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Make an Occupied Bed CNA Skill
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- Опубликовано: 19 янв 2012
- A NEWER VERSION OF THIS SKILL CAN BE FOUND HERE: • Make an Occupied Bed C...
THIS IS AN OLDER VERSION OF THIS SKILL. View how this skill should look when performing for the Florida CNA State Exam. View to proper way to safely position a bedbound patient in the bed without the use of siderails to change the patient's sheets. This skill is one of the 21 testable skills on the Florida State CNA exam and is also used in RN and LPN training. Additional resources can be found at 4YourCNA.com.
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We wish you luck on your state exam and great success in your new career! I am very happy that you are finding our videos helpful as you prepare. CNA certification is a great first step on your journey to become a nurse and I wish you success as you to continue your education!
Dear Patty ( Sorry, If I misspelled your name) I passed my both written and clinical skills for FL CNA yesterday! I did not go to school and challenged it on my own. I learnt all the skills from your videos, and memorized ever step by heart. I was the best prepared applicant at the test Center, even the rest went to schools. Thank you so much! I bought test exam on your website and going to make a donation, as you saved me so much time and money!!! Thank you very much for your professionalism!
No Gloves, but not required on state exams, dropped call button, no person helping move or secure resident. no draw sheet. She did not raise bed to the height she can work with comfortably. Excellent job explaining what she was doing and showed much concern for the comfort of the resident/ patient. :-)
For the exam, the candidate will be instructed to change the top sheet, bottom sheet and pillow case - therefore no draw sheet will be used. This is a single-person skill and there will be no assistance available in the exam. Gloves are not required since the patient is fully clothed and there are no body fluids. You may not rely on side rails during the exam for safety - it must be performed safely using the techniques in the video. You may raise the bed if you wish but that is not a graded point - and if you raise it, it must be lowered at the end for safety. Many healthcare settings do not have adjustable beds so this is not required for the test. Thank you for the comment!
I wish I had found these videos the first time I took the exam. They're really good quality and show how you should actually preform the skill when testing. Every other video I've seen uses side rails, and of course two of my skills involved turning the resident on their side. I moved them to the opposite side of the bed before turning them, but they were still too close to the edge and I failed :/ Thanks to you, though, I feel more confident taking it again in a few days :)
4yourCNA r
Jean Mokli s
Maybe they do the skills different in other states because in New York, she would have failed her state board she didn't check to see if the wheels of the bed is lock she didn't raise the bed to waist height, you don't ask your patients to move towards you because not all the time they can move on their own she didn't move the patient in 3 parts shoulders, hip & ankle, did not ask the patient to cross his arm & leg did not move the dirty linen away from her just flinged it & she didn't wipe the call bell she picked up from the floor.. The video was helpful to some level but she did a great job with communication & telling the patient what she was doing each time
You have to do all those things in Fl as well
I'm NYC due to take my test next month. My instructor told us not to wear gloves for occupied bed or nail care what was your experience with the test, feeling so confused
Yes your instructor is correct you do not wear gloves for occupied bed & nail care & you also don't cut the patients nail
Kaciyana Senatus you are correct. I was thinking the same thing. I was trained the same way you said in Michigan.
Kaciyana Senatus didn’t have on gloves nor did she wash her hands throughout the process either smh
I Pass my skills for the State Board I took it on 12/23/2012 in NYC and all thanks to this channel 4yourcna and Nurse Patty. God Bless You All
Thank you for the comment. Side rails are not graded on the CNA exam because they are not present in all settings. It is much more important to learn how to safely turn a patient in bed when siderails are not available for use. You promote safety by scooting the patient toward you, then rolling them into the center of the bed facing away from you. This video demonstrates the proper procedure for safety and is presented according to current Florida testing standards. Thanks and Good Luck!
Congratulations! We are happy that you found our videos helpful as you prepared for the state exam! Best of luck to you in your new career!
We are happy that you found our videos helpful! Good luck!
After spending the whole night watching 4yourCNA on you tube I took my state Exam on 12/23/2012 and wow I'm thankful for this channel. I'm in NYC and I follow the exact way the Nurse is doing it. I got Occupied Bed, Measurement and Respiration, Change resident’s position to a supported side-lying position. Now I'm waiting for my test results Thanks Nurse Patty!
These training videos are excellent, thank you for uploading and sharing with us. I am glad to see others helping out so much in the training of this very respectful profession!
