to bedsore formation. Your instructor should be able to provide more information regarding this skill once you begin your training. Best of luck!
Thank you! Your explanation is very helpful! I have a lot to learn.
in the exam do you know already the name of the resident? when is the best to time identify the patient and how do we do it? isnt it wash your hands before checking the id band? im kinda confused.. pls help me :) thank you! :)
look at the top sheet? careful not to touched the linens in the floor but why is it your top sheet is touches on the floor???
That makes no sense. The same patient is on the clean sheets that was on the dirty sheets. If the patient can touch the clean sheet, why can't the pillowcase touch the clean sheet? This is NOT a point on the clinical skills checklist (you can view it on Prometric's website). This is not why you failed. You received a print out after the exam that lists all deficiencies on the exam (why you failed). They can only grade you on the points listed on the clinical skills checklist.
Don't we have to put the safety rails? thats how i was taught.
So not excited for my CNA skills test tomorrow! :(
I saw another video in which a towel, in case of wet bed is placed by patients bottom, and also gloves are worn to remove used linens. Then new gloves are worn anytime the new sheets are worked with. ??? Paranoid about flunking the test!
The clean bed sheet has touched the floor, which makes it contaminated!
for this skill using gloves is unnecessary?
No gloves? And you're supposed to always roll a patient toward you...
Dont we.need gloves by the way am in florida
Glooooves???? you would fail this in the state exam with out 2 sets of gloves.