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Prometric Skills Demo for Emptying the Urinary Drainage Bag
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- Опубликовано: 14 окт 2020
- This is a step-by-step demonstration video of emptying a urinary drainage bag and measuring the contents according to Prometric guidelines for the nurse aide state exam. This skill is one of the 21 testable skills on the Texas State CNA Exam.
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Thank you so much Dr. Lee!! I just passed my skills exam and am now a CNA thanks to your help
Wonderful Alfani! Best of luck to you in healthcare.
Thanks Dr. Lee I passed my CNA skill yesterday thanks to ur videos I watch them all for a week
That is awesome!
Hello Dr. Lee! I just wanted to let you know that I PASSED MY CNA EXAM! 🙌🏽🙌🏽🙌🏽 I want to thank you so much for your videos! I watched quite a few of them & they were very helpful! THIS skill was my FIRST skill & I was very confident in performing & documenting my skill!
Again, thank you so much 😊
Fantastic!
Hi Dr. Lee! I just took my CNA skills exam this weekend and passed because of you!! I finished my CNA course in March 2020 when Covid had just began but when everything shut down they kept postponing and cancelling our state exams over the summer. I never got licensed because of the craziness covid caused and I never went back to take my state exam until this past weekend because my two year mark was about to expire. Unfortunately, the system I learned from was pearson and they no longer test based off of what I had learned. I had to relearn the skills based off of prometrics standards and a friend referred me to your videos because she went through the same thing. I just wanted to say thank you for providing a valuable resource for people wanting to become a CNA!!
Hello Clarissa, I thank you for letting me know about your success. I totally understand what you went through. Many of my students were in the same situation. The main thing is that you didn't give up and you completed the process. Congratulations again.
Thank you Dr. Lee ! I passed my exams today as a FL CNA. I literally started watching your videos yesterday and they helped me so much.. I highly recommend your videos and your facility to anyone seeking professional certification. Thank you again 😊
Great job!
Thank you Dr. Lee. I'm a nursing student and you are my instructor.
Hello Daniel, thank you.
I'll be watching more of your videos before my CNA test. You are very clear, easy to understand, and thorough.
Thank you. I wish you the best with your exam. Remember Prometric is testing on the oral skills now.
Thank you DR lee this was a skill that I had and I passed my skill exam I did it just the way you showed it I passed I'm now a certified nursing assistant again that you so much
Great job!
Dr. Lee I want to say a big thank you to you for your videos. I did my CNA state exam on July 28th and I passed it just one attempt I'm sincerely grateful may God bless you thanks
Excellent! Be Blessed also
@@txcnaskills2599 oo
@@txcnaskills2599 o
Thank you Dr. Lee with your thorough explanation I passed my CNA prometric skills exam.
Good Job Melissa. Welcome to healthcare.
Great job 👏
This videos saved me , I start a new job and I did not remember much since I got my license.
Hello Marlenne, I am glad they helped.
Hi Dr Lee I have my clinical skills on July 7 th and out of all the Prometric video on RUclips you are the most amazing person, you explain and you gives clues to remember and you are on point! The only thing that I haven't seen you do is Aligning the patients but it's okay bc it's good to see different so if I can spot the difference from what I was taught is a beautiful thing! But your right with indirect care and not contaminating anything is important as well as communicating with you patients! I love it, thanks for your patience and support
Hello Jajaida, Help me understand which skill had a step for aligning the client. Prometric can ONLY grade you on what is listed under the skills checklist or under Indirect Care. I am eager to hear back from you. Thanks for your comments. Take care.
@@txcnaskills2599 this is what my teacher taught me 🤷🏾♀️ so whenever we finish a skill we have to align the pt from the pillow down to the toes ,lift the sheet up some over his toes for pressure sores and then we inform the pt that we are lowering the bed because we raised it in the beginning of our privacy 🤷🏾♀️, Dr Lee New York has us doing alot of extra stuff but it's cool bc I Kno I have to align during the state test I don't think it's Prometric however my teacher has the practor looking for how she taught us🤦🏾♀️🤷🏾♀️
@@txcnaskills2599 wish I could send you it but taking pictures isn't a option on here but yea when pt is in bed and in chairs
I love your enthusiasm! Thank you for the great videos Dr. Lee!! :)
My pleasure Cindy!
Thank you so much ! My class has exams next month and your videos help us digest the info (:
Happy to help! I wish you the best on your exams.
Thanks so much Dr Lee. This helped me passed my skills
Glad it helped!
