Prometric Skill Demo for Peri Care

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  • Опубликовано: 10 сен 2024
  • This video will provide a demonstration of perineal care using Prometric's guidelines. The perineal skill is always performed on a mannequin.

Комментарии • 278

  • @ivegotmypopcorn3401
    @ivegotmypopcorn3401 2 месяца назад +4

    Thank you Dr Lee. I took my test 6/14 and found out I passed today. I had this skill, shoulder ROM and pulse.

  • @clincg
    @clincg 2 года назад +37

    Dr. Lee! Let me tell you something! I watched this skill most of all, I studied this skill most of all. I don’t know why but something told me to. This was one of the 3 skills I had to perform on test day and I truly believe I wouldn’t have passed without the grace of God and constantly watching you during my waiting period. Thank you so much! Please do not stop this because you are really making a difference for people like me! I passed 1/6/2022 and I got my license 1/8/3022. You rock!

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +5

      Hey Dr. Lee rocks. Yeah!!!!! Congratulations.

    • @ritao1033
      @ritao1033 2 года назад +2

      Prise God wonderful testimony.

    • @Lucky3bc
      @Lucky3bc 7 месяцев назад +1

      Congratulations

  • @evelynnicoli2128
    @evelynnicoli2128 Год назад +5

    Just wanted to thank you for these videos. I passed my test, and it wouldn't have been possible without your videos. Thank you.

  • @suzetteprevil4971
    @suzetteprevil4971 2 года назад +6

    Dr Lee from the bottom of my heart,
    I thank you, I took my test yesterday in Massachusetts and I passed both thanks to your videos, GOD bless you. everything you say about indirect care. That’s exactly what the instructor say.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Wonderful Suzette! I appreciate the comments. Be Blessed.

  • @lightningmasterhamzeh9036
    @lightningmasterhamzeh9036 3 года назад +22

    you are the best doctor and teacher I saw in my life . I recommend everyone to take the class with you .Good luck my best doctor lee

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Thank you, Christina. Your words are so kind.

  • @jt9150
    @jt9150 2 года назад +13

    Hi. Dr lee I just want to thank you for all your step by step CNA skill videos, I watched them over and over, and practiced on my spouse. I took my clinical skill exam yesterday 3/9/22 and passed. A co-worker of mine reference your videos to me. I'm very thankful🙏 of that your are a blessing. Dr.lee Your compassion for what you do shows a great deal. God bless you.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +3

      Great to hear JT! Thank You.

    • @reginadiaz72
      @reginadiaz72 2 года назад +3

      Thank so much for this comment I’m waiting for my exam 🙏

    • @reginadiaz72
      @reginadiaz72 2 года назад +1

      Watching this videos thank you Doctor Lee 🙏

  • @michaelrose5498
    @michaelrose5498 2 года назад +11

    Just wanted to say that your videos are probably the only reason I will pass my exam. I’m very anxious and my exam is in a few weeks on November 18th. Thank you for doing these videos for us we really appreciate it!

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +4

      You got this! Take a deep breath and go ace the test. You are welcome.

    • @roxannd8536
      @roxannd8536 2 года назад +2

      Dd you pass?

  • @raquelisela
    @raquelisela 3 года назад +10

    Thank you. I passed my test on Friday June 18. your videos are a huge help for all of us.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Excellent Raquel! Welcome to the nursing profession.

  • @helenaphonbeh2581
    @helenaphonbeh2581 3 года назад +9

    Hello Doctor VL, my name is Helena from Miami Florida; Thank u, thank u for all your CNA Skills videos. I passed my Florida CNA Prometric State Board Exam. I learned so much from your videos than i did in my cna school. I have to come on here to extend my thanks and appreciation so others will know that you are a great person who means well for others. I appreciate u, and i will always follow and share your skills videos with all those that are persuading their Medical Dream. I come on here because this is one of the skills that i performed perfectly during my Exam just by watching your videos. Thank u so much Dr. VL. You are such a blessing to everyone who watched your videos.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      See my reply to your previous note.

    • @helenaphonbeh2581
      @helenaphonbeh2581 3 года назад

      I'm so sorry to hear this Doc. VL. My prayers goes with u & your family. Take heart, and remember that there are people out here praying for u always because u are a great blessing to the Medical Field. God bless u for getting back to me.

  • @LataviaJackson
    @LataviaJackson Месяц назад

    I had to come back 2024 watched every single last video of yours rentlessly and by the grace of God and your amazing demonstrations i passed my state exams today... My skills was handwashing perinal care Rom shoulder and radical pluse .. not going to lie like it was easy but watching this lady , praying and studying it will not be hard ! God bless you 🥺

  • @izy5243
    @izy5243 2 года назад +3

    Thank you so much DR lee.I just passed my clinicals.your videos helped me a great deal.I got this skill and it was so easy for me .am back to say thanks and God Bless

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Excellent Izy! Thank you for letting me know.

  • @angelrichards3974
    @angelrichards3974 4 месяца назад +2

    I will be taking my clinical exam today with Angelina College. Can't wait to come back and say thank you

  • @lizzysmart634
    @lizzysmart634 2 года назад +2

    Hi Dr Lee, thank you so much 🙏 I passed my cna exam @ first trying (07/21/22) apply all ur steps. I'm grateful to you and the most high God ❤❤❤🙌🙌

  • @roxannd8536
    @roxannd8536 2 года назад +3

    Hi Dr. Lee, Thank you very much for your videos. You explained everything perfectly well. I had written and clinical for the first time on 3/11/2022, I passed! Thank you for your very clear videos that follows the Prometric Guidelines

  • @johanitawasson
    @johanitawasson 11 месяцев назад +2

    Thank you doctor LEE I WILL DO MY TEST NEXT MONDAY OCTOBER 30. ❤in Texas.

