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CNA - Written Only
Resident Care Procedures (RCPs) NOT in Skills Testing
| Term | Definition |
|---|---|
| RCP 11 - Fire Extinguisher | pull pin, aim at base of fire, squeeze handle, sweep back and forth at base of fire (PASS acronym) |
| RCP 16 - Height | initial steps, assist resident onto scale facing away from scale, ask resident to stand straight, raise rod to a level above head, lower height till it rests flat. record. final steps |
| RCP 16 - How to measure height when resident is unable to stand | flatten bed and place resident supine. place mark on sheet at top of head and another at bottom of feet. measure. record. final steps |
| RCP 16 - Height if resident is unable to lie flat due to contractures | utilize a tape measure and beginning at top of head, follow curves of spine and legs, measuring to base of heel. record. final steps |
| RCP 30 - Transfer to Stretcher/Shower Bed (1) | initial steps, loosen sheet under resident and roll edges close to resident, place locked stretcher/shower bed at bedside height, lower side rails, staff should be present at both sides |
| RCP 30 - Transfer to Stretcher/Shower Bed (2) | staff should grasp sheet on each side and count to 3 to lift/slide resident laterally onto shower bed/stretcher, center/align resident, place pillow under head, cover with blanket, raise rails of stretcher/shower bed, final steps |
| RCP 31 - Transfer: 2-Person Lift (1) | only in emergency: initial steps, brace chair firmly at bedside locking wheels of wheelchair of Geri chair, assist resident to sit on edge of bed with staff on each side |
| RCP 31 - Transfer: 2-Person Lift (2) | staff should clasp each other's forearm above wrist around resident's back, have resident place arms around your shoulders or upper arms (not neck), each staff should reach under resident's knees and grasp other staff's forearm above wrist |
| RCP 31 - Transfer: 2-Person Lift (3) | lift resident on count of 3, pivot and lower resident into chair, align resident in chair, final steps |
| Supplies for RCP 32 - Shower/Shampoo | shower-chair, washcloths, towels, shampoo, cotton balls, blanket, lotion |
| RCP 32 - Shower/Shampoo (1) | initial steps, clean/disinfect shower/chair per facility/prep bathing area, gather supplies & put in shower area, go help resident remove clothing providing privacy |
| RCP 32 - Shower/Shampoo (2) | turn on water & have resident check temp, assist resident into shower via wheelchair, lock wheels & transfer to shower chair (use safety belt if indicated). never take eyes off resident or turn back to resident while in shower |
| RCP 32 - Shower/Shampoo (3) | if desired give washcloth to cover eyes and/or cotton balls in ears, wet resident hair, put shampoo in hand and work into resident's hair/scalp, rinse thoroughly |
| RCP 32 - Shower/Shampoo (4) | use conditioner if desired. let resident wash as much as possible starting with face and going head to toe, use separate washcloth to cleanse the perineal area last |
| RCP 32 - Shower/Shampoo (5) | turn off water, cover resident with bath blanket, remove cotton balls if used, towel dry resident's hair/neck/ears, give resident towel and assist to pat dry--under breasts, between skin folds, perineal, between toes |
| RCP 32 - Shower/Shampoo (6) | ensure floor is dry and non-slip device is in place, assist resident out of shower, use hair dryer if desired, apply lotion, help resident dress, comb hair, return to room, final steps, report skin abnormalities to nurse |
| Supplies for RCP 35 - Bed Shampoo | comb/brush, towels, basin for water, shampoo tray/basin, shampoo, conditioner, hair dryer, hand mirror, incontinent pads |
| RCP 35 - Bed Shampoo (1) | initial steps, gently comb/brush hair, provide privacy, remove gown/pj top, place towel or pad around neck and shoulders, lower head of bed, resident check water temp, place basin under head |
| RCP 36 - Bed Shampoo (2) | place wash basin on chair to catch water flowing from shampoo basin, pour water carefully over hair, lather with shampoo, rinse thoroughly, apply conditioner per resident, rinse thoroughly |
| RCP 36 - Bed Shampoo (3) | squeeze excess water from hair, towel dry hair, replace gown or pj top, comb and brush hair, dry hair with dryer per resident, offer hand mirror, final steps |
| Supplies for RCP 43 - Foot Care (Basin) | foot basin, gloves, washcloth, soap, towel, lotion, resident socks, incontinent/absorbent pads |
| RCP 43 - Foot Care (Basin) (1) | initial steps, fill basin halfway warm water, resident check temp, use towel/bathmat/pad to place basin on, remove resident socks, soak feet for 5-10 min, put on gloves |
| RCP 43 - Foot Care (Basin) (2) | remove one foot and wash it including etween toes and around nail beds, rinse that foot incl. between toes, dry entire foot incl. between toes, repeat steps with other foot |
| RCP 43 - Foot Care (Basin) (3) | place lotion in hand/warm it/rub hands together, massage lotion into entire foot except between toes, remove excess with towel, replace socks, final steps, report findings like cuts/sores |
| Supplies for RCP 51 - Urine Specimen Collection | label, specimen collection container, gloves - 2 pairs, urine hat or bedpan, washcloth, paper towel, biohazardous bag |