Thank you so much for your videos! I take my exams tomorrow and i was feeling so nervous, and your videos have helped me a lot!
Good luck!! Please let me know how well you did.
U would b an incredible teacher!
Thanks so much.
Your videos are amazing, Dr. Lee! Thank you so much for making these!!
My pleasure Charlotte!
Thank you Dr Lee. This was one of the skills l did and l passed.
Great job!
Thank you so much for your videos I did my skills today and passed 😁
Way to go Marshsy. Congratulations.
Thank u for sharing your knowledge with us. I have question; Why u didn't use alcohol wipe to clean the tube of the urinary drainage bag?
Hello Helena, remember the skill is to empty and measure the urine output. Therefore, we are not graded on cleaning the drainage tube. When taking a state test, always follow the guidelines set by the state. Prometric doesn't tell us to use alcohol with this skill.
Empty contents of resident’s urinary drainage bag, and measure and record urine output on an Intake and Output (I&O) form
4 Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan?
5 Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect drain (e.g.,
clamp and tuck drain into pocket) after emptying drainage bag?
6 Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine
poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate?
7 Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet?
8 Record output with clean hands?
In a real environment I will clean the drainage bag tubing, BUT this is a testing environment with basic requirements.
I hope this helps.
@@txcnaskills2599 this helps bcuz I was thinking the stay thing thanks... Pray for me im renewaling after so long
Thank you for your time and videos.
My pleasure! Take care Nelly.
Thanks,Dr Lee.
My pleasure!
You're so sweet thank you so much Dr Lee ❤
You are so welcome Hiwi.
Hello, dr.lee I took my class when it was under Pearson vue. But I never tested just didn’t feel my school prepared me enough so I put it off for way to long and now a year and months later I’m here trying to learn the prometric guidelines which was a set back because most RUclips Cna videos are under Pearson vue and then I came across yours and one more persons RUclips channel and I have just been binge watching these videos in hopes of being more than ready to take my skills test but you do such an awesome job even better then the actual school I went to and I feel I can pass my skills test now just by watching these videos. ( I already took my written exam feb 9,2021, just waiting on the results) I just need to focus on the skills March 2,2021 I take my skills portion.
Hello Jazzmin, All of my students receive their test results from Prometric within 24-48 hours. If you took the test on Feb 9th and haven't heard anything from them, you may want to call and see what is wrong. That is way too long.
I taught the Pearson Vue skills until Texas went with Prometric in September 2020. You are correct, the skills are different. You will have to get Pearson Vue methods out of your head because things are different. Good luck. Don't forget to subscribe if you haven't already.
@@txcnaskills2599 wow I will call ASAP I’m anxious to get my results back but I know I passes it. A lot of the question where piggy backed off the the other and I had a duplicate question crazy but it was very easy I just ready to see my actual score. And can I login into my account and see my results??? I keep logging in but nothing is posted about my test score
@@txcnaskills2599 update: they did send my results it came the very next day. It ended up in my spam folder I don’t know why though 🤦🏾♀️ I’m glad I checked it this morning though I forget sometimes certain emails be in spam. I’m just so happy one test down and one to go🎉🎉🎉
Great video 👍
Thanks 👍
I’m loving watching all of your videos, due to these I feel “I WILL pass”! Even re watching them I realize your mistakes of word? In this video toy Said to take your gloves off and throw them in the towlet!! I know you did NOT mean to say that!
I know there are plenty of videos to watch on the prometric skills but I WILL NOT watch any other videos but yours Dr. Lee!
Thanks Nancy, I wish you the best on your exam.
hello Dr.Lee im taking my cna exam next week whenever you are about to start the skill do you have to walk out of the room and then come in and and knock or can you stay in the room and knock on the door to simulate you walking in?
Hello, The candidate MUST walk out of the room, knock on the door, enter the room, and start the skill
Great video
Thanks!
Hi Dr. Lee, when documenting, do we have to put military time? Is this being graded as well?
Hello Albert,
You can place the time in AM/PM or military time on the measurement forms.
Thank you Dr. Lee
Hi Dr Lee, thanks for the video. I have a question. I was asked to perform this skill a month ago and I was failed under indirect for placing the barrier for the urine drainage on the floor. Please what's your advise
Hello Blessing, There is no way you should have failed for placing a barrier on the floor under the urine drainage. Placing the barrier on the floor is EXACTLY what Prometric calls for. Please see page 4 on the link below which lists the steps for emptying the urinary drainage bag. Look at step 4 for this skill.
www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf
Is there a reason why your barrier on the floor has to be some type of linen instead of paper towels?
