Professional Documents
Culture Documents
The procedure
which skills will be on your test. for any skill may include
more detail about
A Clinical Skills Test consists of five scored skills. All candidates taking this test are important requirements
scored on the than are shown in the
Handwashing and Indirect Care skills. When you take your test, you will be given checkpoints. Your
instructions for the other three skills that are part of your test. Because you may performance may include
learn to perform skills in different ways for different residents’ needs, you are given more detail than is included
instructions that describe how the skill is being tested. For example, if you test on in the checkpoints.
the feeding skill, you will feed a resident positioned in a chair. Remember, you are
still responsible for knowing how to feed residents who are positioned in other ways. A description of the
The Knowledge (Written) Test may also ask questions about feeding residents in instructions given to
other positions. candidates for each skill is
provided below along with
Each skill in the test has checkpoints. The evaluator (nurse) giving your test will use the checkpoints for each
these checkpoints to rate your performance. After you complete your test, the skill. This description
evaluator
Copyright ©
2018will enter Inc.,
Prometric his/her
a observations into a computer. Prometric’s system will includes if a person or
then determine
Delaware your
corporation. All results.
rights Your results will be provided
reserved. 1 to you on the day of mannequin is used for the
20180119
testing, unless a technology issue, such as a printer problem at the test site, resident. Usually another
prevents the evaluator from providing your results. If you are not provided a score candidate will play the role
report on the day of testing, see the candidate bulletin for information on accessing of the resident when a
your results online. Indirect Care Ambulate the resident using a transfer/gait belt person is used. In special
Indirect Care is a skill that is evaluated while 13youRemove transfer/gait belt from resident’s waist situations, the evaluator
perform each skill. This
The checkpoints forskill
each evaluates behaviors
of the skills that are
are listed on the
without pages
harming that follow.
resident (e.g., It is
pulling may need to play the
transfer/gait
common
importantto any resident
that care such as:
you understand infection
that control,
belt) when
the checklists are seated in chair
not written as after ambulation?
procedures. resident.
safety,
Thesecommunication,
checkpoints are andnotresident preferences,
provided to14 needs,
helpMaintain
you learnown
skills,body
but tomechanics
help you when assisting
comfort and rights.
understand what Youtheare not givenwill
evaluator instructions to
look for resident
when you perform
to stand andasit?
skill. While you are waiting to
perform the Indirect Care skill. The evaluator watches for
these behaviors while you perform each skill. 15In the take the test, you will be
Leave resident positioned in chair in proper body
checkpoints provided for each skill below, Indirectalignment
Care and hips against back of seat? given General Instructions
checkpoints are identified with an “(IC)” at the Ask resident about preferences during care? (IC)to read. These are the
16 end.
Indirect Care is one of the five skills scored 17
in every basic rules for the Clinical
Use Standard Precautions and infection control
Clinical Skills Test. The Indirect Care checkpointsmeasures
are: Skills Test. For example,
when providing care? (IC)
these instructions explain
Does the candidate: 18 Ask resident about comfort or needs during carewhat
or you need to do when
1 before care completed? (IC)
Greet resident, address by name, and introduce you want to make a
self? (IC) 19 Promote resident’s rights during care? (IC) correction to a skill you
2 Provide explanations to resident about
20 care beforeresident’s safety during care? (IC)
Promote are performing. These
beginning and during care? (IC) General Instructions are
3 Ask resident about preferences during care? (IC) also available on the
Assist resident needing to use a bedpan website for your state at
4 Use Standard Precautions and infection control
measures when providing care? (IC)
The candidate is asked to help a resident who has asked www.prometric.com/n
for a bedpan. The role of the resident is played by a urseaide. You are
5 Ask resident about comfort or needs person
during who
care will
or be wearing a hospital-style gown over encouraged to review
before care completed? (IC) clothing. For the purposes of testing, the candidate willthem before you arrive at
6 Promote resident’s rights during care?pretend
(IC) that the resident (actor) is not wearing the test site.