I just want to say thank you. I did my written and clinical skills yesterday and I can tell you guys all I had to go in with was your videos which helped me tremendously. Although I made a little mistake here and there in the skills test, I saw my results today and I passed. Thanks guys. Although its a little different from some things they tell us in class, the key point is the important details.
I agree with you. However, we are unable to provide a complete CNA program encompassing all possible scenarios or variables in a RUclips setting. Remember, we are offering these for FREE. Please understand these are to be used as a test prep aid, not to replace in-depth CNA instruction. We are demonstrating how these should be performed for the exam. Since siderails are not found in most testing centers, showing them on this skill will confuse the student during the test.
We are happy to hear that you are finding our videos helpful! Good luck to you! Be sure to subscribe to our channel for updates on new videos as they are added!
had this skill today. its a lot harder when you dont know if you're doing anything right or wrong lol. but i passed. one girl who i took the test with spilled water on another skill and still passed. as long as you tell the instructor your corrections, you're golden
THANK YOU SO MUCH! I'm retesting for my CNA license for the RN program. I was a CNA for 2 years then became an EMT, I forgot all the proper skill steps. This helped me out a lot!
David Balderrama Congratulations! We hope you were successful at passing your exam and wish you luck with your additional training!
I am very grateful for posting these cna training videos. They have tremendously helped me to pass both the written and skills test on my first try last July 25, 2012. The skills that I was tested on were: changing the sheets of occupied bed, measuring respiration and changing position. Again thank you very much.
Feel free to post any questions you may have! I will generally reply within 24 hours (whenever possible!). Best of luck!
This is really helpful, I've done my cna training program last 2012 & I'm taking my skills this coming month. I hope I can apply what I watched from this video.
I really wish everyone making a comment would read the previous ones. They answer all questions appropriately for there state exam. Every state is different and not once did i see the sheet touch the floor. So stop picking unless your a nurse or higher seriouly. These vids or really helpful keep up the good work and thanks...
Thank you for your comment! We are so happy that you are finding our videos helpful! :-) Please take a moment to watch some of our newest skills videos!
We are so happy that you found our videos helpful! Best of luck in your new career!
I was informed 3days before my test that i would be testing and had not practiced or studied for the written or skills portion of the CNA and i would like to thank you for the videos you have sheared.. i will say they helped me a lot in passing my CNA!!!
The only thing I would like to add, that the girls who sis go to CNA schools checked the ID bracelet with the name every time when they performed their skills, and I did not, as It was not in your videos, but I called the patient by name many times. I was the first one who was performing the Clinical skills, so I did not know about the ID bracelet. Anyway, I passed, as the rest was perfect. Thanks again!
Our practice exam is located on our website 4YourCNA dot com. Please create an account and click on CNA Practice Exam to enroll! Good luck!
THANK YOU SO MUCH 4YOURCNA I TOOK MY EXAM ON JULY 18TH AND I PASSED. YOUR VIDEOS WAS SO HELPFUL ESPECIALLY THE INDIRECT CARE. IM A VERY SHY PERSON AND U HELP ME TO BUILD MY CONFIDENCE IN THAT AREA .IM GREATLY I ONLY HAD TO TAKE IT ONCE.
Please remember that these videos are intended as a review for the Florida CNA exam and are NOT intended to represent comprehensive CNA instruction or cover every possible patient scenario. Understanding that siderails are considered a restraint and will not be present in many settings is the point I need to make here and knowing how to safely perform this skill without siderails is an important and TESTABLE part of this skill. As an RN, I am aware of how to care for patients without siderails
Really well done! I really like the patient instruction that was given, this definitely helps!
Thank you for your wonderful comment! We are very proud of you and wish you luck in your new career!
Your videos are the most thourough and profeesional of all the cna skills videos on youtube . Thank god for technology these are helping me tremendosly
For the exam, it does not matter which way the stitching is facing (they don't grade on that aspect). All grading points can be found on the Clinical Skills checklist on Prometric's website. However, the sheet should be applied with the stitching facing upward. so that when you turn the bed down, the stitching is folded onto the top sheet, not rubbing across the patient's skin. This is a nice thing to do, but not graded on the exam. Thanks for the question!
Is a blanket necessary
In the state of Florida, this is not a required step. It is covered in our classroom training, but it is not required that you raise the bed to perform any skill. In this limited setting, I chose to convey steps that were critical to the performance of the exam. Other points (such as this), should be covered by your classroom instructor, as these videos are meant to integrate into classroom training programs. Thank you and good luck.