  • @desiredasmr595
    @desiredasmr595 Год назад

    Thank you so much for your videos. I’ve been watching these for the past few weeks and I passed my exam today. 🥳🥳💃

    • @txcnaskills2599
      @txcnaskills2599  Год назад

      Wonderful! Thank you for letting me know you were successful today.

  • @olamilekanadekunle1837
    @olamilekanadekunle1837 2 года назад +2

    Thank you doctor lee, your videos where so helpful and I passed my skills ,God bless you abundantly.

  • @kiwislice
    @kiwislice 2 года назад +1

    These videos are helping me so much . :) It’s hard to know exactly how the steps look from a piece of paper.. so thank you thank you for making these videos. I feel much more confident going into my boards. :)

  • @dinettawhite9430
    @dinettawhite9430 21 день назад

    Thank you… your videos have been soo helpful

  • @paulmwangi7765
    @paulmwangi7765 2 года назад +1

    Omg! Thank you lovely, and God bless you for sharing this information with all of us... Today I did my HCA after watching your videos all night, I am happy to say I passed all the skills.
    Big hug mum and keep up the same good spirit, I am the happiest person on earth right right. Big hug 🤗

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Wonderful Paul! That is amazing with only one day of studying.

    • @shelmithful
      @shelmithful 2 года назад

      well done MWANGI am havn my test next month and am realy praying i get to learn alot from Dr. LEE

  • @yvesjosiemuscadincyrius2984
    @yvesjosiemuscadincyrius2984 2 года назад +1

    I really appreciate that thank you so much Dr. Lee .

  • @oscarmichel9606
    @oscarmichel9606 3 года назад +2

    Very happy Dr Lee, you're a wonderful Teacher, Felix

  • @feleciawilliams5155
    @feleciawilliams5155 3 года назад +3

    When u finished throwing the soiled bed protector away why u didn’t verbally say wash and and change gloves then continue to put clean pad on and pull sheets up then throw privacy blanket away?did it matter

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Felecia, Prometric can only grade the students on the indirect care steps or the clinical skills checklist. Changing gloves after removing the dirty pad is not graded by Prometric.

  • @derickbennett4331
    @derickbennett4331 2 года назад

    Just wanna say you resemble my Grandmother 😊 so much and God bless you and your family. I can tell you genuinely want to see others succeed.. God definitely blesses what you prepare for. Thank you for the amazing Videos 😊 💜.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Wow, thank you. Blessings to you Grandmother.

  • @Christine-om1bt
    @Christine-om1bt 3 года назад +2

    Thank you 🙏 was helpful gonna sit for my clinicals on Thursday next week 🙏

  • @StephaniePerez-j5m
    @StephaniePerez-j5m 24 дня назад

    Hi question! im currently in a CNA program and I have my test on tuesday. My instructor gave me a clinical test checklist and I noticed on one of the steps it has "Replace water in basin if it becomes too cold or soapy?" when would we do this? im confused. TIA!

    • @txcnaskills2599
      @txcnaskills2599  14 дней назад

      Hello, If the candidate puts soap directly in the water, then the water should be changed before rinsing. If the client states the water is cold, the water should be changed for the comfort of the client.

  • @user-mi3gc8wn9v
    @user-mi3gc8wn9v 2 месяца назад +1

    You said rinse water goes into the toilet, but you poured down the sink which is correct ?

    • @txcnaskills2599
      @txcnaskills2599  2 месяца назад

      Hello, Please pay attention to the skill directions. For this skill (Peri Care) the water can go in the sink or the toilet. The state does NOT tell the student where to place the dirty water.
      There are different instructions when dealing with the BedPan or emptying the urinary drainage bag. The STATE gives specific instructions as to where the rinse water goes.
      So are you confused about this skill or another skill?

    • @txcnaskills2599
      @txcnaskills2599  2 месяца назад +1

      Hello, I just thought about something that may help you know when to pour the rinse water in the sink. Some people take a sponge bath at a sink. Therefore the person wash and rinse at the sink. So, we can pour BATH water in the sink.
      All fluids that we eliminate (urine and BM) MUST go into the toilet. This includes the rinse water. I hope this makes sense. If not let me know.

  • @iviwilliam5199
    @iviwilliam5199 Год назад

    Thanks for this video. I passed my exam!

  • @kathyemmell6981
    @kathyemmell6981 2 года назад +1

    Like all your videos I watched 2 so far. Your good at explaining..

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      I appreciate that Kathy! Thank you and have a great day.

  • @anamitaveras
    @anamitaveras 5 месяцев назад

    Hi. I have a question. Are we suppose to use 2 sets of gloves. Change in to the second set before putting the clean barrier.?

    • @txcnaskills2599
      @txcnaskills2599  5 месяцев назад

      Hello, for the peri care skill, only ONE pair of gloves is needed.

  • @everythingjazzmin
    @everythingjazzmin 3 года назад +1

    Going over your videos take my test in 2 hrs I got this

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Yes you do Jazzmin. Let me know your good news.

    • @everythingjazzmin
      @everythingjazzmin 3 года назад +5

      @@txcnaskills2599 I passssssed yesssss thanks to your videos I was caught up on everything I needed to know. Man I was nervous up until testing time I smashed that test. I told myself I was taking that test one time that’s it lol and I suggested your videos to the other testing candidates and they loved your videos too. You are straight to the point and explain everything so simple. Man that test was easy. People follow this woman instruction. Now I can move on to my new set of goals. Thank you again Dr.Lee
      People get your certification the test is very easy.

