Knock, introduce, and explain 2. Gather supplies (3 towels, 4 wash cloths, water basin, soap, privacy blanket) 3. Wash hands 3. Place 1 towel on table as barrier 4. Use paper towel to turn on and off water, and fill the basin. 5. Test water 6. Put on gloves 7. Ask patient to test water 7. Place barrier under patient 8. Lift privacy blanket to hips and sheet down to knees 9. 1 Wash and 2 rinse pinched catheter 10. 3 wash and 4 rinse entire vagina 5. Dry everything using big towel 6. Cover patient 7. Remove barrier under patient 8. Gather dirty linen and wash basin in sink 9. Take off glove and wash hands! :)
Hi Dr Lee. I just want to thank you for all you do to help Nurse Aide state exam candidates in the State of Texas. I religiously watched all your videos on clinical skills and I'm happy to inform you that I passed my State exams yesterday to the glory of God. Thanks so much and may you be rewarded abundantly. Amen.
Hi Dr. Lee, I never leave comments on any videos but I have the urge to come say “Thank you” I had my skills test yesterday in Dallas and I passed, it’s been a year since I took the cna course. I binge watched all your videos for weeks! Walked in there so confident and passed on the first try! I am officially a CNA 👩🏻⚕️This world needs more people like you! You explained everything so detailed and better than what I learned in my class. Again thank you and God bless you! 🙏
Hi Dr Lee, I sincerely thank you for all you do to help CNA candidates pass their state exams. faithfully. I watched your video. Yesterday, I passed the CNA exam .the skills were catheter care ROM and empty catheter drainage bag .again. May God continue to bless you and your family.
Hey Dr. Lee I just wanna say I passed my test today because of you. I had this skill, draining and measuring the urinary bag, and ROM in the right shoulder. Thank you so much for your helpful videos!
Hey Dr. Lee I just wanna say I passed my test 8/16 because of you. I had this skill, draining and measuring the urinary bag, and rom in the right shoulder. Thank you for your helpful videos!
Hi Doc Lee,I did this as one of my skills yesterday 7/14/22 and I passed all. I thank you so much,you are awesome and I pray the LORD bless you and keep you in good health,strength and prosperity in all aspects of your life. I appreciate you!
Hi this is thelma dr. Lee I just wanted to let you know your videos are so great I just took my cna State exam test Thursday on the 19th with prometrics in jasper tx and I am officially a cna I passed thanks to you I was nervous I watched these videos for a month straight learning everything I can and I did I'm so proud of myself and I wanna thank you for these wonderful videos dr.lee you are the best ❤️
@@txcnaskills2599 I’m binge watching these skills videos for my clinical exam on 6/27. I passed my written exam yesterday!!! I was taught by the best! Thank you Dr Lee!
Hi Dr. Lee,thank you for everything. Your videos helped me tremendously. I passed the test. I got two two of the skills I hoped I would get,but I didn't miss any steps because of your teaching videos. You're humble and grounded. Keep up the good work.
Hello! I watched all types of videos for this skill and all of them had the patient moving and sliding everywhere and I was concerned with how much the patient could handle. Seeing you simply lifting the patient up put me at ease because I was PRAYING that lifting would be an okay thing to do for this skill
Hello Catherine, I am glad to help. Keep in mind, if the mannikin is to heavy to lift, Prometric states it is acceptable to ask the Evaluator for help lifting or holding the mannikin on the side. In the real world we ask for help with patients when needed.
Hey Dr Lee I’m becoming a CNA I begin classes soon. You were very clear and I’m going to keep watching your videos so when it’s time to take my state I can pass with flying colors. I love the break through one by one
Hi Dr lee I just want to say thank you for your videos I pass my cna state exam yesterday. Your video help me so much thank you once again hope you have a great day!!!
Thank you, Doctor Lee! I`ve been watching your videos and they helped me a lot. I passed skills from the first time. In your videos you reminded about the key points all the time and stroke as a person who does know that stuff and much more. Strangely, but if your videos were 100% perfect and you did not admit to forgetting some little stuff I would find that standard unattainable. My anxiety stopped to kick in and I could learn.
QUESTION: @texascnaskills i noticed you gave her the call light while wearing dirty gloves. I know that the call light is also dirty but it feels like that is wrong. AM I WRONG?
Hello Eliza, Prometric will not count it against you for giving the call light to the patient with the gloves on. It is also acceptable to put up all of your supplies, remove your gloves, wash your hands, and then give the patient the call light. Prometric will grade the student on weather or not they gave the call light to the patient before the skill is done.
Hii Dr .Lee on Tuesday im gonna take my test on McAllen TX am watching your videos 🤞 I’ll let you know on Wednesday if i passed Thank you so muchh for all your videos and answers ❤️🙏 God bless u!!
