CNA (Certified Nursing Assistant) Visit Overview

Introduction

• CNA Name: Patti
• Patient Name: Mr. Jones
• Purpose of Visit: Hand and nail care on one hand

Initial Steps

• Greeting and Introduction: Patti introduces herself as Mr. Jones' CNA for the day.
• Privacy Measures: Curtain closed for privacy.
• Hygiene Protocol: Handwashing before beginning the procedure.

Supplies Needed

• Barrier for clean supplies
• Basin
• Soap
• Lotion
• Orange stick
• Emery board
• Two washcloths
• Towel

Procedure Steps

1. Preparation:

   • Place barrier on table for supplies.
   • Gather and arrange all necessary supplies.

2. Water Check:

   • Fill basin with water.
   • Confirm water temperature with Mr. Jones before starting.

3. Hand Washing:

   • Wet one washcloth and use it to wet Mr. Jones' hand.
   • Apply soap to washcloth.
   • Wash all surfaces of the hand, including between fingers and palm.
   • Rinse hand in basin.

4. Drying the Hand:

   • Use a towel to thoroughly dry the hand, including between fingers and palm.

5. Nail Care:

   • Use orange stick to clean under each nail.
   • File rough edges of nails using emery board.

6. Applying Lotion:

   • Warm lotion in hands and apply to all hand surfaces.
   • Wipe off excess lotion.

Clean-up Process

• Place soiled linens in dirty linen container.
• Clean up workspace; use a paper towel to avoid contamination.
• Dispose of waste items appropriately.

Final Steps

• Ensure Mr. Jones is comfortable.
• Offer a magazine (declined by Mr. Jones).
• Ensure call light is within reach.
• Open curtains.
• Perform final handwashing.
• Review and correct any part of the skill if necessary.

Conclusion

• Comfort Check: Mr. Jones confirms he is comfortable.
• Completion: Procedure concluded, informing the evaluator that the skill is complete.