I am happy that you are finding our resources helpful! Please visit our website 4YourCNA (dot org) for more resources!
Congratulations! We are so proud of you and wish you the best of luck in your new career!
I have my CNA exam on Saturday! I'm super nervous/excited!! Thank you for these videos they are very helpful
They are changing the curriculum next year in Texas and each state kind of has a different way of doing things. as long as you notice the difference and focus on what your curriculum says then you should do good and this video helped my test is next week. ahhh!
No. By tucking the sheet on the end of the bed and making hospital corners, it prevents the sheet corners from touching the floor and becoming contaminated with pathogens. You will loosen the sheet over the toes to prevent constriction, but the sheet must be tucked on the end of the bed. However, you NEVER tuck the sheet under the mattress along the sides of the bed because that WILL cause constriction and restrains the patient. Thanks for the question! Good Luck!
Congratulations! We are very proud of you! We wish you the best of luck in your new career!
Great advice! Congratulations on passing and we wish you the best of luck in your new career!
If you have a specific question regarding this skill, I would be happy to help! Just type your question here. This skill can be practiced in a home setting. Privacy counts so use a privacy blanket. Scoot the patient toward you before turning them away from you so they remain in the middle of the bed at all times. Then change the lower sheet 1/2 at a time but rolling the dirty sheet and tucking it under the patient, then the clean sheet rolls toward you and tuck under dirty. Top sheet&pillowcase
The call light is not considered clean because it falls on the floor and is handled by the patient with dirty hands (patients in bed will scratch whatever itches and then press the call light...). It is important to consider patient's hands unclean at all times except for immediately after washing. Therefore, we wash their hands before they do things like eat or brush their teeth, or after unclean things like toileting. Thank you for your question!
We wish you luck as you begin your training! Practice, practice, practice and you will be fine! Good luck!
My state exams are tomorrow morning, and I am so nervous right now. The biggest thing I think will cause some trouble is with Blood pressure and listening to the heart, because my hearing isn't so good. So, watching this..as well as a few others helps ease the nerves big time.
Good luck on your exam! You are corect...follow the care plan for the exam exactly as described and you wil be fine.
Wow! That is a great accomplishment! Congratulations and best of luck in your new career!
Gloves are optional for this skill. Gloves should be worn if the patient has any skin openings (sores, rashes, cuts, etc) or if you will come into contact with body fluids. For the exam, your "patient" for this skill (another CNA student) does not have any open areas on their skin and is not incontinent, so no gloves are necessary. You may wear them if you wish, but it is not required (and a waste of gloves). Hope you did well on your exam and best of luck in your new career!
You are correct in that if both siderails are raised, it is considered a restraint. However, for the exam, you will not have siderails to work with because side rails are not present in every setting and you MUST know how to perform this skill safely without siderails. This video demonstrates how to perform this safely without the use of siderails. If facilities allow siderails for safety, some unethical staff can use them for a restraint, so they are often banned from use altogether. Thanks!
You make everything look so easy!! :) I love it! Thank you!..Heidi
I take my test next Tues and i am so worried about this i looking over everthing and having everyone help me ! i hope and pray i pass beacuse i want to b a nurse one day! Your video are helping thank you!
Awww, I am sorry to hear that! Keep practicing and you will do fine! Good luck!
I apologize for not responding sooner. Raising the bed is an optional step. We hope you were successful on the exam!
im doing training classes now for cna in nyc. I love your vids they help me remember the steps better!!!
me too i am doing mine in the bronx but what she is doing is wrong
+Justine Brijmohan Please refer to the newest videos for better comprehension. These videos meet all tested checkpoints for Prometric CNA clinical skills test. Good luck!
Well she wasn't wearing any gloves and she was to turn the patient not make them turn themselves
+Justine Brijmohan Glovrs are not required for this skill but you may wear them if you wish. This is not a graded checkpoint for the exam. Proper turning procedure was demonstrated in detail for this skill. Please view the updated video for better comprehension. Thank you
Side rails are considered a restraint and cannot be used without a doctor's order. Staffing shortages and budget cuts mean there will not be excess staff available to stand by the bed to prevent injury while you do the skill. Ensuring the patient is in the middle of the bed when performing skills (either on their back or on their side) will promote safety. This is what is being graded during the exam. Good luck!
Please indicate your question and I would be happy to answer! Good luck to you and your mom!
Thanks for this video, I really needed to know how to do this🙂
Thank you for your comment and best of luck!
Thank you! Good luck!
