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CNA-SKILLS TESTING
Helping a Person to the Commode
| Question | Answer |
|---|---|
| Step 1 | Assemble Equipment |
| 2 | Pre-steps |
| 3 | Communicate with person throughout the skill |
| 4 | Ensure bed wheels are locked |
| 5 | Perform hand hygiene and put on gloves |
| 6 | Prepare commode and position commode near and parallel, or slightly angled, to the bed. Lock wheels of commode |
| 7 | Remove gloves, perform hand hygiene, and replace gloves |
| 8 | Assist the person to a sitting position on the edge of the bed |
| 9 | Ensure the person is wearing non-slip footwear and appropriate clothing |
| 10 | With the person seated, apply gait belt snuggly around the persons waist |
| 11 | Position the person's feet shoulder width apart, flat on the floor with slightly bent knees |
| 12 | Have the person prepare to push up with their hands by placing them on the bed |
| 13 | Using good body mechanics, facing the person, grasp gait belt with both hands, equal distance apart and assist the person to stand |
| 14 | When balanced adjust your footing and assist the person until aligned with the commode |
| 15 | Have the person reach back and grasp the arm of the commode |
| 16 | Move clothing out of the way (pull down pants) |
| 17 | Assist the person to lower self slowly to comfortable seated position |
| 18 | Ensure warmth with robe or blanket |
| 19 | Place toilet tissue within reach |
| 20 | Place call light within reach. Ask the person to call when ready or if assistance is needed |
| 21 | Remove gloves and perform hand hygiene |
| 22 | Leave room if persons condition allows |
| 23 | When person signals return promptly to assist |
| 24 | Perform hand hygiene and put on gloves |
| 25 | Assist the person with hand hygiene |
| 26 | With person standing, provide perineal/anal care (clean from urinary meatus to anus) |
| 27 | make sure the person is safe, then remove gloves and perform hand hygiene |
| 28 | Reposition clothing |
| 29 | Assist the person to the bed |
| 30 | Remove footwear and transfer belt |
| 31 | Position person comfortably in bed |
| 32 | Perform hand hygiene and put on gloves |
| 33 | cover and remove container from commode |
| 34 | note contents and measure output per care plan |
| 35 | empty contents into the toilet |
| 36 | clean/disinfect container per policy |
| 37 | replace container in commode |
| 38 | clean commode |
| 39 | remove gloves and perform hand hygiene |
| 40 | return commode and other supplies to appropriate area |
| 41 | post steps |
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