Hi Dr.Lee thank you for your video it me help for my skills I pass my skills 21/08/24 I had catheter care , ROM right shoulder and measure and record contents of urinary drainage bag Thank you very much 🎉🎉🎉but I not pass my written exam😮
Hello again Dr Lee! I am taking my skills exam at the end of the month so I am watching all of your videos continuously. You make things so much clearer than in my skills class. One question if you start with washing the catheter before moving onto the peri area do you need to dry the catheter? In skills class they told us to do so, but it seems silly since the catheter gets wet again as you clean the peri area. I noticed for your video you only dried both areas afterwards.
Dr lee thanks for the videos.but please are we suppose to replace the linen protector back on the patient or do we leave the patient without a linen protector? 2.I noticed you had ur gloves on on two videos why giving the patient the call button.is that ok.am testing in a few days.thanks for your help
Hello Izy, I pray you passed the test. Students are not required to place a linen protector under the patient at the end of the skill. You can give the patient the call light with your gloves on.
Good day Dr Lee, where do you advise we pour the water, in the toilet or wash hand sink, our teacher said anything from neck down goes to the toilet. I'm confused. Thanks Ma
Hello Eky, The only thing that MUST go into the toilet is our waste products (BM and urine). Bath water is acceptable to put in the sink even if you are doing peri care. Remember during the state exam we wont be cleaning BM or urine from the mannikin. Some patients even take a wash off or partial bath at the sink and not over a toilet. (LOL)
Hello Raquel, Prometric does not tell the candidate how to check the water. We must check the water and have the patient check the water. Therefore, the applicants can test the water with their fingers, wrist, elbow, or a gloved hand. There are no guidelines on how to check the water.
@@txcnaskills2599 ok asking so many questions because i thought it was weird we tested on wrist n pt used fingers.. so i asked if we could use fingers but was told wrist is more sensitive But then if that was the case pt was using a less nomsenstive area for water testing. Ok trying to make sense of it Thanks
@@raquelserranogarcia Hello Raquel, I think your instructor likes the wrist. It really doesn't matter where you test the water. Think about giving a toddler a bath in a tub. Do you test the tub water with your fingers or wrist before placing the baby in the tub? Take care
Hi Dr Lee,New subscriber finished my CNA course few weeks ago i notice you empty the bassin in the sink ,but was told to empty bassin at the bedside commode never in the sink .
Hello Lovelyne, Prometric allows the student to empty the basin in the sink. We are washing the body. It is no different from a patient washing up at the sink while sitting in a chair.
Dr.Lee, thanks for your demonstration. Ok, do you remove gloves to cover your resident? Or just do as you've done,go ahead cover with same gloves you washed resident with? Yours, CNA
Hello, Great question. Let's look at the instructions from the state. Pay attention to #3. The gloves MUST stay on until all supplies, including the dirty linen, are put up. So, please keep the gloves on if you'd like to pass this skill. Does the candidate: 1 Greet resident, address by name, and introduce self? (IC) 2 Provide explanations to resident about care before beginning and during care? (IC) 3 Wear gloves while providing catheter care, cleaning equipment, and handling soiled underpads, washcloths, and towels?
Thank you for your wonderful videos. I have a question. Which is first to wash, labia area or a catheter? Although you cleaned up the catheter first, the order was labia area first on the checklist of Prometric.
Hello Megumi, We are doing the catheter care skill, so I started with the catheter. Prometric does not tell us where to start at with this skill. If you go back and review the modified bath skill, you will notice that Prometric SPECIFICALLY tells us to start with the eyes. Therefore, we can't get marked off for starting with the labia or the catheter because a starting place is not specific for this skill. I hope this makes sense.
Hellos Dr lee, I have a few questions. If you’re going to perform your first skill out of the 3 tested do you have to actually wash your hands the first time even if the evaluator said you can assimilate? Also, shouldn’t you have a trash bag and dirty linen bag with you and if not are you allowed to set them on the table after using? Thank you you’re videos are very helpful!
Hello Natalie, You will have to actually wash your hands for your first skill. The evaluator will grade you on hand washing at that time. For the remaining skills, you ONLY need to tell the evaluator that you are washing your hands. You don't need a trash bag for the dirty linen with you. The site should have a linen container close by the bedside when you test. If you are using the bedside table, you must place a towel or something on the table before placing clean or dirty items on it. Prometric will NEVER count it wrong is you place dirty things on top of a towel that is on the bedside table. I hope I understood your question. Good luck with your exam.
My instructor had taught us to wipe one side then the other then the labia. If the groin is included when washing the side is the sufficient or does the groin need to be done separately?