The testing center will have fitted sheets. This makes the skill much easier. Facilities no longer use flat sheets on the mattress because of the possibility of the sheet moving and the patient contaminating the mattress below. All facilities use fitted sheets now :)
Many patients confined to bed will be able to roll (think pre-term labor). These videos are designed as an aid to prepare students for the Florida exam - as such the exam will specify on the care plan that the patient is able to move on their own, they just can't get out of bed (what is demonstrated here). Since drawsheets are not used in the exam, featuring a video moving the patient with drawsheets would be confusing for students preparing for the exam. Good luck!
Every state is slightly different. You can see your own state's standards by googling "CNA clinical skills checklist california" and looking for the website that starts with asisvcs. This has your state's clinical skills listed and the checkpoints that will be graded. Good luck!
Using a privacy blanket will keep the patient warm and promote privacy through the skill. You may use the top sheet for this function as well, as long as the patient is comfortable. Good luck.
Thank you so much for your wonderful comment (and your donation is greatly appreciated!) and we are very proud of you! We wish you the best of luck in your new career and have every confidence that you will be a great caregiver! Please like us on facebook!
We hope you were successful in your testing attempt! Best of luck in your new career!
Florida has a lot of assisted living facilities, home care agencies and nursing homes. These settings will not have full side rails on the bed to ensure safety. Learning how to perform this skill safely without siderails means that the student is able to ensure safety, no matter what the setting! Thanks!
Thank you for your comment! Good luck!
Checking the ID bracelet is not required for the exam (and is not graded) because many settings do not use ID bracelets (home care, assisted living, long term care) and they are often wrong so they cannot be relied on to accurately identify a patient. This is the same standard in NC. Gloves are optional for the exam, and their use is not graded (because the "patient" is fully clothed and continent and there are no body fluids for exposure). You may use them if you wish, but it's not graded.
Checking the ID bracelet is not required for the exam (and is not graded) because many settings do not use ID bracelets (home care, assisted living, long term care) and they are often wrong so they cannot be relied on to accurately identify a patient. Since it is not graded for the exam, it is not demonstrated in the video. Identifying the patient by name (as you did) is a much better way to ensure that you are performing skills on the correct person! Best of luck!
Thank you so much! You have help me alot! :)
For the test, you are not tested on the use of siderails, which means you must perform the skill safely without relying on the rails. This is because siderails will not be present in every setting (they are illegal in assisted living and most nursing homes) and are considered a restraint. To perform this skill safely without siderails, you would first scoot the patient toward you, then roll them away from you so they are on their side in the center of of the bed. Good luck!
You should adjust the bed during the opening, before you wash your hands. The bed controls are not considered clean (the patient will scratch what itches while in bed, then touch the bed controls) and touching the controls with your clean hands can contaminate them before you begin your skill. Good luck!
Very nice done
@deadman5281 Thank you for such wonderful feedback. We are happy to help! Good luck!
@cnastudent1 While it is important not to "snap" the sheets to prevent bringing skin cells and bacteria up to the level of your face and to roll the soiled sheets to keep them from touching your uniform, you will need to unfold your linen to make the bed appropriately. Therefore, some "flopping" of the sheets may occur. Knowing WHY snapping the sheets is inappropriate gives you a greater understanding of the difference between "snapping" and "flopping"!
Yes, patients should be asked to scoot toward you and rolled away from you so that they remain on their side in the center of the bed to ensure safety. Patients for the exam will be able to perform these actions. In actual practice, you may require additional assistance to move a patient (a drawsheet or another co-worker) but the exam is structured so that patients can perform this movement on their own. Thanks for the question and good luck!
Congratulations! We are so happy that you passed! Good luck in your new career!
Side rails are not always available in every setting. It is important that you learn how to provide safety without the use of siderails. The test will not grade on siderail usage, but will expect you to promote safety at all times. This skill demonstrates the proper way this skill should be performed, promoting safety.
Yes, this is a live patient skill. These videos are formatted just like the exam so the only manikin skills are the ones in which we feature a manikin. Please visit our channel to view in-depth instructional videos on these skills for more complete comprehension. Our website also offers a skills book for sale which details step-by-step instructions for each skill, along with a supply list and helpful tips for each skill. It's a great resource!
i passed my cna exam both written and skills luv u 4yourCNA
She's really good at this skill💖💖
The Florida CNA test does not require the use of the top blanket. The care plan directs you to change the bottom sheet, top sheet and pillowcase. Hospital corners keep the sheet corners off the floor. You will not place a draw sheet, incontinence pad or top blanket on the bed for the test, although many healthcare work settings may require these items. You will perform all of your skills exactly as directed in the care plan you will be given at the beginning of the skills test. Good luck!