  • @oyino8910
    @oyino8910 3 года назад +1

    Thank you Dr Lee

  • @michaelchirhart5721
    @michaelchirhart5721 3 года назад +4

    when you are taking the protective pad out from under the patient, can I roll and add the next bed protector under it? So as I roll I can pull out and have her lay on a new one?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +5

      Hello Michael, that would be perfect and save time. It will also keep the patient from moving twice during the change.

    • @Partyatmosphere
      @Partyatmosphere 3 года назад +1

      You can't let the old touch the new. Or the new one will become contaminated

  • @gulshanhoti4214
    @gulshanhoti4214 3 года назад +1

    Awesome Dr Lee my beloved teacher.

  • @user-mm6ze3wk6q
    @user-mm6ze3wk6q Год назад +1

    hi Dr.lee when doing peri care do I wash my hands for 20 sec?

    • @txcnaskills2599
      @txcnaskills2599  Год назад +1

      Hello, when performing pericare, the students ONLY needs to say they are washing their hands.

  • @lesss453
    @lesss453 3 года назад +1

    This has been so helpful thank you so much!

  • @sarahwilliams4475
    @sarahwilliams4475 2 месяца назад

    Hi there! I am getting ready to take my clinical test this week. I was taught to raise and lower the bed in every skill, but I feel it would be better to do it only when necessary. What are your thoughts on this? Thank you so much!

    • @txcnaskills2599
      @txcnaskills2599  2 месяца назад +1

      Hello Sarah, Raising and lowering the bed is NOT required for this skill. I teach my students to leave the bed as it is. The reason for this, it that some students get nervous and forget to put the bed back down. Not putting the bed back down is a flunk. Therefore, for the test, just leave the bed as it is and pass.

    • @sarahwilliams4475
      @sarahwilliams4475 2 месяца назад

      @@txcnaskills2599, thank you so much for your reply. I took my test yesterday and passed! Your videos were very helpful.

  • @jasminebarnes5650
    @jasminebarnes5650 2 года назад

    Even though I’m based in Ny,I love watching your videos you are the best! hopefully I can use your skills for my state board.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Good luck Jasmine!!

    • @jasminebarnes5650
      @jasminebarnes5650 2 года назад

      @@txcnaskills2599 Hello Dr Lee I wanna thank you so much I passed my cna skills and written thanks to you and your videos. I followed your steps,and I truly appreciate your time and work blessings to you and family🥰

  • @raquelserranogarcia
    @raquelserranogarcia 3 года назад +1

    hi dr lee
    1. after the greeting ,etc and gather supplies , is it allowed to put privacy blanket and removed top sheet to knees without gloves, and the get the
    water? and after that we put on the gloves. and continue
    2. and on when removing the privacy blanket at the end without gloves? this is after supplies and basin etc. have been removed then at this point remove gloves and "washed hands" .
    after that remove privacy blanket , put in linen and do closing steps . Is this ok to do?
    hope you understand my questions. thank you for all your help

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Raquel,
      I hope this reply is going to make sense.
      1. after the greeting ,etc and gather supplies , is it allowed to put privacy blanket and removed top sheet to knees without gloves, and the get the water? and after that we put on the gloves. and continue
      In the beginning of the peri care skills, you can place the privacy blanket over the patient and remove the top sheet without gloves. This is acceptable because you HAVE NOT started to wash the patient. Prometric requires glove to be on when BEFORE you wash the patient.
      2. and on when removing the privacy blanket at the end without gloves? this is after supplies and basin etc. have been removed then at this point remove gloves and "washed hands" . after that remove privacy blanket , put in linen and do closing steps . Is this ok to do? hope you understand my questions. thank you for all your help
      Prometric requires GLOVES to be on when removing dirty supplies. The privacy blanket has been on the patient; therefore it is dirty. You must have your gloves on to remove the privacy blanket.

    • @raquelserranogarcia
      @raquelserranogarcia 3 года назад

      @@txcnaskills2599 yes it does! thanks

  • @danaallen0624
    @danaallen0624 4 месяца назад

    Dr. Lee, I am getting ready to take my test in a couple of weeks. I just have one question, after you washed the basin and use a paper towel to grab and put away, you grabbed the soap bottle with a gloved hand and put it in the basin, I am observing everything to a T, is this okay since gloves are dirty?

    • @txcnaskills2599
      @txcnaskills2599  2 месяца назад

      Hello, Yes, that is Okay.
      The paper towel is not a requirement.

  • @elezabethayele4280
    @elezabethayele4280 3 года назад +1

    Wow oh my sweet teacher🐥🌺⛲️ Dr Lee I’m happy to see you you are the best the teacher

  • @jennyreeves9482
    @jennyreeves9482 Год назад

    Hello I Had a question about your video providing Perennial care. I notice when you turn the client on They're sighed that you turned them facing away from you. I was wondering if you should be turning the client facing towards you so that Way if they fall they will fall towards you. Hope my question makes sense.

    • @txcnaskills2599
      @txcnaskills2599  Год назад +2

      Hello, Your question makes sense. I turn the patient away from me so that the part I am washing is facing me, and I don't have to reach across the patient.