Dr Lee thank you for this work!! One question that's ok if I put some gloves in my pocket? I have fear to need more gloves when I have everything set up
Good day!! Thank you so much for making these videos. As an instructor they are a great tool. I do have a question. Our Manikins are small and one of my students is cleaning in this manner. 1 wash cloth folded in 4 she washes the right peri area and groin with one wipe, next side of cloth the other side of the peri area and groin, 3rd side the labia area, the 4th side wraps the catheter tubing and wipes it. She rinses in the same manner. Will this be acceptable??
Hello Christine, This is an interesting question. I don't know. The instruction doesn't require the student to use a different towel for the catheter and genital area. I will ask around to see if I can find an answer from other instructors.
Would you doff gloves & wash hands before providing patient with call light since your hands are considered dirty after providing catheter care, then take care of supplies?
A gown should never be used as privacy protection. Some women wear very sheer gowns, and their body parts are exposed through thin clothing. A bath towel should be used to dry the client.
Hi Dr. Lee, after catheter care, you did peri care. What about the rectal area? Does all prometric guidelines are the same in all state? I'm from NY. Thanks Dr. Lee.
Hello Albert, Prometric guidelines in New York is the same as we do in Texas. Please see the link below to New York Guidelines. www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf So, to answer your question, Prometric only required the candidate to clean the front perineal area with catheter care. See pages 5-6 when you click on the link above. Cleaning the rectum is NOT apart of this skill while testing.
My advice would be to change gloves after washing. Charge gloves again before putting on underwear/ brief. I personally used one washcloth for each area just to make sure. For state exam. New rule says never touch faucet with bare hands. Paper towels turn off and on.
Hello Desreen, Can you please send me the link to the document where Prometric says to Never touch the faucet with bare hands? Just link the document here. Thanks. I have NEVER seen that rule.
Hello, Prometric does not grade against the student if the student touches the call light or curtain with gloves on. This is not a requirement in the skills checklist.
Hello Julie, You will actually wash your hand with running soap and water for the first skill. After the first skill you will just tell the evaluator that you will wash your hands at the appropriate time.
Hello, Prometric DOES NOT require the use of an alcohol swab for this skill. Did you read anything in the instructions about the use of an alcohol swab/wipe?
Hello Ventura, You don't have to replace the barrier under the patient with catheter care. The only skill that requires you to leave a barrier under the resident is PeriCare.
You must Wash, Rinse, and Dry the Catheter. Most people dry the catheter immediately after washing and rinsing, BUT, Prometric will not count it against you if you dry the catheter later. The key is to wash-rinse-dry before saying I am finish with the skill. You must also Wash, Rinse, and Dry the front genital area.
hi on cath cath once we are done and we are putting supplies away basin etc and then i removed gloves and wash hands -are we allowed to do all that and remove privacy blanket with no gloves on?
Hello Raquel, You must have on gloves when putting away the dirty towels and cleaning the basin. Look at number 3. Prometric's skills checklist states the following: Does the candidate: 1 Greet resident, address by name, and introduce self? (IC) 2 Provide explanations to resident about care before beginning and during care? (IC) 3 Wear gloves while providing catheter care, cleaning equipment, and handling soiled underpads, washcloths, and towels?
@@txcnaskills2599 is privacy blanket considered that? We were told to wash hands after the gloves then go back remove privacy n closing steps Now i am getting confused.
Hello, The steps you speak of ARE NOT tested during the state exam. Those are personal choices to make when providing catheter care. No where does the state require students to cross legs and arms and roll a patient to place a pad/chux under the patient.
Dear leel I cin videos I lovet so nice to much thanks ACTUALLY MY HUSBAND. DIE BUT BUG ACCIDENT TO MUCH HARD LIFE BUT I M TRADING C N A EXAM START BUT I CIN VIDEO AND TRANINING U NO I APRI cate to muchim stay Kansas THANK S TO MUCH
Hi dr leek cin video I’m ready c n a exam tray practice to much THANKS I LOVE YOU I APPRECIATE TO MUCH IM 65 YEAR OLD BUT TRAY BECAUS MY HUSBAND DIE BIG ACCIDENT TO MUCH HARD LIFE MY SUN HELP FOR ME I TO GATHER GODLY THANK I LIKS TO MUCH THANKS TO MUCH I LOVVE MY NAME VIBHA
Hey Dr. Lee I just wanna say I passed my test today because of you. I had this skill, draining and measuring the urinary bag, and ROM in the right shoulder. Thank you so much for your helpful videos!
