Prometric Skills Demo for Providing a Modified Bath and Backrub
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- Опубліковано 5 вер 2024
- According to Prometric guidelines for the nurse aide state exam, this is a step-by-step demonstration video for providing a modified bed bath to one arm, hand, underarm, neck, chest, abdomen, and back. This skill is one of the 21 testable skills on the Texas State CNA Exam. Remember to include indirect care with this skill.
Thank you passed my exam! I had to modify bath, range of motion from elbow to wrist left side. And I had to take a pulse. My nurse examiner was very nice. Smiled and came back and gave me congratulations. It did take a few hours from start to go but, all went well
Excellent! Congratulations.
I just passed my Clinical Exam yesterday!! Got the results a few minutes ago. I just want to say THANK YOU!! You are an amazing teacher!!🎉🎉🎉
Great job! Congratulations Ariana.
was it hard?
Dr do you teacher ADN classes if so I need to attend
Just passed my CNA ... your channel and nurse Jar were my main support.. thanks alot
Great to hear!
You are better than my teacher, 😞 test on wed and I’m re-teaching myself with you. Thank you so much, all the glove rules are too much I’m glad you cleared it up for testing 🥰
Happy to help! Let me know how well you do on Wednesday. Take care
@@txcnaskills2599 Hello Dr Lee, I passed both my tests in Miami, FL🥳..I had ROM on leg, respirations, and dress weak arm. I feel i over prepared and im so thankful for your videos!!! The best!! 👏👏👏
Doctor Lee u are such a blessing to this Field. Thank u for a clear and step by step demonstration.
Hello Helena, You are very welcome.
I just passed both Exams and I just wanted to say thank you so much Dr Lee, you’re a great teacher, thank you again for your help.
Fantastic!
Hi Dr Lee I did my test yesterday and I passed written and clinical exam. Amen. Thank you and glory be to Jesus!!
Wonderful! I am so happy for you.
You have such a calming presence. I was so worried about my exam and these videos have helped so much. Thank you for your kindness
Happy to help Olivia!
You are truly heaven sent Dr. Lee. Thank you so much for your dedication to teaching. I followed your videos exactly on my skills exam today and I don't need my results to know I passed with flying colors. The examiner asked me who trained me and I said no other than Dr. Lee on youtube from TX CN Skills. You are doing a good thing and I can't thank you enough. THANK YOU!
Wonderful! Thanks for the shout-out. I appreciate it.
Please pray for me Doc Lee, I take my written test today for my cna and I'm so nervous but I know God is with me and watching ur videos
You got this.
THANK YOU SO MUCH DR LEE.
I passed my exams watching your videos ❤
Congratulations on passing the exam.
Thank you for the videos. My class has been successful passing the State Exam. You make skills so simple and easy to follow. Great Teaching!
Great to hear!
Dr Lee God bless you ! I passed my clinical skills exam today! I had partial bed bath and back rube ,passive range of motion on left side, recording pulse,.
Great job Roselene!
I got this exact skill today for the test and I passed it thanks to this video!
Excellent Gladimir! I am so happy for you.
@gladynina please did you wash only face, one arm, hand and underarm or you washed both neck and shoulder the way Dr Lee demonstrated?
I did it like in the video. Both sides of the body and face. The tester will give you specific instructions if they want it done differently. Take your time and pause if you need to remember something, I was able to correct myself a couple times and she liked that I caught myself.
@@gladynina Thanks so much for this response
Great job 👏
Thanks
I appreciate your videos. Thank God I came across your videos very helpful. I passed my skills.
God is good all the time
Thank you so much for your videos..because of them I did my exams today and passed
Great job Wambui!
I have a question?
Very wonderful teacher. My exam is Wednesday 09/13/2022. I will pass for sure. God bless you Doc.
You got this Hanna! I will wait for the good news after you pass.
I passed my cna your videos helped thank you so much .
I'm so glad!
Thank you Dr.Lee
You are #1 of the Best Mentor that has all of us Future Nurses attention. To become the best CNA there is. I love that you have that Indirect Care down to the T
😊 watching your tutorial videos has taught me a lot & I will take these skills with me along the way
Wow, thank you!
Thanks for the demonstration; if the camera was near the brick wall that would be a better viewing angle.
Thanks for the suggestion. Be Blessed.
Thank you so much doctor Lee, you’re doing a great job❤️
You are very welcome Seyide.
Today I take my skills part today I hope I pass been watching all your videos ❤
All the best
Thank you very much, for the videos 🤝
My pleasure Marie!
Dr Lee,thank you!
You are very welcome
Bless you and your ministry here!!!
Thank you. I appreciate it my love.