  • @sincerelymeme
    @sincerelymeme 2 года назад

    You’re literally the best. I feel so confident about my skills test tomorrow morning. Please do a nursing series!! 🤎

  • @carolineflynn6345
    @carolineflynn6345 2 года назад

    do we need to raise bed for body mechanics? Or change gloves after remvoing soiled underpad, before we touch residents call light?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Caroline,
      I teach according to Prometric's grading style. Raising the bed for body mechanics is NOT a step for any of the Prometric skills. Remember not all patients have an electric bed, especially when doing home health. Prometric requires the gloves to stay on until all of the dirty items have been cleaned and put up.

  • @christinaw7707
    @christinaw7707 3 года назад +2

    Hi Dr. Lee! Is this the steps that prometric want us to exactly follow for peri care? You explained it great but other videos confused me. I ask this in April of 2021.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Christina, The steps in the video are the ones you need to do if you want to pass the Prometric skills for peri care. I am linking the skills check list below. Take care. www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf

  • @nerm210
    @nerm210 2 года назад

    do our gloves need to be on when the patient is testing the water or can we put them on prior to changing the bed pad?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Nerm, The state Requires the gloves be on BEFORE washing the patient. So, it does not matter is they are on when testing the water or placing a pad under the client's buttocks. Both steps are before washing.

  • @barakats2074
    @barakats2074 3 года назад +4

    i always enjoy your videos, but i have a question,i thought when emptying the basin for peri care, the water should go into the commode not the sink.
    please help me clarify that so that i wont be mixing it up
    thanks

    • @elizajimenez7729
      @elizajimenez7729 3 года назад

      IT ONLY GOES IN THE COMMODE, IF THERE ITS "ACTUAL URINE" OR FECES. PERICARE WATER GOES INTO THE SINK FOR THE TEST.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Baraket, Prometric does not tell us where to put the bath water. It is acceptable to place the water in the sink or toilet. In real life situations, many patients take a wash off at the sink and clean their peri area. These patient don't sit over a toilet and wash themselves. Therefore, during testing this is reasonable.

  • @daryannamontoya4546
    @daryannamontoya4546 2 года назад

    If we scoot the patient over do we need to put a pull sheet under them or can we just scoot them without one? would we get points deducted on the test if we scoot them ourselves without any sheet to assist us?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Daryanna,
      The guideline doesn't require us to put a linen protector/pull sheet under the client for the exam. You will not get points deducted if you do or don't. I DON'T teach my students to use a pull sheet. I teach my students to move the manikin over as needed for the Peri care skill.

  • @claudiaperez-yl3ri
    @claudiaperez-yl3ri Год назад

    dr. lee you mentioned that the water should ne drained in the sink and the rinse water in toilet. where does dirty water after skill goes? and the rinse water where does it go? thank you

    • @txcnaskills2599
      @txcnaskills2599  Год назад +2

      Hello Claudia, When performing pericare, all of the water can go down the sink. Think about it. Some people take a wash-off in their private homes at a bathroom sink. We don't take the water and put it in the toilet.
      This is different for the bedpan skill and measuring urine output. For these two skills, the rinse water will go into the toilet because we don't put waste products in a sink.

  • @raquelserranogarcia
    @raquelserranogarcia 3 года назад

    HI
    when you rinsed the basin- you used a paper towel to put away the basin -but what about one to open drawer? also on the bed bath video no towel was used take the basin to drawer -is this ok too?

  • @KidanKassa
    @KidanKassa 28 дней назад

    Why not just keep the linen on top and cover her with blanket below the knees?

    • @txcnaskills2599
      @txcnaskills2599  14 дней назад

      Hello, If you keep the linen on top of the client, how will you see to clean the client?

  • @alexcuevas8100
    @alexcuevas8100 2 года назад

    Are we suppose to dump the water in the sink or toilet?, you mentioned to dump the rinse water into the toilet but did not say that when your first dumped it in the sink

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Alex, For the peri care skill, you can dump the water in the sink or toilet.

  • @elizajimenez7729
    @elizajimenez7729 3 года назад +1

    REALLY HELPFUL VIDEO, I NEEDED THIS!

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Glad it was helpful Eliza.! I hope you subscribe.

  • @jadedabrat2841
    @jadedabrat2841 3 года назад

    Hey Dr. Lee, my instructor had us put a bed pan under the patient, is that optional or could I get marked down if I did or didn’t do it

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Jade, If you are doing Peri Care, the skill does NOT require a bedpan. If you use a bedpan you will fail.
      See page 7 on the PDF below. No where is bedpan listed.
      www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf

  • @shayanderson6487
    @shayanderson6487 3 года назад

    Doesn't putting them down on the sheets after removing the soiled bed protector contaminate the sheets and your gloves?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Shay, Prometric does not grade for everything we consider as contamination moves. To answer your question, Prometric will not count against the student is the soiled bed protector is placed on the sheet. Yes, the soiled bed protector will contaminate your gloves which is why we wear gloves instead of cleaning a patient with our bare hands.
      Prometric will use the skills checklist to grade the student during the test. I hope this is clear. Take care and thanks for the questions.

  • @terealvarez2038
    @terealvarez2038 3 года назад +1

    Hi doctor Lee Nice job 👏 👍 👌.
    What should I do if my pacient want me to fix the pillow for him/her? Should I remove my gloves and do so Before washing my hands at the end? Another question is what about if I decide to remove the linen protector and at the same time roll in another just being careful not let them get in touch each other?
    Thank you I'm from El Paso Texas and training to perform my Prometric exam.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +2

      Hello Tere, Welcome to my channel. (1) If your patient is asking you to adjust the pillow, I would remove my gloves and wash my hands if my gloved hands are dirty. If my hands are not dirty, I would go ahead and adjust the client's pillow. Now, remember you must wash your hands after ALL patient care.
      (2) When removing a dirty linen protector, your suggestion is good. The behavior keeps the patient from lifting up and down twice. I hope this answered your questions. If not let know and I will make a video demonstrating it.