![[LIVE] : ONE ลุมพินี 82 วันนี้!! คู่เอก | ยอดไอคิว vs อับดัลลาห์](http://i.ytimg.com/vi/hSsyTl_9bqs/mqdefault.jpg)
Knock, introduce, and explain
2. Gather supplies (3 towels, 4 wash cloths, water basin, soap, privacy blanket)
3. Wash hands
3. Place 1 towel on table as barrier
4. Use paper towel to turn on and off water, and fill the basin.
5. Test water
6. Put on gloves
7. Ask patient to test water
7. Place barrier under patient
8. Lift privacy blanket to hips and sheet down to knees
9. 1 Wash and 2 rinse pinched catheter
10. 3 wash and 4 rinse entire vagina
5. Dry everything using big towel
6. Cover patient
7. Remove barrier under patient
8. Gather dirty linen and wash basin in sink
9. Take off glove and wash hands! :)
Hello, Do you have a question about the skill?
Thank you very much for the explanation
Hi Dr Lee. I just want to thank you for all you do to help Nurse Aide state exam candidates in the State of Texas. I religiously watched all your videos on clinical skills and I'm happy to inform you that I passed my State exams yesterday to the glory of God. Thanks so much and may you be rewarded abundantly. Amen.
Thank you Olatubosun. I appreciate your feedback.
M7TwMT
@@txcnaskills2599 j
Where there are place? I need to take my Exam maybe soon
I have been watching the video on this channel too
Hi Dr. Lee, I never leave comments on any videos but I have the urge to come say “Thank you”
I had my skills test yesterday in Dallas and I passed, it’s been a year since I took the cna course. I binge watched all your videos for weeks! Walked in there so confident and passed on the first try! I am officially a CNA 👩🏻⚕️This world needs more people like you! You explained everything so detailed and better than what I learned in my class. Again thank you and God bless you! 🙏
Great job Rose! I am so happy the videos helped. Take care and be safe.
Hi Dr Lee, I sincerely thank you for all you do to help CNA candidates pass their state exams. faithfully. I watched your video. Yesterday, I passed the CNA exam .the skills were catheter care ROM and empty catheter drainage bag .again. May God continue to bless you and your family.
Excellent! Congratulations.
Congratulations.
Hey Dr. Lee I just wanna say I passed my test today because of you. I had this skill, draining and measuring the urinary bag, and ROM in the right shoulder. Thank you so much for your helpful videos!
where did you test at?
Hello Suah, Congratulations.
Hey Dr. Lee I’ve been watching your videos everyday to prepare for my CNA exam today. I passed both of skills and written exam, thank you so much.
Great job!
Hey Dr. Lee I just wanna say I passed my test 8/16 because of you. I had this skill, draining and measuring the urinary bag, and rom in the right shoulder. Thank you for your helpful videos!
You are so welcome Delacy. Congratulations.
Hi Doc Lee,I did this as one of my skills yesterday 7/14/22 and I passed all. I thank you so much,you are awesome and I pray the LORD bless you and keep you in good health,strength and prosperity in all aspects of your life. I appreciate you!
Wonderful! Thanks, I truly accept the blessing over my life.
Hi this is thelma dr. Lee I just wanted to let you know your videos are so great I just took my cna State exam test Thursday on the 19th with prometrics in jasper tx and I am officially a cna I passed thanks to you I was nervous I watched these videos for a month straight learning everything I can and I did I'm so proud of myself and I wanna thank you for these wonderful videos dr.lee you are the best ❤️
Thanks Thelma. I am so proud of you.
Wow thank you Dr. Lee. You are indeed a wonderful instructor. Your videos are pathway to passing. Congratulations me.
Glad you like them! I wish you the best.
Hi Dr Lee! I’m currently in your CNA class and I’m so excited about learning and grateful for this opportunity.
Wonderful! I know you will do well on your first try. You are always the first one arriving at class.
@@txcnaskills2599 I’m binge watching these skills videos for my clinical exam on 6/27. I passed my written exam yesterday!!! I was taught by the best! Thank you Dr Lee!
Hi Dr. Lee,thank you for everything. Your videos helped me tremendously. I passed the test. I got two two of the skills I hoped I would get,but I didn't miss any steps because of your teaching videos. You're humble and grounded. Keep up the good work.
Great job! Thanks Feven for the nice words.
you went more into depth about what things were and why we did them, thank you! it was very helpful! Im taking my exam tomorrow, wish me luck!
Good luck! Litapol!
Hello! I watched all types of videos for this skill and all of them had the patient moving and sliding everywhere and I was concerned with how much the patient could handle. Seeing you simply lifting the patient up put me at ease because I was PRAYING that lifting would be an okay thing to do for this skill
Hello Catherine, I am glad to help. Keep in mind, if the mannikin is to heavy to lift, Prometric states it is acceptable to ask the Evaluator for help lifting or holding the mannikin on the side. In the real world we ask for help with patients when needed.