Hello Margie, Prometric guidelines states to set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan?
Therefore the barrier can be anything. (towel, blanket, paper towel, etc...) At my school we use a towel. Our choice. Great question.
I have a general question for the test: When we want to wash our hands and change our gloves DURING the skill, do we lower the patient's bed since we're “stepping” away from them?
Hello Vinodini,
If you raise the bed, you must lower it before leaving the bedside.
I don't teach my students to raise the full bed, because many will get nervous and forget to lower the bed. This behavior is an automatic fail. Raising and lowering the full bed is NOT a requirement for any of the skills.
I teach my students to leave the full bed alone for the 30-40 minutes of the skill exam. The student can raise the bed after they are certified. Let's not add extra steps that are not needed during the testing. This is how I teach my students.
@@txcnaskills2599 ok but just in case what were I to do in that scenario?
Very helpful
Glad to hear that
I didn't hear you saying I should call the valuator to come and confirm if the amount of urine is similar to mine....
Am I supposed to tell him or her to check....
And before giving the valuator the sheet of what have recorded, should I wash my hands again even though I washed before recording?
Hello, you posted good questions. You should NOT ask the evaluator to look at the measuring container. Remember, the evaluator put the urine into the drainage bag. Therefore, the evaluator already knows the amount of urine in the drainage bag.
Secondly, you DON'T have to wash your hands before giving the evaluator the documentation sheet.
Miss Lee,please tell me,after you empty the bag,you take it with the towel and bring to the sink,put it on a counter next to it to measure the amount,the floor is durty and you place something that has been on a dirty floor on a counter..does that mean you consider all surfaces dirty then?
Hello, When taking the state exam, we follow Prometric guidelines as much as possible. Therefore, the skills checklist does not state the student should not put the towel on a counter.
To answer your question, the floor is dirty. Once the dirty towel is placed on the counter, the counter becomes dirty. The student is NOT graded on cleaning the counter.
Please remember that a student is timed to complete 5 skills. The student needs to follow the skills checklist. We can always add to the skill which can make the student run out of time during the exam.
hello and thank you for these very informative videos. I just have one question reference this skill, i was taught to use 2 alcohol wipes for this skill on the drainage tip before and after is that mandatory?
Hello, Using alcohol wipes is NOT a step for this skill when testing with Prometric. I don't teach my students to use alcohol wipes.
Thank you for this! Just wondering if we have to spray with antibacterial spray to clean
No need to do that. The use of an antibacterial spray is not a part of the skill.
I have a question Dr Lee.. for the documentary I don’t see the number 2 , after the time ..
Can you please restate your question? I don't understand.
Im taking my state test tomorrow so ive been watching ur videos and asking question to u .. any suggestion before taking the test? Thank u much for all the help
My advice is to follow 'Prometric guidelines and to not add thing into the skill.
Dr. Lee, once I measure the urine if I cant remember in my head can I wash my hands than come back and pour the urine in the toilet have a exam tomorrow just need to know? Also, do you need a alcohol wipe to wipe after you drain the urine ?
Hello, You can leave the urine on the counter/bedside table until after you have documented it so that you don't forget the amount. I hope you passed the exam.
love your videos Dr lee 😃, I have two question are we required to wash our hands for this skill? and is the damage bag ever filled with a lot of body waste or just enough to fit in the triangular cylinder?
Hello, The student doesn't have to physically go and wash their hands. The student can just "say, I wash my hands." The evaluator will only put enough food color water to fit into the cylinder.
Very informative
Glad you think so! Luretta.
Hello DR. Lee, at 8:44 you said you will put the gloves you've taken off into the toilet.. I'm sure you meant Trash.
Hello Nelly, Someone else told me that. Sorry about that. I am human.
I know. I just wanted to let you know just in case it wasn't mentioned. Oh, I passed. Thank you for your help. Peace and love.
Hi Dr. Lee . Pls what time should you record after this skill. Is it d time when you read the graduate container or when you are actually recording the measurement on the form
Hello Peace, Record the time when you are actually writing the measurement down.
You are the best
Thank You Leela.
Hi Dr Lee are you supposed to have an alcohol pad for this skill
Hello, Prometric does not require the use of an alcohol pad for this skill.
Dr. Lee do we have to use alcohol wipe after draining the urine to the cup?