  • @Obyokoli
    @Obyokoli 3 года назад

    Dr. Lee, can I ask the patient to hold the side rail to help me turn to the side if the side rail is available.
    At the end of the skill can I say the appropriate number of side rails raised and bed in the lowest position,

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Obianuju, Prometric does this skill a little different from Pearson Vue. If you go back to your notes and look at the Prometric Nurse Aide Clinical Skills Checklist, you will not find a reference for using the side rails in this procedure. Prometric wants the client to STAY away from the edge of the bed at ALL times. If the client rolls and grab the side rail, he or she will be near the edge of the bed and this will be a reason to not pass the exam under indirect care.

  • @kimberlykallie767
    @kimberlykallie767 2 года назад

    I be having hard time with the towel folded in 4 corners will prometric let me use different washcloths as long as I clean correctly for example one wash cloth for every side because how u doing it with folding is difficult for me

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Kimberly, I totally understand what you are saying. Please keep in mind that linen in the workplace may be a treasure. Therefore, we need to use only enough to get the job done safely and save linen for other clients. I will try to make another video about using the washcloths in 4-5- sections.
      You will be just fine taking your exam using 4-5 extra wash cloths. Do what you need to do to pass the exam. Good Luck.

    • @kimberlykallie767
      @kimberlykallie767 2 года назад

      @@txcnaskills2599 thank you so much this was so helpful

  • @mariecanal1962
    @mariecanal1962 2 года назад +1

    I am going to take it,soon Dr Lee

  • @AngelicaGarcia-vl7vw
    @AngelicaGarcia-vl7vw 2 года назад

    Is it required to put a towel under the patient? During my class we didn’t and now I am worried.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Angelica, Yes it is required to protect the bed from getting wet. This is also a step in the skill.

    • @AngelicaGarcia-vl7vw
      @AngelicaGarcia-vl7vw 2 года назад

      @@txcnaskills2599 thank you!

  • @glendawilliams1889
    @glendawilliams1889 Год назад

    if I grab more supplies than what I use will they deduct points for that

    • @txcnaskills2599
      @txcnaskills2599  Год назад +2

      Hello Glenda, Prometric will never deduct points for getting additional supplies.

  • @AriAri-dj4oe
    @AriAri-dj4oe 2 года назад

    I’m in Massachusetts, i have my exam Tuesday is it one skill or three? I was told by the school instructor it was one.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Ari,
      I live in Texas. I am not familiar with Massachusetts guidelines. My understanding is that Prometric uses 5 skills on their state exam. Handwashing and Indirect skills are not written on a card that is given to the student at the test site. Therefore only three skills will be written down on paper.

  • @sheaeliza6665
    @sheaeliza6665 Год назад

    Hi Dr.Lee! Is it necessary to place a bed pad underneath the patient even if they aren’t incontinent? I was told that if they have incontinence, that is when you leave one underneath otherwise it is ok without. Also, is using one towel ok for drying the front and back?

    • @txcnaskills2599
      @txcnaskills2599  Год назад +1

      Hello Shea, I hope I understand your questions.
      1. For the Prometric state exam, you MUST remove the pad/towel under the client when you start the skill AND replace it with a clean dry pad/towel.
      2. For the Prometric state exam, you may use the same towel to dry the front and the back of the client. Think about it. Most of us who are not in a healthcare setting, take a shower/bath and we dry the front and back of our bodies with the same towel.

    • @sheaeliza6665
      @sheaeliza6665 Год назад

      @@txcnaskills2599 Thank you for answering. I meant once you’re completely finished with bathing should you leave them with a clean bed pad underneath, of course after firstly removing the wet one? My training instructor said that only if the care plan says they’re incontinent, to leave a pad for accidents. But if they’re continent, you don’t have to leave a pad underneath them. And yes I figured that as far as using one drying towel! I thought about it that way but wanted to be sure.

  • @S4812M
    @S4812M 3 года назад

    Hi Dr. Lee, I have a few questions about this skill. Once the resident has been cleaned does it matter if we place an underpad underneath them instead of a towel? Also, should we wait to put soiled linens in the hamper until we are cleaning up, or can we place them in the hamper as soon as we are finished with them? Lastly, do we close the curtain as we leave to gather our supplies and to clean the basin towards the end, but leave the curtain open after the skill is complete and we leave the residents room for the final time? I always get confused when it comes to the small details!

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Serena,
      Peri Care
      1. Once the resident has been cleaned does it matter if we place an underpad underneath them instead of a towel? Prometric requires in step 15: Leave resident on dry underpad at completion of procedure? Prometric does not care what is used as an underpad.
      2. 2. Also, should we wait to put soiled linens in the hamper until we are cleaning up, or can we place them in the hamper as soon as we are finished with them?
      Prometric does not care if you put the dirty linen up when cleaning or at the end. To receive credit you need to make sure the linen is put up before you complete the skills. See Step 16: Complete skill having rinsed, dried and stored basin, placing soiled linens in hamper, disposing of trash, and leaving overbed table dry?
      3. .Lastly, do we close the curtain as we leave to gather our supplies and to clean the basin towards the end, but leave the curtain open after the skill is complete and we leave the residents room for the final time? I always get confused when it comes to the small details! I teach students to open the curtain in the beginning and to close the curtain with the closing.