Hey Dr Lee I’m becoming a CNA I begin classes soon. You were very clear and I’m going to keep watching your videos so when it’s time to take my state I can pass with flying colors. I love the break through one by one
Awesome! Thank you!
Dr.Lee thanks so much for all the videos and I took my test yesterday and I passed it
Great job Golden! Thanks for letting me know. Congratulations.
Hello Dr. Lee, I am an instructor in Houston, I use your videos for my students. Thank you so much
Glad you like them! Hopefully, one day we will meet in a professional setting.
Thank you Dr Lee. Thank you for making this videos. I have my exam coming up and I have binged watched your videos and it's explained. God bless you.
You are very welcome
Very clear Dr Lee, thanks so much ❤
Glad it was helpful!
Thank you so much Dr Lee
I have learned so much from you which helped me pass my exam today
Great job! Congratulation Saida.
Hi Dr lee I just want to say thank you for your videos I pass my cna state exam yesterday. Your video help me so much thank you once again hope you have a great day!!!
Excellent! Thank you for letting me know.
Thank you, Doctor Lee! I`ve been watching your videos and they helped me a lot. I passed skills from the first time. In your videos you reminded about the key points all the time and stroke as a person who does know that stuff and much more. Strangely, but if your videos were 100% perfect and you did not admit to forgetting some little stuff I would find that standard unattainable. My anxiety stopped to kick in and I could learn.
Congratulations Alina.
You are the best teacher will come back TH-cam
Thank you Elezabeth for the support.
Hi Dr. Lee. Thanks again!!!
My pleasure!
QUESTION: @texascnaskills i noticed you gave her the call light while wearing dirty gloves. I know that the call light is also dirty but it feels like that is wrong. AM I WRONG?
Hello Eliza,
Prometric will not count it against you for giving the call light to the patient with the gloves on. It is also acceptable to put up all of your supplies, remove your gloves, wash your hands, and then give the patient the call light.
Prometric will grade the student on weather or not they gave the call light to the patient before the skill is done.
Yesssss thank you dr Lee I smash my CNA test today
Hey, now look at you being all smart. Congratulations.
Very helpful doing my CNA clinical on thursday, thank you 🙏
Hello Tina, Best wishes on your exam Thursday. Let me know how well it went.
@@txcnaskills2599 Thank you 🙏 now certified. Was worthy watching the skills . God bless always .
@@Christine-om1bt Yeah, another person to help take care of our precious people when they get sick. So happy you passed.
@@Christine-om1bt hi Tina how the test please tell me about the test t will take the next week
Thanks so much. These videos are amazing and helpful to me as lm about to do my skill exam on 7th Dec 2020 From Georgia.
Good luck to you Florence on December 7th.
Thanks very much maam i pass my exam today your vidioes are very helpful.
Glad to hear that
Goodnight doctor Lee thank you for the video of foot care am going to do my cna exams very soon am from Florida
Best of luck Angenita! Come back and let me know your success.
Hii Dr .Lee on Tuesday im gonna take my test on McAllen TX am watching your videos 🤞 I’ll let you know on Wednesday if i passed
Thank you so muchh for all your videos and answers ❤️🙏 God bless u!!
Good luck to you. I wish you all the best.
Hi Dr.Lee thank you for your video it me help for my skills I pass my skills 21/08/24
I had catheter care , ROM right shoulder and measure and record contents of urinary drainage bag
Thank you very much 🎉🎉🎉but I not pass my written exam😮
You are so welcome.
DR Lee, you are good one.
Thanks so much Marie.
Hello again Dr Lee! I am taking my skills exam at the end of the month so I am watching all of your videos continuously. You make things so much clearer than in my skills class.
One question if you start with washing the catheter before moving onto the peri area do you need to dry the catheter? In skills class they told us to do so, but it seems silly since the catheter gets wet again as you clean the peri area. I noticed for your video you only dried both areas afterwards.
Best of luck Amie! I am so glad the videos are helping you.
I have my test tomorrow and I'm nervous but your video help alot . I'll let you know if I pass or I mean when I pass😉🤞
That is being positive Nikki.
Mine is tomorrow morning as well, are you in Houston?
Good luck. Be positive you will do well.
I passed, I’m so excited!
I passed
Dont you need to wash your hands before you put the patient clean blanket back up?
Hello Vinodini, You do not have to wash your hands before pulling the blanket over the client.
Dr lee thanks for the videos.but please are we suppose to replace the linen protector back on the patient or do we leave the patient without a linen protector?
2.I noticed you had ur gloves on on two videos why giving the patient the call button.is that ok.am testing in a few days.thanks for your help
Hello Izy, I pray you passed the test. Students are not required to place a linen protector under the patient at the end of the skill.