7 Promote resident’s safety during care?underpants.
(IC)
Does the candidate:
When you are called into
1 Greet resident, address by name and introduce self?
the testing room to take
Ambulate the resident using a transfer/gait belt
(IC) your test, you will be
The candidate is asked to walk a resident who needs
some assistance to stand. A transfer/gait 2belt is
Provide
used explanations to resident about care before
shown around the testing
beginning
while walking the resident. The role of the resident is and during care? (IC) room so you can see where
played by a person. 3 Place protective pad on bed over bottom sheet, equipment and supplies are
under buttocks/upper thigh area, before placing located. The testing room
Does the candidate:
bedpan, and remove the pad after bedpan is will be set up similar to a
1 Greet resident, address by name and introduce self?
removed? resident’s room. For
(IC) 4 Place and remove bedpan by either having resident example, personal care
2 Provide explanations to resident about care beforeon side to turn on/off back, onto/off supplies such as the
positioned
beginning and during care? (IC) bedpan, or having resident raise hips off bed? resident’s toothbrush,
3 Apply transfer/gait belt before standing
5 resident,
Position bedpan under resident according to toothpaste, basins, and
placing around the resident’s waist and over
form/shape of the selected bedpan? bedpan will be in the
clothing, secure so that only flat fingers/hand fit resident’s bedside cabinet.
6 Position bedpan to allow for collection?
under belt, and the belt does not catch skin or
skin folds (e.g. breast tissue)? 7 Raise the head of the bed after positioning the
resident on the bedpan, and lower the head of the When you are taking your
4 Provide signal or cue to resident before assisting to
bed before removing bedpan? Clinical Skills test,
stand?
8 remember that you are
Ask resident to call when finished or if needs help,
5 Assist resident to stand while holding onto the
required
leaving call light within the resident’s reach before to actually
transfer/gait belt without holding belt only at the
leaving resident to use bedpan? perform the skills. The
front or only at nearest side (if assisting to stand
from the side)? 9 Leave toilet paper within resident's reach before evaluator is not allowed to
leaving resident to use bedpan? answer any questions
6 Ask about how resident feels upon standing?
about how skills are
performed.
Handwashing
Does the candidate:
Handwashing
CLINICAL SKILLS TEST CHECKLIST
2
CLINICAL SKILLS TEST CHECKLIST
The candidate is asked to put a long-sleeved button-front shirt, pants, and socks on a resident who is lying in bed. The resident is
not able to help with the dressing and has a weak arm. A mannequin is used for the role of the resident
and measure and record urine output on an Intake and Output (I&O) form
4
Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan?
5
Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect
drain (e.g., clamp and tuck drain into pocket) after emptying drainage bag?
1
Greet resident, address by name, and introduce self? (IC)
4
CLINICAL SKILLS TEST CHECKLIST
2
Provide explanations to resident about care before beginning and during care? (IC)
6
Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine
poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate?
3
Include resident in decision-making about clothing to wear?
4
Collect all garments before removing hospital gown?
5
Support affected arm while undressing and dressing?
5
CLINICAL SKILLS TEST CHECKLIST
6
Remove hospital gown?
7
Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet?
7
Dress affected arm first?
8
Gather up sleeve to ease pulling over affected arm?
8
Record output with clean hands?
9
Dress resident by putting on pants, shirt with sleeves, and socks?
6
CLINICAL SKILLS TEST CHECKLIST
9
Record output within +/- 50 mL/cc's of nurse’s measurement?
10
Move resident’s extremities gently without over- extension or force when undressing and dressing?
10
Record output as urine and indicate the correct time on the I&O form?
11
Apply clothing correctly (e.g. front of shirt in front), adjust clothing for comfort, neatness, alignment, and close fasteners?
11
7
CLINICAL SKILLS TEST CHECKLIST
Leave bag hanging from bed frame (not side rail), and drainage bag and tubing off (not touching) the floor?
12
Place dirty gown in hamper?
12
Keep urinary drainage bag positioned lower than bladder throughout care?
13
Keep resident positioned a safe distance from the edge of the bed at all times?
13
Complete skill having stored equipment, placing soiled linens in hamper, and disposing of trash?
14
Ask resident about preferences during care? (IC)
8
CLINICAL SKILLS TEST CHECKLIST
15
Use Standard Precautions and infection control measures when providing care? (IC)
14
Ask resident about preferences during care? (IC)
15
Use Standard Precautions and infection control measures when providing care? (IC)
16
Ask resident about comfort or needs during care or before care completed? (IC)
16
Ask resident about comfort or needs during care or before care completed? (IC)
17
Promote resident’s rights during care? (IC)
9
CLINICAL SKILLS TEST CHECKLIST
18
Promote resident’s safety during care? (IC)
17
Promote resident’s rights during care? (IC)
18
Promote resident’s safety during care? (IC)
10
CLINICAL SKILLS TEST CHECKLIST
11
CLINICAL SKILLS TEST CHECKLIST
7 3 Wear
Record resident’s pulse rate on Measurement Formgloves while providing catheter care, cleaning
within +/- 4 beats per minute of nurse’s equipment, and handling soiled underpads,
measurement? washcloths, and towels?
