CNA Procedure for Assisting a Patient with Dressing

Introduction

• CNA Name: Patti
• Patient Name: Mrs. Jones
• Task: Helping Mrs. Jones get dressed

Initial Steps

1. Introduce Self and Task: Patti introduces herself as the CNA for the day and confirms if Mrs. Jones is okay with her help.
2. Preparation:
   • Close curtains for privacy.
   • Wash hands.
   • Gather supplies and set a barrier on the table to keep supplies clean.

Selecting Clothes

• Outfit Choice: Mrs. Jones chooses light pink pants and a dark pink shirt.

Dressing Procedure

1. Privacy and Comfort:

   • Spread a privacy blanket over Mrs. Jones for warmth and privacy.
   • Carefully unfold the blanket to avoid snapping or shaking it.
   • Pull down the sheet to the end of the bed.

2. Putting on Socks:

   • Scrunch each sock up to the toe seam.
   • Align toe seam with foot, lift from below, support at the ankle, and smooth over the heel.

3. Putting on Pants:

   • Ensure the tag is at the back.
   • Insert arm into pant legs, scrunch up, place over foot, lift from below, and smooth over the heel.
   • Help Mrs. Jones lift her hips to pull pants over hips.

4. Shirt Dressing:

   • Elevate the head of the bed.
   • Assist Mrs. Jones to lean forward, untie the gown, and tuck a blanket corner behind her back.
   • Undress left (strong) arm first, then support and undress the right (weak) arm.
   • To put on the shirt, scrunch up sleeve, put hand through backward, and guide Mrs. Jones’ hand through the sleeve.
   • Support at the elbow and extend the arm to wear the sleeve.

5. Final Adjustments:

   • Help Mrs. Jones lean forward to smooth the shirt along her back.
   • Ensure clothing is neat and fastened properly.
   • Remove privacy blanket and gown, place them in soiled linen.

Conclusion

• Final Steps:
  • Adjust clothing for neatness and appearance.
  • Ensure Mrs. Jones has her call light.
  • Offer to get a magazine for Mrs. Jones.
  • Dispose of the barrier.
  • Open privacy curtain.

Post-Procedure

• Hand Hygiene: Wash hands.
• Self-Evaluation: Consider the steps of the skill and make any necessary corrections before informing the evaluator that the skill is completed.