I.A Physical Care Skills: Activities of Daily Living +9CNA · Nursing Care · English

Covers assisting clients with personal hygiene tasks as part of activities of daily living.

Covers helping clients dress and maintain personal grooming as part of daily living activities.

Covers supporting clients' nutritional and fluid intake needs as an activity of daily living.

Covers assisting clients with bladder and bowel elimination needs.

Covers supporting clients' rest, sleep, and comfort needs.

Covers assisting clients with personal hygiene as part of activities of daily living.

Covers helping clients dress and groom as part of daily living activities.

Covers supporting clients with adequate nutrition and fluid intake.

Covers assisting clients with bowel and bladder elimination needs.

Covers promoting client rest, sleep, and comfort.

Covers rinsing the foot including between the toes and drying it thoroughly with a dry cloth towel or washcloth.

• ✓Foot is rinsed (including between the toes)
• ✓Dries foot (including between the toes) with dry cloth towel/washcloth

Applies lotion to the top and bottom of the foot while excluding between the toes and removing excess.

• ✓Applies lotion to top and bottom of foot (excluding between the toes) removing excess with a towel/washcloth

Provides support to the foot and ankle throughout the procedure.

• ✓Supports foot and ankle during procedure

Empties, rinses, and dries the basin, places it in the dirty supply area, and disposes of used linen.

• ✓Empties, rinses, and dries basin
• ✓Places basin in designated dirty supply area
• ✓Disposes of used linen into soiled linen container

Removes and disposes of gloves without self-contamination, washes hands, and ensures the signaling device is within reach.

• ✓Removes and disposes of gloves (without contaminating self) into waste container and washes hands
• ✓Signaling device is within reach

Covers practices for preventing and controlling the spread of infection in the care setting.

Covers maintaining client safety and responding appropriately in emergency situations.

Covers therapeutic and technical procedures performed by the nurse aide.

Covers collecting client data such as measurements and reporting observations.

Cleans the mouth including tongue and all tooth surfaces using gentle motions while maintaining clean technique.

• ✓Cleans mouth (including tongue and all surfaces of teeth), using gentle motions
• ✓Maintains clean technique with placement of toothbrush

Explains the procedure clearly and provides privacy with a curtain, screen, or door before mouth care.

• ✓Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
• ✓Privacy is provided with a curtain, screen, or door

Places the client in an upright sitting position between 75 and 90 degrees before providing mouth care.

• ✓Before providing mouth care, client is in upright sitting position (75-90 degrees)

Puts on clean gloves, places a cloth towel across the chest, secures water, and applies toothpaste to a moistened toothbrush.

• ✓Puts on clean gloves before cleaning mouth
• ✓Places cloth towel across chest before providing mouth care
• ✓Secures cup of water and moistens toothbrush
• ✓Before cleaning mouth, applies toothpaste to moistened toothbrush

Holds emesis basin while client rinses, wipes mouth, removes clothing protector, and disposes of used linen.

• ✓Candidate holds emesis basin to chin while client rinses mouth
• ✓Candidate wipes mouth and removes clothing protector
• ✓Disposes of used linen into soiled linen container
• ✓Rinses toothbrush and empties, rinses, and dries basin

Removes gloves without contamination, washes hands, and ensures the signaling device is within reach with bed low.

• ✓Removes and disposes of gloves (without contaminating self) into waste container and washes hands
• ✓Signaling device is within reach and bed is in low position

Covers practices for preventing and controlling the spread of infection.

Covers client safety measures and appropriate response to emergency situations.

Covers performing therapeutic and technical care procedures for clients.

Covers gathering client data and reporting observations to the health care team.

Washes and rinses the genital area moving from front to back, using a clean area of the washcloth for each stroke.

• ✓Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke
• ✓Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke
• ✓Dries genital area moving from front to back with dry cloth towel/washcloth

Turns the client to the side and washes, rinses, and dries the rectal area front to back using clean washcloth areas.

• ✓After washing genital area, turns to side, then washes rectal area moving from front to back using a clean area of washcloth for each stroke
• ✓Using clean washcloth, rinses soap from rectal area, moving from front to back, while using a clean area of the washcloth for each stroke
• ✓Dries rectal area moving from front to back with dry cloth towel/washcloth

Explains the procedure clearly and provides privacy before beginning perineal care.

• ✓Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
• ✓Privacy is provided with a curtain, screen, or door

Checks water temperature for safety and comfort and asks the client to verify the water is comfortable.

• ✓Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water

Puts on clean gloves, places a pad or linen protector, and exposes only the perineal area between hips and knees.

• ✓Puts on clean gloves before washing perineal area
• ✓Places pad/linen protector under perineal area including buttocks before washing
• ✓Exposes perineal area (only exposing between hips and knees)
• ✓Applies soap to wet washcloth

Repositions the client, cleans the basin, and disposes of used linen and linen protector appropriately while avoiding contamination.

• ✓Repositions client
• ✓Empties, rinses, and dries basin
• ✓Places basin in designated dirty supply area
• ✓Disposes of used linen into soiled linen container and disposes of linen protector appropriately
• ✓Avoids contact between candidate clothing and used linen

Removes gloves without self-contamination, washes hands, and ensures signaling device is within reach with bed low.

• ✓Removes and disposes of gloves (without contaminating self) into waste container and washes hands
• ✓Signaling device is within reach and bed is in low position

Covers promoting client self-care and independence as part of physical care skills.

Covers preventive care measures to maintain client health and function.

Covers promoting client self-care and independence.

Positions the wheelchair alongside the bed, folds up or removes footrests, and locks the wheelchair wheels before standing.

• ✓Before assisting to stand, wheelchair is positioned alongside of bed, at head of bed facing foot or foot of bed facing head
• ✓Before assisting to stand, footrests are folded up or removed
• ✓Before assisting to stand, locks wheels on wheelchair

Sets the bed to a safe level, locks bed wheels, and assists the client to a sitting position with feet flat and shoes on.

• ✓Before assisting to stand, bed is at a safe level
• ✓Before assisting to stand, checks and/or locks bed wheels
• ✓Before assisting to stand, client is assisted to a sitting position with feet flat on the floor
• ✓Before assisting to stand, client is wearing shoes

Stands facing the client, signals to begin standing, and gradually assists to stand using an upward grasp of the transfer belt while maintaining leg stability.

• ✓Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
• ✓On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp and maintaining stability of client's legs by standing knee to knee, or toe to toe with the client

Explains the procedure clearly and provides privacy before transferring the client.

• ✓Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
• ✓Privacy is provided with a curtain, screen, or door

Applies the transfer belt securely at the waist over clothing and provides instructions including a prearranged standing signal.

• ✓Before assisting to stand, applies transfer belt securely at the waist over clothing/gown
• ✓Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing

Turns and lowers the client into the wheelchair, positions hips against the back, removes the transfer belt, and positions feet on footrests.

• ✓Assists client to turn to stand in front of wheelchair with back of client's legs against wheelchair
• ✓Lowers client into wheelchair
• ✓Positions client with hips touching back of wheelchair and transfer belt is removed
• ✓Positions feet on footrests

Ensures the signaling device is within reach and washes hands after completing the skill.

• ✓Signaling device is within reach
• ✓After completing skill, washes hands