8 Ask resident about preferences during4care?
Position
(IC) towel or underpad under buttocks/thigh
area before cleansing, and when care completed
9 Use Standard Precautions and infection control
measures when providing care? (IC) remove towel or underpad, or leave resident on a
dry underpad?
10 Ask resident about comfort or needs during care or
before care completed? (IC)
12
CLINICAL SKILLS TEST CHECKLIST
Provide mouth care to a resident Provide mouth care to a resident who has teeth
who has a denture 8 Offer resident cup of water to rinse mouth after
brushing?
9 Handle clean denture maintaining cleanliness after
9 Provide
brushed, placing denture in denture cup filled withresident an emesis basin or disposable cup
clean cool or tepid water? to use for spitting as needed, such as after rinsing
mouth?
10 Leave denture cup on resident’s bedside cabinet or
10 Leave area around resident’s mouth clean and dry
overbed table unless following resident’s preference
about where denture cup should be stored? when care completed?
11 11 mouth
Protect resident’s clothing before providing Complete skill having rinsed, dried and stored
care and remove protective cover when carebasin,
is placing soiled linens in hamper, disposing of
completed? trash, and leaving overbed table dry?
12 Provide mouth care cleaning upper12andAsklower resident about preferences during care? (IC)
gums, using moistened foam-tipped 13 applicator or
Use Standard Precautions and infection control
toothbrush with toothpaste? measures when providing care? (IC)
13 Offer resident cup of water to rinse mouth
14 after
Ask resident about comfort or needs during care or
mouth care? before care completed? (IC)
14 Provide emesis basin or disposable cup15 toPromote
residentresident’s rights during care? (IC)
to use for spitting as needed? 16 Promote resident’s safety during care? (IC)
15 Leave area around resident’s mouth clean and dry
when care is completed?
Provide perineal care to a female resident
16 Complete skill having rinsed, dried and stored basin
who is incontinent of urine
(if used), emptying sink of water and removing
The candidate
barrier from sink (if used), placing soiled linens in is asked to provide perineal care to a
hamper, disposing of trash, and leaving resident who is incontinent of urine. The resident is lying
overbed
table dry? in bed on an underpad and is wearing a hospital-style
gown that is dry. A mannequin is used for the role of the
17 Ask resident about preferences duringresident.
care? (IC)
18 Use Standard Precautions and infection Does thecontrol
candidate:
measures when providing care? (IC)
1 Greet resident, address by name and introduce self?
19 Ask resident about comfort or needs during care or
(IC)
before care completed? (IC)
2 Provide explanations to resident about care before
20 Promote resident’s rights during care? (IC) beginning and during care? (IC)
21 Promote resident’s safety during care?3(IC) Wear gloves while providing perineal care,
cleaning equipment, and handling soiled
underpads, washcloths and towels?
Provide mouth care to a resident who has teeth
A resident who has his/her natural teeth is4lyingRemove
in bed soiled underpad and replace with dry
and needs mouth care. The resident is not able to underpad before beginning cleansing?
5
provide own mouth care. The role of the resident Use
is water of safe temperature for washing and
played by a person. rinsing?
Does the candidate: 6 Use soapy washcloth to wash front perineum to
include genital and skin fold areas of groin?
1 Greet resident, address by name, and introduce
self? (IC) 7 Change spot on washcloth for washing and rinsing
strokes when cleansing inside the vulva?
2 Provide explanations to resident about care before
beginning and during care? (IC) 8 Wipe from front to back with all washing and rinsing
strokes when cleansing the front perineum, to
3 Assist resident to sitting position in bed by raising
include the genital and skin fold areas of groin?
HOB and using pillows as needed to position
9 Usefluid
resident upright at 60° to 90° before offering clean, soap-free, wet washcloth to remove soap
or brushing teeth? from resident’s skin on front perineum?
13
CLINICAL SKILLS TEST CHECKLIST
4 10 Dry
Protect resident’s clothing before providing front perineum after washed and rinsed, using
mouth
care and remove protective cover when care towel to pat dry, moving from front to back?
completed? 11 Replace water in basin during care if it becomes
5 cold or soapy?