| RCP 51 - Urine Specimen Collection (1) | initial steps, prepare label with name/date/time and place on CONTAINER not lid, put on gloves, assist resident to toilet or offer bedpan/urinal, provide peri-care |
| RCP 51 - Urine Specimen Collection (2) | ask resident to void without putting toilet paper in with sample, post-urination assist with peri-care, wash resident hands, change gloves & wash hands |
| RCP 51 - Urine Specimen Collection (3) | take urine container and pour urine into specimen container at least half full, cover urine container with lid w/o touching inside, wipe outside with paper towel |
| RCP 51 - Urine Specimen Collection (4) | place specimen in biohazardous bag, discard excess urine, clean and disinfect per facility, final steps |
| Supplies for RCP 52 - Stool Specimen Collection | label, specimen collection container, 2 pairs gloves, bedpan, toilet paper, 2 tongue blades, collection bag |
| RCP 52 - Stool Specimen Collection (1) | initial steps, prepare label, don gloves, ask resident not to urinate simultaneously/don't put toilet paper, provide resident with bedpan/commode, post-BM assist with peri-care |
| RCP 52 - Stool Specimen Collection (2) | remove gloves, wash hands, don clean gloves, use the 2 tongue blades to collect 2 different tablespoons of stool from 2 different areas |
| RCP 52 - Stool Specimen Collection (3) | cover container with lid, label/place in bag, dispose, clean & disinfect per facility, notify nurse of collection, final steps |
| If the resident urinates into the stool specimen, the specimen cannot be used | true |
| Supplies for RCP 56 - Thickened Liquids | thickener, measuring spoon, glass/serving dish |
| RCP 56 - Thickened Liquids | initial steps, obtain thickener and measuring spoon, thicken liquids, offer to resident and encourage to consume, ensure water pitcher is removed, final steps |
| Supplies for RCP 57 - Passing Fresh Ice Water | cart, ice container, ice scoop, towel, container for scoop, water pitcher, water glass, straw |
| RCP 57 - Passing Fresh Ice Water (1) | initial steps, obtain supplies keeping ice scoop covered, go to ice machine, fill container with ice using scoop, replace scoop or cover it, proceed to resident rooms noting restrictions or thickened liquid requirements |
| RCP 57 - Passing Fresh Ice Water (2) | empty old pitcher and old bedside glass into sink, record INO resident intake, take pitcher into hall and fill with ice w/o touching pitcher with scoop, replace scoop in covered container |
| RCP 57 - Passing Fresh Ice Water (3) | return to resident's room and fill pitcher with water at sink w/o allowing pitcher to touch faucet, pour fresh water into bedside glass and leave a straw as needed |
| RCP 57 - Passing Fresh Ice Water (4) | offer resident a drink of fresh water if they are present, repeat until all residents have been provided for, final steps |
| RCP 62 - Bed Cradle | initial steps, place cradle on bed according to manufacturer, cover bed cradle with top sheet/blanket, final steps |
| RCP 64 - Splint Application | initial steps, observe affected joints and report & continue only if instructed, apply splint according to therapy/dr order, remove splint after designated period, cleanse/dry skin and notify nurse of any skin check observations, final steps |
| RCP 65 - Abdominal Binder | initial steps, check skin, place binder (not too high or low), overlap ends around resident, secure Velcro fastener beginning at bottom of binder--snug fit, ensure no wrinkles/creases, final steps |
| RCP 66 - Abduction Pillow (1) | initial steps, resident in supine, place pillow between legs with narrow end pointing toward groin until touching legs all along length |
| RCP 66 - Abduction Pillow (2) | place upper legs in indentations, raise each leg slightly by lifting under knee/ankle for straps, secure straps to pillow, final steps, report resident intolerance/complaint of pain upon application |
| RCP 67 - Knee Immobilizer | initial steps, supine resident, one staff moves leg keepint it straight so other staff places immobilizer under affected leg, checking skin. secure, report skin checks, open area, or pain complaint, final steps |
| RCP 69 - Nasal Cannula Care | initial steps, don gloves, remove cannula, clean nostrils with soft cloth or tissue once per shift or PRN, notify nurse of any redness/irritation at nares or behind ears, replace cannula, do not cinch too tightly, doff gloves, final steps |
| RCP 71 - Elastic/Compression Stocking Application (1) | initial steps, skin check/notify nurse if so/continue per nurse, apply hose before resident gets out of bed, hold heel & gather rest in hand/inside out to mid foot |
| RCP 71 - Elastic/Compression Stocking Application (2) | support foot and pull up till extended, smooth wrinkles/twisted areas, remove 2x daily for skin care unless contraindicated, final steps |
| RCP 72 - Post Mortem Care (1) | initial steps, gloves, respect family religious resetrictions if applicable, assist roommate to leave area till body is removed, place body in supine, place pillow beneath head, close the eyes, insert dentures per facility and close mouth |
| RCP 72 - Post Mortem Care (2) | cleanse body PRN, comb hair, place pad under buttocks for drainage, put clean gown on resident, comfortable looking position for family, doff gloves, final steps, strip bed/clean room per facility |
Created by:
elianayu
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