Hello, alcohol is not required as a step for this skill.
Must we use alcohol wipes to clean the sprouts in and out.
Hello, The use of alcohol wipes is NOT a requirement for Prometric for this skill.
Ok thanks
Aren't we supposed to use alcohol wipes to wipe the tubing before and after draining the urine?
Hello Liya, If you review the Prometric skills guidelines for this skill, the mention of alcohol is NEVER listed. Is this something you read somewhere?
Empty contents of resident’s urinary drainage bag, and measure and record urine output on an Intake and Output (I&O) form
4 Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan?
5 Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect drain (e.g.,
clamp and tuck drain into pocket) after emptying drainage bag?
6 Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine
poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate?
7 Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet?
8 Record output with clean hands?
The school I went to said we had to idk🤷
@@stickyicky3122 Hello Liya, I can only say the state does not require the cleaning of the tube with alcohol, so I DON'T teach my students to do that while testing. I stick to the instructions from the state.
You are awesome
Thank you so much.
These skills testing is just to much for a CNA! Especially since every class isn’t teaching everything provides on these tests. Crazy to go through all that just to make $10/$12 an hour.
I practice because I love caring for people.
Dr Lee. Do we need to wipe the with alcohol wipes around the tube where the urine come out at?
Hello Miyat, NO, NO, NO don't use alcohol.
I was taught to clean with a alcohol pad before draining and after, is that correct, would I fail for doing it?
Hello Clancy,
I will post the skills checklist below for this skill which is located on page 4.
www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf
No where in the 18 steps does Prometric state to use an alcohol wipe to clean the catheter. If you do that you will fail the skill.
Please correct me, wouldn’t we put the used tube in a designated dirty area rather than back into drawer?
Hello Julie, You are speaking of a Pearson Vue Rule. These skills are using Prometric guidelines. So, if you are testing under Prometric there is NO mention of a designated dirty area. Prometric requires us to put it back in the bottom three drawer chest that we got it from. Remember Prometric skills are slightly different from Pearson Vue.
In Texas, we started testing under Prometric guidelines in September 2020.
Hi Dr. Lee. Is mL the way we write the measurement for cc? For example if something reads 250 cc - do we write 250 cc or 250 mL?
Hello J. M. Hernandez, Prometric does not care if we write cc or ml because they mean the same thing.
Are we required to measure the output exactly? A co-worker told me we're supposed to round up, but that doesn't seem right. What does prometric expect? Thank you in advance! Your videos are wonderful!
Hello Tiffany, Yes, you ARE required to measure the urine output EXACTLY. Remember you are trying to match what the evaluator notes. You must be within 50 cc/mls of the evaluator. Please don't round up.
Thank you, very much! 🙏 I'll be sure to measure it exactly.
Thank you Doc ,I failed one of my skills because I recorded it wrong. The skills was Recorde Radio Respiratory .can you please show me how to do it?
Hello Roselene, I have a video on the respiration skill.
I have one question: I noticed on this video you stimulate hand washing And you gathered your supplies but wouldn’t that re-contaminate your hands if you grab the graduated cylinder before putting on your gloves..., or should i wash my hands then put on gloves to get the graduate cylinder.
Hello Jazzmin, The graduated cylinder is considered clean before it is used. The linen is also clean before being used. I will post the guidelines from Prometric below. The wearing of gloves is required when we start emptying the urine: handling the urinary drainage bag, graduate, or any urine-filled container.
Does the candidate:
1 Greet resident, address by name, and introduce self? (IC)
2 Provide explanations to resident about care before beginning and during care? (IC)
3 Wear gloves while handling the urinary drainage bag, graduate, or any urine-filled container, and remove gloves before documenting I&O?
@@txcnaskills2599 thank you for responding back I really appreciate you. Changing people lives. I have another question do we need to wash our hands before documenting on the I&o sheet and do we need to wash it again after we document on the I&O to end the skill.
Where were your alcohol wipes for wiping the opening of the catheter bag before and after opening and closing? So you wasn't being totally sterile.
The state guidelines for testing DOES NOT require that step. Where have you seen it as a requirement? I have NEVER seen it as a step for Prometric and Pearson Vue. Please send me the link.
Dr Lee your RUclips is helping but you put your protective barrier that was on the floor to the countertop, is that not cross contamination?
Hello Chinonye, We are not graded on the placement of the protective barrier for this skill. The student must make sure they read the container on a barrier that is on a flat surface. This will be the pass or fail point for the student. Take care.