Moisten toothbrush with water and apply toothpaste
before brushing teeth? 12 Position resident on side to prepare for cleansing of
6 Wear gloves when brushing resident’s teeth buttocks
and and rectal area?
wear throughout mouth care including 13 Wash, whenrinse, and dry buttocks and rectal area?
rinsing basin and toothbrush?
14 Wipe from front to back with all washing and rinsing
7 Brush sides and biting surfaces of teethstrokes
and the
when cleansing the rectal area?
gum line with a gentle motion?
Provide perineal care to a female resident Provide resident hand and nail care
who is incontinent of urine16 Ask resident about comfort or needs during care or
15 before
Leave resident on dry underpad at completion of care completed? (IC)
procedure? 17 Promote resident’s rights during care? (IC)
16 Complete skill having rinsed, dried and18 Promote resident’s safety during care? (IC)
stored
basin, placing soiled linens in hamper, disposing of
trash, and leaving overbed table dry?
Provide resident a partial bed bath and back rub
17 Keep resident positioned a safe distance from the
edge of the bed at all times? The candidate is asked to bathe a resident who is in bed
and who is not able to help with his/her bathing. For
18 Ask resident about preferences duringtesting
care? (IC)
purposes only, the candidate is asked to wash
19 Use Standard Precautions and infection just partcontrol
of the body so that technique can be evaluated.
measures when providing care? (IC) Instructions ask the candidate to wash the resident’s
20 Ask resident about comfort or needs face,
duringneck,
careback,
or one hand and arm, and the chest and
before care completed? (IC) abdomen. Soap and water should be used for the
bathing. The resident also needs a back rub. When
21 Promote resident’s rights during care? (IC)
completing the skill, the mannequin is dressed in a clean
22 Promote resident’s safety during care?hospital-style
(IC) gown. A mannequin is used for the role of
the resident.
Provide resident hand and nailDoes carethe candidate:
The candidate is asked to provide hand and 1 nailGreet resident, address by name and introduce self?
care to
one hand. The role of the resident is played by a(IC)
person.
(not tested in Wyoming) 2 Provide explanations to resident about care before
beginning and during care? (IC)
Does the candidate: 3 Use water of safe temperature for washing and
1 Greet resident, address by name, and introduce
rinsing?
self? (IC) 4 Cleanse eyes by using soap-free washcloth wiping
2 Provide explanations to resident about care before
eye from the inside corner to the outside corner,
beginning and during care? (IC) changing to clean area of washcloth before
3 Use water of safe temperature for soaking returning
fingers to inner corner and before cleansing the
or hand? other eye?
4 5 water
Place fingers or full hand into basin of Wash resident’s face using a soap-free wet
to soak
before removing residue from under nails?washcloth, unless ascertains resident’s preference
to use soap before washing face?
5 Clean hand surfaces using wet washcloth, cleaning
6
between fingers, and if soap used, rinse or Leave face dry after washing?
remove
soap using a clean, soap-free, wet washcloth?
7 Contain corners of washcloth while washing and
6 Use flat edge of orangewood stick to remove rinsing (e.g., forming mitt)?
residue under tips of each fingernail,8and remove
Protect bed linen from becoming wet during
residue from edge of orangewood stick, if washing
present, and rinsing of body (non-face)?
before using again to clean under another
9 Wash resident’s body (non-face) using a wet
fingernail? washcloth with small amount of soap?
7 Rest resident’s hand on barrier such 10 as
Usea clean,
dry soap-free, wet washcloth to remove soap
towel once removed from basin while providing
from resident’s skin?
nail and hand care?
11 Wash and rinse resident’s neck, hand, arm, chest,
8 Dry hand before completing care? and abdomen?
9 Leave nails smooth (e.g., free of jagged
12 edges)?
Dry neck, hand, arm, chest, and abdomen?
10 Apply lotion to cleaned hand after nail
13careSupport arm if raised off bed to wash, rinse, and
finished? dry the back side of arm?
14
CLINICAL SKILLS TEST CHECKLIST
Provide resident with passive range4of motion Support extremity to protect the working joint
(ROM) exercises to one elbow and wrist throughout ROM exercises?
5
The candidate is asked to provide range of motion Move shoulder through ROM, raising and lowering
exercise to a resident who is not able to help witharm
thealongside, toward head of bed (HOB) and back
exercises. The resident needs his/her elbow flexed to and
mattress (flexion/extension)?