EXACTLY!! THANK YOU FOR NOTICING
Siderails are not always present in every setting, therefore they are not to be relied on to protect the patient's safety during the test. You should scoot the patient toward you before turning them onto their side facing away from you (so they are on their side in the middle of the bed) to ensure safety during the skill. This is the best way to ensure safety in the event you do not have siderails on the bed. Good luck!
Gloves are worn when there is a possible exposure to blood or body fluids or non-intact skin. This patient (for the exam) is continent and has no open skin, so gloves are not necessary. You may wear them if you wish, but for the exam it is not required (as demonstrated in the video). Good luck!
You all Rock Thank you web site very helpful 😊
Thanks To You, I Passed My CNA Skills Test :)
Every action has a different weight based on the importance of that particular step so there is no specific margin of error to identify. It depends on what steps you neglect to do as to whether you will be successful or not. Good luck!
The test may not use siderails because they are considered a restraint and will not be present in all settings. You are responsible for knowing how to promote safety even when siderails are not available to use. Scooting the patient toward you and turning them away from you places them on their side in the middle of the bed, where they are safe. This is the appropriate way to position the patient. Good luck!
You are suppose to raise the rail to the side in which the patient will turn to ensure patient safety. It is only considered a restraint if both side rails are raised.
@amcollard Wearing gloves is important if the sheets may be soiled. If the sheets are not soiled, gloves are not required. You may wear gloves for the state exam if you are unsure. Good luck!
The written skills care plan (tells you about the skill/patient) will be handed to you when the evaluator takes you into the testing room. The care plan is printed and you can read it as often as you would like and it will indicate if the patient is continent, etc. You can see the clinical skills checklist on Prometric's website (search florida cna test) which lists the care plan at the top of each skill. These videos are EXACTLY like the test (based on testing care plan). Good luck!
If you fail the test three times, you are required to attend a state-approved 120 hour program prior to re-testing. You cannot re-test until you have completed this program. Good luck!
I'm testing tomorrow for FL cna exam. Wish me luck
Siderails are not used on the CNA exam because not all settings have siderails (they are not permitted by law in many settings). You must know how to perform this skill SAFELY without the use of siderails by scooting the patient toward you and rolling them onto their side facing away from you so that they remain on their side in the middle of the bed. This video shows the proper way to perform this skill safely without the use of siderails. Thanks.
No, for the exam, you do not need a draw sheet or underpad. The care plan will specifically state to change the bottom sheet, top sheet and pillowcase. Hope that helps!
Your videos are great !! and i passed the clinical skills thanks to you.. but how do i study for the written part that i challenged and failed
4yourCNA
Raising the bed to a comfortable working height is a great option, however you must remember to put it back down at the end of the skill or you will automatically fail for safety reasons (the floor is much further away when the patient tries to get up). In homecare, beds are not able to be adjusted and these videos are used in a variety of settings. Since these are demonstration skills and I am not able to "teach" in this format, we do not show raising or lowering the bed. Hope this helps!
You should not reach over the patient to the other side of the bed because of the risk of losing your balance and falling on top of the patient. You are correct. Good luck!
You are welcome!
Please watch the introduction and instructional videos for complete comprehension of these concepts (click on our channel and view the playlist to select this skill). Consider purchasing our skills book which will describe each skill in detail and may help clear up your misconceptions. As a former testing center in the state of Florida (and an RN for 20+ years with extensive research into testing standards), I am well qualified to say that this skill would NOT have failed the state standards.
Thank you for your comment! There are lots of people walking down the hallway (staff, visitors, patients, etc.) and they all carry germs. You do not want any airborne germs to waft in on air currents and land inside the pillowcase where they will encounter a warm, dark, moist (from sweat or drooling in your sleep) environment, which is an ideal breeding ground for pathogens. Keeping the opening away from the door minimizes contamination of the pillow. It is an old nursing principle. :-)
I really need help in this category because I had to do it for my class today and I was so confused.. I just hope I dont forget anything especially if this is on the skills part of the test
When handling soiled linens your support to use PPE gloves but it seems like that would be difficult now realizing you would have to change them after you pull down soiled linens from bottom then after you undo one side and then after you undo the other side because you can't touch the clean linen with the gloves..help
Neo jj
Thank you