  • @milissarichards9369
    @milissarichards9369 10 месяцев назад

    Why didn't you put the clean linen protector underneath her before you had put her back down?

    • @txcnaskills2599
      @txcnaskills2599  10 месяцев назад

      I am not understanding your question. For this skill the patient is already lying down.

    • @milissarichards9369
      @milissarichards9369 10 месяцев назад

      @@txcnaskills2599 Never mind the question but I was asking why did you roll over the patient and then lift her up again just to put the linen protector, why didn't you roll it under her while removing the dirty one but I passed my HHCA on the 2nd of November.

  • @evamaclair
    @evamaclair Год назад

    Dr lee, how many skills do you have that require you to use the water basin

    • @txcnaskills2599
      @txcnaskills2599  Год назад

      Now, that is a good question. I think it is five.
      Peri Care
      Catheter Care
      Modified Bath
      Hand and Nail Care
      Foot Care

  • @aminiasimataki-fo6rc
    @aminiasimataki-fo6rc Год назад

    Hi Dr Lee,do you have a skill video ofgiving medicine to the client?

    • @txcnaskills2599
      @txcnaskills2599  Год назад

      Hello Aminiasi, Yes, I offer a medication aide course where I present a skilled video on administering medications to a client.

  • @RainaBaigx
    @RainaBaigx Год назад

    When we are being tested are we expected to verbalize our every step?

    • @txcnaskills2599
      @txcnaskills2599  Год назад

      Hello, The student is not expected to verbalize every step. The student is expected to talk with the patient during care.

  • @joselynr.4047
    @joselynr.4047 7 месяцев назад

    Hi dr lee, during my school training we where taught to do a mitten with our rag to do pericare or bed bath is that necessary for prometrics or can I do it the way you do it and fold the rag?

    • @txcnaskills2599
      @txcnaskills2599  7 месяцев назад +1

      Hello, Making a mitten is not a requirement for Prometric. You MUST use a different area of the wash cloth for each stroke.

    • @joselynr.4047
      @joselynr.4047 6 месяцев назад

      @@txcnaskills2599thank you so much for this clarification. I will be taking my prometrics exam in 3 days . I’m so nervous

    • @joselynr.4047
      @joselynr.4047 6 месяцев назад

      Bless your heart Dr lee! I passed my skills exam!! I did everything like you showed us on the videos and passed! Thank you so much ❤

  • @charmieamor
    @charmieamor 3 года назад

    Dr Lee after doing the pericare do i need to put a briefs or just a continent pad underneath?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Miyat,
      After completing pericare the student will leave the client on a DRY pad. NO briefs/underwear

  • @suzetteprevil4971
    @suzetteprevil4971 2 года назад +1

    Hello Dr Lee,
    Thank you so much for your videos, I try to practice them a lot because my school gets me confused with lots of information that none of the videos I’ve watched have done them, so i decided to do it the same way you do, I have my test next week but I was wondering if I have to gather all the supplies needed for the 3 skills at once, or I have to do another entrance and another closing after each skills.

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Suzzette, You MUST do a closing after each skill to pass and then go, knock on the door, and start back over with the next skill.

    • @suzetteprevil4971
      @suzetteprevil4971 2 года назад

      @@txcnaskills2599 Thk you so much Dr Lee, I appreciate.

  • @mshorsepower
    @mshorsepower 2 года назад

    Hey Dr. Lee! I have a question. After you dry the bottom, instead of giving the resident the call light while you have your gloves on, couldn’t you wait until after you wash your hands?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      That is correct. Prometric will not count it against you either way.

    • @mshorsepower
      @mshorsepower 2 года назад

      @@txcnaskills2599 Thank you so much!

    • @mshorsepower
      @mshorsepower 2 года назад

      @@txcnaskills2599 Also, what is the point for the 3 barriers if in real life there would already be a barrier under an incontinent person?

  • @itsnohemiramos
    @itsnohemiramos 3 года назад

    Good afternoon Dr. Lee
    Would you dispose the dirty water on the toilet or on the sink?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Nohemi, Prometric doesn't care if the dirty wash water is poured into the toilet or the sink. I teach my students to pour the water into the sink.

  • @tiarabowen504
    @tiarabowen504 Год назад

    This was very helpful thank you

  • @jeanneparedez3449
    @jeanneparedez3449 2 года назад

    Question on Respirtions..
    What do you tell patient that you are there for ? Cause if patient knows you are counting respiration patient will get nervous

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Jeanne, I teach my students to say, "I am here to take your vital signs".

  • @lephong2759
    @lephong2759 3 года назад

    when taking exam, do you have to physically getting water? Can I just assume the water is there?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      You MUST physically use running water. No pretend here.

  • @junelune2344
    @junelune2344 10 месяцев назад

    Dr. Lee has anything changed for 2023.? Thank you Dr.Lee I've been watching all your videos to prepare me for skills exam.

  • @nerm210
    @nerm210 2 года назад

    Dr Lee, on the clinical exam will we need to use linen protectors or will a towel do?

  • @mariaqtiturrino4641
    @mariaqtiturrino4641 Год назад

    Dr Lee when I clean the private area I have to describe what I’m doing?

    • @txcnaskills2599
      @txcnaskills2599  Год назад +1

      Hello, You don't have to describe your actions to the evaluator. Prometric requires that we explain to the patient what we are planning to do before actually performing the skill. Most of my students find it helpful to talk through the skills while doing the skill because it helps the student to remember what to do. I hope this makes sense. A part of indirect care with each skill except handwashing is talking to the client.