6
extended, and the wrist flexed and hyperextended. MoveForresident’s shoulder through ROM taking arm
testing purposes, the resident needs three repetitions
away offrom side and back to side (abduction/
adduction)?
both exercises. The instructions provided at the test site
will indicate whether the exercise is to the left
7 orAsk
right
resident to report discomfort during ROM or
side. The role of the resident is played by a person.
ask if resident has discomfort during ROM
Does the candidate: exercises?
1 Greet resident, address by name, and8introduce
Control extremity throughout ROM exercises
self? (IC) providing smooth, slow, non-forceful movement?
2 9 Askbefore
Provide explanations to resident about care resident about preferences during care? (IC)
beginning and during care? (IC) 10 Use Standard Precautions and infection control
3 Exercise only correct joints and measures when providing care? (IC)
side when performing range of motion11(ROM)?
Ask resident about comfort or needs during care or
4 Support extremity to protect the working before care completed? (IC)
joint
throughout ROM exercises? 12 Promote resident’s rights during care? (IC)
5 Bend and straighten arm at elbow through
13 ROM
Promote resident’s safety during care? (IC)
(flexion/extension)?
6 Move wrist through ROM by bending wrist to move
Provide resident with passive range of motion
hand down and back (flexion and hyperextension)?
(ROM) exercises to one hip, knee and ankle
7 Ask resident to report discomfort during ROM or ask
if resident has discomfort during ROM exercises?
8 Control extremity throughout ROM exercises
providing smooth, slow, non-forceful movement?
9 Ask resident about preferences during care? (IC)
15
CLINICAL SKILLS TEST CHECKLIST
Provide resident with passive range of motion Transfer the resident from the bed into a
(ROM) exercises to one hip, knee and ankle wheelchair using a pivot technique and a
4 Support extremity to protect the working joint transfer/gait belt
throughout ROM exercises?
10 Lock wheelchair before standing resident to begin
5 Move resident’s hip and knee throughtransfer?ROM,
flexing knee and hip, raising toward 11torso andtransfer/gait belt before standing resident,
Apply
returning back to mattress (flexion/extension)?
placing around the resident’s waist and over
6 Support extremity to prevent heel friction against
clothing, secured so that only flat fingers/hand fit
mattress during ROM exercises? under belt, and the belt does not catch skin or
7 Move resident’s foot up toward head and skin folds (e.g. breast tissue)?
point down toward the mattress through12 ROMProvide cue or signal to resident before assisting to
(dorsiflexion/plantar flexion)? stand?
8 Ask resident to report discomfort during
13 ROM
Stand in front of resident reaching under
ask if resident has discomfort during ROM resident’s arms to hold transfer/gait belt at sides
exercises? or around back throughout transfer?
9 Control extremity throughout ROM exercises
14 Brace one or both of resident’s legs during transfer
providing smooth, slow, non-forceful movement?
while assisting to stand, turn, and sit?
10 Ask resident about preferences during15
care?Maintain
(IC) own body mechanics when assisting
11 Use Standard Precautions and infection resident to stand, turn, and sit?
control
measures when providing care? (IC) 16 Transfer resident as a pivot completed without
12 Ask resident about comfort or needs during having
care resident
or take step(s) to reach wheelchair,
before care completed? (IC) and before assisting resident to sit in wheelchair,
positions with the back of resident’s legs against
13 Promote resident’s rights during care? (IC)
the seat of wheelchair?
14 Promote resident’s safety during care? (IC)
17 Support resident to provide for controlled gentle
lowering into seat of wheelchair?
Transfer the resident from the bed 18 into
Leave
a resident positioned in wheelchair in proper
wheelchair using a pivot technique and body
a alignment, hips against back of seat, and feet
transfer/gait belt on footrests?
The candidate is asked to transfer a resident
19 who is lyingtransfer/gait belt from resident’s waist
Remove
in bed, into a wheelchair. A pivot transfer technique is harming resident (e.g., pulling transfer/gait
without
required and a transfer/gait belt is required. Thebelt)
resident
when transfer is complete?
is able to stand but cannot take steps. The20role Ask
of the
resident about preferences during care? (IC)
resident is played by a person.
21 Use Standard Precautions and infection control
Does the candidate: measures when providing care? (IC)
1 Greet resident, address by name and22 introduce self?
Ask resident about comfort or needs during care or
(IC) before care completed? (IC)
2 Provide explanations to resident about 23 care before
Promote resident’s rights during care? (IC)
beginning and during care? (IC)
24 Promote resident’s safety during care? (IC)
3 Place wheelchair near resident’s bed before
assisting resident to sit at edge of bed?
16
CLINICAL SKILLS TEST CHECKLIST
17