You can give the patient the call light with your gloves on.
When should i put the gloves.should i put the glove when i start bathing
Hello, for this skill, catheter care, the glove MUST be on before you start washing the client.
Good day Dr Lee, where do you advise we pour the water, in the toilet or wash hand sink, our teacher said anything from neck down goes to the toilet. I'm confused. Thanks Ma
Hello Eky,
The only thing that MUST go into the toilet is our waste products (BM and urine). Bath water is acceptable to put in the sink even if you are doing peri care. Remember during the state exam we wont be cleaning BM or urine from the mannikin.
Some patients even take a wash off or partial bath at the sink and not over a toilet. (LOL)
Hello again.
I see u used fingers to test water ? Does it not have to be wrist? N thats for all water testing?
Hello Raquel, Prometric does not tell the candidate how to check the water. We must check the water and have the patient check the water. Therefore, the applicants can test the water with their fingers, wrist, elbow, or a gloved hand. There are no guidelines on how to check the water.
@@txcnaskills2599 ok asking so many questions because i thought it was weird we tested on wrist n pt used fingers.. so i asked if we could use fingers but was told wrist is more sensitive
But then if that was the case pt was using a less nomsenstive area for water testing.
Ok trying to make sense of it
Thanks
@@raquelserranogarcia Hello Raquel, I think your instructor likes the wrist. It really doesn't matter where you test the water. Think about giving a toddler a bath in a tub. Do you test the tub water with your fingers or wrist before placing the baby in the tub? Take care
Hi Dr Lee, is it appropriate to touch the call light while you still have gloves on your hand? Cuz you did it.
Hello, The Prometric evaluator will not penalize the candidate for touching the call light with gloves. Great question.
Perfect skill and you are the best ❤❤❤❤❤❤❤❤❤❤❤❤❤
Thank you Christina for the support.
good job ma...
Thanks a lot
Hi Dr Lee,New subscriber finished my CNA course few weeks ago i notice you empty the bassin in the sink ,but was told to empty bassin at the bedside commode never in the sink .
Hello Lovelyne, Prometric allows the student to empty the basin in the sink. We are washing the body. It is no different from a patient washing up at the sink while sitting in a chair.
@@txcnaskills2599 but why is it different for perineal care to empty basin into a toilet?
Dr.Lee, thanks for your demonstration.
Ok, do you remove gloves to cover your resident?
Or just do as you've done,go ahead cover with same gloves you washed resident with?
Yours, CNA
Hello, Great question. Let's look at the instructions from the state. Pay attention to #3. The gloves MUST stay on until all supplies, including the dirty linen, are put up. So, please keep the gloves on if you'd like to pass this skill.
Does the candidate:
1 Greet resident, address by name, and introduce self? (IC)
2 Provide explanations to resident about care before beginning and during care? (IC)
3 Wear gloves while providing catheter care, cleaning equipment, and handling soiled underpads, washcloths, and towels?
You so good !!
Thank you Mary Mary. I hope you subscribe.
Thank you for your wonderful videos. I have a question. Which is first to wash, labia area or a catheter? Although you cleaned up the catheter first, the order was labia area first on the checklist of Prometric.
Hello Megumi, We are doing the catheter care skill, so I started with the catheter. Prometric does not tell us where to start at with this skill. If you go back and review the modified bath skill, you will notice that Prometric SPECIFICALLY tells us to start with the eyes.
Therefore, we can't get marked off for starting with the labia or the catheter because a starting place is not specific for this skill. I hope this makes sense.
@@txcnaskills2599 Thank you for your answer! I understand. I'm glad to know about it just before my exam!
I'm glad you asked that question because I was taught to clean the labia first and then the catheter and also to let the catheter air dry.
Hellos Dr lee, I have a few questions. If you’re going to perform your first skill out of the 3 tested do you have to actually wash your hands the first time even if the evaluator said you can assimilate? Also, shouldn’t you have a trash bag and dirty linen bag with you and if not are you allowed to set them on the table after using? Thank you you’re videos are very helpful!
Hello Natalie, You will have to actually wash your hands for your first skill. The evaluator will grade you on hand washing at that time. For the remaining skills, you ONLY need to tell the evaluator that you are washing your hands.
You don't need a trash bag for the dirty linen with you. The site should have a linen container close by the bedside when you test.
If you are using the bedside table, you must place a towel or something on the table before placing clean or dirty items on it. Prometric will NEVER count it wrong is you place dirty things on top of a towel that is on the bedside table. I hope I understood your question. Good luck with your exam.
My instructor had taught us to wipe one side then the other then the labia. If the groin is included when washing the side is the sufficient or does the groin need to be done separately?
Hello Ali, Prometric required the genital and groins to be cleaned with catheter care.