@@txcnaskills2599 Thank you so much for your explanation Dr. Lee. I watch your videos often for my upcoming exams.
Are we suppose to use alcohol swabs to clean tubing before and after emptying
Hello Glynis, Prometric does NOT require the use of alcohol to clean the port of the urinary drainage bag. Using alcohol is NO WHERE listed for this skill by the state.
I live in New York and we have to use a alcohol pad to wipe the tube after urine has come out! That's one of our supplies for this skill! So each state is different 🤷🏾♀️
Hi Dr Lee due to Covid 19 how many skills are not required in Florida thank you
Hello Nene,
I don't live in Florida, therefore, I can't answer your question.
Are you supposed to change your gloves twice during this skill or no?
Hello Meghan,
You only need one pair of gloves for this procedure.
Thank you for all your video's Dr. Lee. We usually grab a clean paper towel to hold the graduated cylinder after drying and another paper towel to open the bottom drawer as our gloves are dirty. Then we would throw the paper towels away, remove gloves and wash our hands. Our old testing vendor Red Cross if we touched anything with gloves on they would fail us (bed controls, curtain, etc) Do you see any issue if we leave that step in?
Hello Maureen, I teach Prometric guidelines. There are different agencies that states hire to administer their state exam. In Texas, we follow Prometric guidelines and not The Red Cross. Are you under Prometric now?
Isn't the measuring container considered contaminated? If so, why do we put into the client's bedside table and not leave it in the bathroom?
Hello Martha,
Remember we have rinsed the container and dried it before placing it in bedside area. Putting the supplies up is a requirement from Prometric when testing. This is listed in the Prometric Clinical Skills Checklist. Please review this document because not putting the container will count against you when testing.
❤❤❤❤❤
Love ya back.
Hey I forgot to write the time would it affect me on my test
Hello Kenyetta, The state evaluator will tell you how much time you have to complete your 5 skills what you are taken into the exam room.
If you forgot to put the output does it mean you fail
Yes, you will FAIL if you forget to document the output measurement.
Yes I did pass
Great news.
In which drawer we can put urine measurement container??
Hello Tayyaba, The urine measurement container will be placed in the third drawer.
@@txcnaskills2599 thanks a lot 🙏
You are really wonderful
The drainage should be cleaned with an alcohol wipes after draining.
Hello, I get this comment a lot. Prometric has NEVER put cleaning the drainage port with alcohol as a step for this skill.
🙏🙏🙏🌷🌷🌷🌷🌷
thanks
I have a question when doing the skills do we have to tell the evaluator what the supplies are for the skill?
Hell Hannah,
No, you don't need to tell the evaluator what supplies you are gathering. I state the supplies because it helps the student know what I am doing when demonstrating the skill.
Me encantaría ,..que traducirán en español .eso ayudaría muchos ..me encanta sus videos
I am so sorry. I don't understand Spanish.
👏🎉
Thank you DivaSSS.
Hi Is it acceptable for texas state exam for us not to squat and to do the draining , also is it a requirement to remove the bag from the bedrail and drain
as we squat --asking because i am having trouble doing it while squatting.
Hello Raquel, Yes you can remove the drainage bag from the bed frame to drain it. Be sure the bag does not touch the floor and the drainage tube does not touch the measurement container. Prometric does not care if we squat or bend over to complete this skill.
very nice .
Thanks a lot
Hi Dr I has a question, if you failed the skill test how long you has to wait for retake the test again .
Hello Nancy, You can register to take the exam the next day.
Thank you
Can you do a skills video on feeding client in a chair.
Hello Deborah, Prometric is not testing on feeding now due to COVID.
@@txcnaskills2599 I would like to test at your center for my skills exam is there anyway I can get your location to schedule my exam at your center. please reply thank you
I thought we were supposed to use military time .
Hello, The instructions never said to use military time.
Dr. Lee. When you had completed your , and removed your gloves you said you would put your gloves into the toilet, as you were putting the gloves into the trash can. I am sure you meant to say you were putting your gloves into the trash can.
My bad. Thanks.
You forgot to clean around the urine loop with an alcohol wipe.
Hello,
Using an alcohol wipe is NOT a step for Prometric. Please tell me where you saw using an alcohol wipe as a requirement for this skill under Prometric guidelines.
Yes only our teachers tell us this.... but I guess for the test no need to
Hi
Hello
No close-up shots.
Hello Tina. What are you needing a picture of?