  • @courtneyvasquez7785
    @courtneyvasquez7785 Год назад

    hi dr lee, i have a question about washing the front side, if we're supposed to wipe across the pelvis where the stomach connects. or will we fail if we make that wipe? your videos help me so much

    • @txcnaskills2599
      @txcnaskills2599  Год назад +1

      Hello Courtney, For the peri care skill, the candidate MUST wipe from top to bottom only or the person will Fail.

  • @MiaChiaBaby
    @MiaChiaBaby 3 года назад

    Thank you very much!!! You’re very practical and straight to the point

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Mia, You are so welcome. Have you tested yet?

    • @MiaChiaBaby
      @MiaChiaBaby 3 года назад

      Dr Lee I haven’t t tested yet, I’m getting very close to, is taking blood pressure manually one of the skills for the state board exam?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      @@MiaChiaBaby Hello Mia,
      Prometric does not have blood pressure as a skill in Texas.

  • @cynthiamzumara7311
    @cynthiamzumara7311 3 года назад +2

    Hey Dr. Lee. I just came across your video because I’m taking the state exam this month. My question is when do I change my gloves during perineal care?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +2

      Hello Cynthia, You would remove your gloves AFTER putting up ALL of your supplies. Prometric does not require changing gloves during this skill.

    • @cynthiamzumara7311
      @cynthiamzumara7311 3 года назад

      @@txcnaskills2599 Thank you 😊

  • @nerm210
    @nerm210 2 года назад

    Also, i noticed you gave Ms Mary her call light with your gloves. Is that ok? I thought our hands had to be clean?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Nerm210, The state will not count it against you if you give the client the call light with your gloves on. I do try to wash my hands and then give the patient the call light.

    • @nerm210
      @nerm210 2 года назад

      @@txcnaskills2599 Thank you Dr Lee for your response.

  • @robynevans9507
    @robynevans9507 3 года назад

    Do we have to get them dressed or anything after care?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Robyn,
      For pericare you don't get the client dressed. Only do what is listed for the skill.

  • @progesbienaime5183
    @progesbienaime5183 3 года назад

    Hi you don't teach the written test too please

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +3

      Hello, I teach the entire course at my school in Houston. I don't give lecture at the present online. I may consider that if enough people want it.

  • @dyancastell8086
    @dyancastell8086 2 года назад

    Hello Dr. Lee. I thought the center of the vagina was the last part to wash instead of the first since it’s the most contaminated area. Am I mistaken? Thank you!

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Dyan, Prometric does not indicate the order of cleaning the per area. You must include certain areas in the procedure.

  • @vitalee2072
    @vitalee2072 2 года назад

    Hi Dr. Lee, Love your videos!!! My class mates and I have a question?? So the AHCA pamphlets say we have to wash our hands and put gloves on before we gather the supplies?? We want to make sure we get it Correct and pass so could you please let us know what we should do??

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Prometric does NOT have a requirement to put on gloves before you gather your supplies. Let's think for a moment.
      Gloves are considered a part of PPE. Healthcare workers do not wear PPE in the halls. The clean supplies are located in the halls. Therefore, we Do NOT put on gloves and go get our supplies.
      Prometric guidelines REQUIRE gloves to be on BEFORE you start washing the client.
      You will SAY that you are washing your hands BEFORE going to get your clean supplies with your bare clean hands. I hope this answers your question.

    • @yadiratorres9651
      @yadiratorres9651 2 года назад

      Dont we have to change our gloves when we are done cleaning before the rinse? Cause it would contaminate the water

  • @MiaChiaBaby
    @MiaChiaBaby 3 года назад

    Hello Dr Lee is taking manually blood pressure skill on the state board exam ?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Mia,
      Taking a manual blood pressure is not required on the Prometric state exam in Texas.

    • @MiaChiaBaby
      @MiaChiaBaby 3 года назад

      Thank you so much for your response!!! God bless you

  • @christermariana5509
    @christermariana5509 3 года назад

    Is it okey to bend the patients knees when doing pericare?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Christer, That is a god question. Prometric does not care if the patient's knees are bent or not. What is important is that we minimize exposure of resident. This will be graded under patient's rights for indirect care.
      while bathing

  • @elizabethabbey9325
    @elizabethabbey9325 3 года назад +1

    Hello Dr. Lee, want to let you know I appreciate your videos. They are very clear. I heard you say in this video of pericare that you pour the water for cleaning the washing bowl after the pericare in the toilet but you rather poured it in the sink; hope you mean sink but not toilet. Thanks

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +2

      You are correct. I poured the water after cleaning the client into the sink. Prometric does not care if the water is poured into the toilet or the sink. Both ways are acceptable. Take care Elizabeth.

    • @elizabethabbey9325
      @elizabethabbey9325 3 года назад

      @@txcnaskills2599 Thank you Dr. Lee. Highly appreciated. May God continue to bless your services!

  • @keelidehtan8849
    @keelidehtan8849 3 года назад

    Hello! I absolutely love your videos and they are extremely helpful. Is it okay to put the supplies away then remove gloves/wash hands and then go back and give the resident their call light and open the curtain without gloves?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Yes you can! Be sure to wash your hand again on the end. Most skills require handwashing three times.
      Once in the beginning, after the opening
      Second, after putting up supplies and removing gloves
      Third, at the end just before you say I have completed my skills

  • @BeanTownIRISHboy77
    @BeanTownIRISHboy77 2 года назад

    I love your instructional videos first off. Second , I was wondering, what if the patient is unable to lift their knees and hips? At that point would you get another nurse to help. Thank you for your awesome videos!