I've noticed that you did not check and lock the bed. And are you supposed to wash your hands before and after every skill?
Hello, According to the Prometric guidelines for this skill your comments are NOT correct.
Dr Lee thank you for this work!! One question that's ok if I put some gloves in my pocket? I have fear to need more gloves when I have everything set up
Yes, absolutely. Place the gloves in your pocket if you like.
@@txcnaskills2599 ty
Good day!! Thank you so much for making these videos. As an instructor they are a great tool. I do have a question. Our Manikins are small and one of my students is cleaning in this manner. 1 wash cloth folded in 4 she washes the right peri area and groin with one wipe, next side of cloth the other side of the peri area and groin, 3rd side the labia area, the 4th side wraps the catheter tubing and wipes it. She rinses in the same manner. Will this be acceptable??
Hello Christine, This is an interesting question. I don't know. The instruction doesn't require the student to use a different towel for the catheter and genital area. I will ask around to see if I can find an answer from other instructors.
tVjumo
Hi Dr Lee my question for you.what is the best number for radial pulse also for the respiration?when you take each of these steps?
Hello, The normal pulse rate is between 60-100.
The normal respiration rate is between 12-20.
Would you doff gloves & wash hands before providing patient with call light since your hands are considered dirty after providing catheter care, then take care of supplies?
Hello Solndy, This is an optional step. Prometric will not penalize the student for giving the patient a call light with gloves on.
Dr. lee how many prometric skills require for us to leave the patient with a clean linen towel at the end?
Hello, I am not sure what you are asking. Please rephrase the question.
I have a question are we supposed to remove those gloves and put on a new set my before cleaning the basin and touching the sink then wash hands?
Hello Tenisha, Removing and changing gloves are not required by Prometric for this skill.
Dr. Lee I notice you only did front do you still have to do back also? Need to know this asap?
Hello, For catheter care the state only requires the student to clean the catheter and front genitals ONLY.
Do we have to use a bath towel? Can we just use the gown and blanket as privacy protection?
A gown should never be used as privacy protection. Some women wear very sheer gowns, and their body parts are exposed through thin clothing.
A bath towel should be used to dry the client.
After the wash basin, you hold it with gloves you didn't use the paper towel ... and you also picked the shampoo with gloves
Those steps are not listed in the skills checklist.
When completing skills is it necessary to complete in exact order
Hello, you need to clean the catheter tubing away from the client and the peri area front to back.
Hi.please is it compulsory to check and raise the bed before skill begins
Hello Annie, When testing through Prometric, it is not necessary to check the bed wheels or raise the bed.
Hi Dr. Lee, after catheter care, you did peri care. What about the rectal area? Does all prometric guidelines are the same in all state? I'm from NY. Thanks Dr. Lee.
Hello Albert,
Prometric guidelines in New York is the same as we do in Texas. Please see the link below to New York Guidelines.
www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf
So, to answer your question, Prometric only required the candidate to clean the front perineal area with catheter care. See pages 5-6 when you click on the link above. Cleaning the rectum is NOT apart of this skill while testing.
Please subscribe if you have not done so already. Thanks
Thank you Dr lee.
Is turning the patient onto the side mandatory? @TX CNA Skills
Hello Fatema, positioning a resident on the side is a skill that a candidate may be asked to perform during the state exam in Texas.
I see you didn’t removed your gloves before you closed the curtain
Hello Nahomie, Removing the gloves when closing the curtain is not a requirement. Did you see it as a step?
Please where is the place is? I'm watching the video for practice before going for exam
Hello, This skill is on catheter care. I am not sure about your question. Catheter care is performed in the private area.
@txcnaskills2599 thank you for responding.
Yes I understand that. I finish my class just trying to find places to go take exam.
My advice would be to change gloves after washing. Charge gloves again before putting on underwear/ brief. I personally used one washcloth for each area just to make sure. For state exam. New rule says never touch faucet with bare hands. Paper towels turn off and on.
Hello Desreen, Can you please send me the link to the document where Prometric says to Never touch the faucet with bare hands? Just link the document here. Thanks.
I have NEVER seen that rule.
Curious why the same dirty gloves to touch the patient and the call light as well as the curtain
Hello, Prometric does not grade against the student if the student touches the call light or curtain with gloves on. This is not a requirement in the skills checklist.
Should we wash hands at the beginning of every skill?
Hello Julie, You will actually wash your hand with running soap and water for the first skill. After the first skill you will just tell the evaluator that you will wash your hands at the appropriate time.
Hi Dr. Lee on the catheter drainage bag my question is. Is there supposed to be an alcohol swab in this skill
Hello, Prometric DOES NOT require the use of an alcohol swab for this skill. Did you read anything in the instructions about the use of an alcohol swab/wipe?
Yes It did
Dr.lee thank you for the video, one question please, can i use a paper towel as a barrier during the prometric.
Hello Lily, Prometric does not tell us what to use as a barrier. We need to keep dirty supplies off the bedside table that the patient will eat on.
Thank you Dr Lee 🙏
Can I use a towel or chuck pad as barrier on the floor for foot care?
Hello Candie, Yes you can.
Hi dr. Lee in this skill when we finish we don’t have to replace the berrier under the patient with a new one ?
Hello Ventura, You don't have to replace the barrier under the patient with catheter care. The only skill that requires you to leave a barrier under the resident is PeriCare.
@@txcnaskills2599 ok, thank you for answering dr. Lee
The facilities I've worked at never have enough washcloths to do it this way.
You may want to speak with the administration about the issue.
This is for Texas right
yes, and ant state that test under Prometric.
Can I touch the call light with dirty gloves?
Yes, Prometric will not count that against you.
I thought we were to give patient call light at the end and definitely not with the same gloves we were doing bath with
Hello Jackie, I try to remember to give the call light during the closing at the end to be consistent. I am sorry if the video was confusing to you.
So we don't have to dry catheter as soon as we are done washing and rinsing it ?
You must Wash, Rinse, and Dry the Catheter. Most people dry the catheter immediately after washing and rinsing, BUT, Prometric will not count it against you if you dry the catheter later. The key is to wash-rinse-dry before saying I am finish with the skill.
You must also Wash, Rinse, and Dry the front genital area.
Believe it or not I got this skill
hi on cath cath once we are done and we are putting supplies away basin etc and then i removed gloves and wash hands -are we allowed to do all that and remove privacy blanket with no gloves on?
Hello Raquel,
You must have on gloves when putting away the dirty towels and cleaning the basin. Look at number 3. Prometric's skills checklist states the following:
Does the candidate:
1 Greet resident, address by name, and introduce self? (IC)
2 Provide explanations to resident about care before beginning and during care? (IC)
3 Wear gloves while providing catheter care, cleaning equipment, and handling soiled underpads, washcloths, and towels?
@@txcnaskills2599 is privacy blanket considered that?
We were told to wash hands after the gloves then go back remove privacy n closing steps
Now i am getting confused.
Can't see anything in this video, we were taught to cross legs and arms roll patient over place pad or chux.
Hello, The steps you speak of ARE NOT tested during the state exam. Those are personal choices to make when providing catheter care. No where does the state require students to cross legs and arms and roll a patient to place a pad/chux under the patient.
Can the basin touch the sink?
Hello, Prometric will not grade you on the basin touching the sink. So, my answer is yes the basin can touch the sink.
Dear leel I cin videos I lovet so nice to much thanks ACTUALLY MY HUSBAND. DIE BUT BUG ACCIDENT TO MUCH HARD LIFE BUT I M TRADING C N A EXAM START BUT
I CIN VIDEO AND TRANINING U NO I APRI cate to muchim stay Kansas THANK S TO MUCH
Good luck to you. Sorry for your loss.
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Love ya right back,
Dr Lee hey 💖💖 do you have an email 📧 my question can’t be on here
Hello Phyllis,
I don't have a public email, sorry.
Hello. Dr Lee I need your assistant on how to proceed . can you contact me?
Hello Raquel, Can you place a general question here? Please don't place anything person online.
So is it providing catheter care and then peri care? But without cleaning the buttocks
Hello Ashantiana, That is correct for Prometric guidelines.
@@txcnaskills2599 thank you so much for the videos! I take my skills test tomorrow and I’m so nervous.
Hi dr leek cin video I’m ready c n a exam tray practice to much THANKS I LOVE YOU I APPRECIATE TO MUCH IM 65 YEAR OLD BUT TRAY BECAUS MY HUSBAND DIE BIG ACCIDENT TO MUCH HARD LIFE MY SUN HELP FOR ME I TO GATHER GODLY THANK I LIKS TO MUCH THANKS TO MUCH I LOVVE MY NAME VIBHA
You are so welcome.
👀👍😅
You got this lady.
This is such a good channel
Thank you so much/
Hey, Mrs. Lee i'm taking my skills exam on May 8th, 2021 on Saturday at Wonders Health Careers are you going to be there for the skills. @txcnaskills
Hello Deborah,
I am in the southwest part of Houston, TX. Sorry, I don't work at Wonders Health Careers.
Hello, No I wont be there
Hey Dr. Lee I just wanna say I passed my test today because of you. I had this skill, draining and measuring the urinary bag, and ROM in the right shoulder. Thank you so much for your helpful videos!
Hello Bendu, Congratulations. Welcome to healthcare.