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +1

      Hello Rock-An-A-Rollin95, When you take the state exam, you won't have this problem. All students are screened before the test begins.
      Now in a real-life situation, you will want to get with the charge nurse to have directions. Different things may be happening with the patient to keep them from raising their knees and hip. (hip replacement, blood clots, arthritis, etc...)

    • @BeanTownIRISHboy77
      @BeanTownIRISHboy77 2 года назад

      @@txcnaskills2599 thank you Dr. Lee . Yeah I was actually asking about real world situation, but thank you so much for the answers. I am applying for LNA school and im in the early process, and cant wait to start. Your videos are really helping me prepare and get an idea. Thanks again!

  • @lisayoung1489
    @lisayoung1489 3 года назад

    Hello Dr. Lee. My instructor highly recommends watching your videos in order to practice and pass the state exam here in TX. I want ask you...When do you wash the inner part of the vagina because I noticed that you did part the lips at any time during this procedure? Also, is it acceptable to raise the bed to your comfortable height level or No, for safety reasons of the patient?

    • @txcnaskills2599
      @txcnaskills2599  2 года назад

      Hello Lisa, I think you are asking 2 questions.
      1. When I clean the vaginal area, I do clean between the labias.
      2. You can raise the bed to your waist level. I don't encourage my students to raise the bed up because the student might get nervous and forget to put the bed back down which will make the person fail that skill.

  • @charmieamor
    @charmieamor 3 года назад

    Dr. Lee is the pubic area doenst need to be washed?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      Hello Miyat, The student doing pericare MUST wash-Rinse-and Dry the front and back genitial areas.

  • @tayyabahusaini4537
    @tayyabahusaini4537 3 года назад

    After the peri care ,can we touch call light without removing gloves?

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Tayyaba, Prometric will not count it against you if you give the call light to the patient while you are at the bedside with gloves on. Some people wait until the end after washing their hands. Bottom line it does not matter. What you will be graded on is giving the resident the call light before the end of the skill. Take care.

    • @tayyabahusaini4537
      @tayyabahusaini4537 3 года назад

      @@txcnaskills2599 thank you so much

    • @txcnaskills2599
      @txcnaskills2599  3 года назад

      @@tayyabahusaini4537 You are welcome Tayyaba.

    • @Partyatmosphere
      @Partyatmosphere 3 года назад

      In the real world, you're going to want your gloves ON when you touch a call light. People get all kinds of nasty stuff on their gloves then grab that light. You don't want that mess of germs

  • @craftrookie4208
    @craftrookie4208 2 года назад

    I love you Dr.Lee and Dr.twin 💕💖💕💖🤞

  • @ambermaredia9879
    @ambermaredia9879 3 года назад +1

    Dr. Lee, where do we pour the rinse water into for perineal care? Thanks for your videos :)

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +3

      Hello Amber, I think you are asking about the bath water with perineal care. The bath water can be poured in the sink or toilet. Both are acceptable. I pour the bath water in the sink.

    • @ambermaredia9879
      @ambermaredia9879 3 года назад

      @@txcnaskills2599 Yes ma'am, that is correct. Thank you for clarifying! Have a blessed day.

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      @@ambermaredia9879 You be safe.

    • @ambermaredia9879
      @ambermaredia9879 3 года назад

      @@txcnaskills2599 Thank you Dr. Lee.

    • @kathyemmell6981
      @kathyemmell6981 2 года назад

      I worked in a nursing home for years and we always emptied in the sink. Unless, the patient had a bowel movement then you would have to empty it in the toilet.

  • @shirleymchayle9832
    @shirleymchayle9832 5 месяцев назад

    Enjoy your classes

  • @6michelle6conner6
    @6michelle6conner6 2 года назад

    Do you empty dirty water in sink or toilet

    • @txcnaskills2599
      @txcnaskills2599  2 года назад +2

      Hello Michelle, When performing peri care the water can be emptied into the sink or toilet. Both are acceptable.

  • @Ki-er7lj
    @Ki-er7lj 3 года назад

    Hello Dr Lee I love your videos you try and help out on teaching younger people and older people.. on how to clean the vulva/vaginal because some of us wasn’t taught properly.. I’m a young teenager and I’m actually kinda of confused on how to keep my vulva/vaginal healthy when it comes to washing.. I wanted to explain to you how I do it to make sure I’m doing it right.. if not then can you fully explain it to me.. I wash from my Clitoris down to the perineal line.. or do I suppose to wash from my perineal line up to my Clitoris.. I was kinda embarrassed on asking but you’re a nurse so I know you wouldn’t tell me wrong thank you!

    • @txcnaskills2599
      @txcnaskills2599  3 года назад +1

      Hello Ki, You should wash from the top of the pubic area towards the rectum. Never be embarrassed to ask a health questions.

    • @Ki-er7lj
      @Ki-er7lj 3 года назад

      @@txcnaskills2599 thank you Dr Lee you’re a amazing Dr to teach these things and to have patience to explain.. they should have Heath classes for these type of things in school.. i have a few more questions then I’ll for sure know that I’m on the right track.. when washing the butt area what’s the proper way wash from the part where the poop come from to the crack.. or from the crack to the rectum.. and is it a proper way to wash your cheeks.. like to start at the end of the lower back down i apologize for all the questions.. I just prefer to asks a dr to get the full understanding.. can you tell me everything I need to know about how to properly wash the buttock area.. from how to wash the butt crevices and etc.. thank you for your time and for your good advice!!