Great demonstration
Thank you Liamara.
Thank u for the videos!
Glad you like them!
I appreciate these video in recertificating and these video help
Thank you. Be Blessed.
Great demonstration. I love it
Thank you Husseina.
Hi dr. Lee thank you soooooo muchhhhh I pass my skills yesterday. Do u have any idea on the prometric test reviewer? Thank you.
Hello Netz,
Congratulations on passing the skills part. There are lots of review questions in CNA Plus online.
I’m like,Thank you miss Guidelines for you help ,
You're welcome Eddy. 😊
Hi Dr.Lee, aren’t there supposed to be 4 big towels? A barrier towel for the table, one behind the patient, one to dry the front of the body and another to dry the back + pat access lotion?
Hello Shea, Prometric does not grade us on how many towels we bring to the bedside. For this skill I will use 3 big towels. One for the table, one is placed under the patient, and one to dry the patient's body. If you use 4, that is Okay also.
For the skill of indirect care, you must call the resident/patient by, Mr. or Mrs. and their last name. Right?
Hello, That is correct. Mr or Mrs. and then use the patient's last name.
Very informative. Thanks
Very welcome
Hello Dr. Lee, good morning, I hope you're doing wonderfully well. Thanks you very much for your videos, it's refreshing listening and watching your educational videos on UA-cam. Doctor, what is the difference between prometric and credentia skills? I'm very much curious to know because of the proven differences in partial bed bath. I'm testing this weekend and I'm confused. Kindly advise me on what it if I'm given this task to perform. Thanks!
Hello, Each state can choose which agency to use as a tester for their citizens. Think of it as a credit card. Each store can decide to take Mastercard, Visa, or American Express.
Texas in 2021 decided to go with Prometric as a testing agency for the nurse aides. Therefore, students must follow Prometric guidelines.
Some states test under Credentia or Headmaster. This is why I stress to students to KNOW which company their state uses as a testing agency. The skills are different.
Hello, I was wondering does the order of washing as far as arm then neck matter?
Correct me, please, if I am wrong... I thought we needed to wash
1. Face
2. Neck
3. ONE arm
Hello Ashlye, I like the unique way your name is spelled.
After the eyes and face is washed, Prometric does not care about the order for the rest of the body.
Prometric states you must start with the eyes first
@@txcnaskills2599 thank you!
Thank you also, for answering my question. I appreciate the videos you make, they help more than you know!
@@txcnaskills2599 Prometric clinical shills checklist also stated after face wash and rinse resident’s neck , hand, arm, chest, and abdomen. Wash from cleanest part of the body to dirtiest part.
Hello Dr. Lee!
Firstly thank you your videos are extremely helpful!
Secondly, when you are washing behind one ear and to the other ear, should we change cloth/ towels or fold the cloth/towel using a clean side?
Or does Prometrics consider it acceptable to just use one towel?
Hello Lisa,
Prometric does not require the candidate to change the cloth/towel when washing the body. Now, if the towel comes off the body you MUST change the position of the cloth/towel.
Thank you really helpful
You're welcome!
Dr. Lee, I have not been able to pass my exam, I am going for the third opportunity, I am very nervous and sad because I have not succeeded.
You got this. Go and be great when you take the skills exam.
In the actual test will I need to wash the other arm?
Hello, The state requires the candidate to wash ONE arm only.
During prometric skills test, we only do one arm or both ?
Hello, For the modified bath, the candidate only has to wash ONE arm.
Thanks a lot
Hello Mowalola, you are welcome.
Good morning Dc. Lee ! How are you doing ? i just want to ask you a question about the modified bed bath . Do i have to wash both arm at the state exam ?
Hello Yves, you only need to wash one arm.
So that towel that you used as a barrier for washing the arm does it not have to be moved when you wash the abdomen area? Also when doing a modified bed bath in reality you’d do both arms correct?
Hello Destiny, I hope I am understanding your question correctly. The bath towel used for the neck, chest, and abdomen does not need to be changed. Think about when you bathe at home. Most people use one washcloth to bathe the entire body.
For the second part of your question, yes the candidate is tested on completing a partial bed bath including ONE arm. In a real setting, I would wash the entire body as needed.
Todo con mucho amor muy bien. Se entiende
Thank you Elina. Be sure to subscribe. Gracias.
Was this skill a partial bed bath an back rub
Hello, yes it is a partial bath and back rub.
Hello Dr, now i;m becoming confused, the teaching they gave us in my registered center said "Modified bed bath consist of washing of one face and one arm, hand and underarm, but because i love cross checking with your videos I found out that yours and theirs isn't the same way...Please will evaluators accept only face, one arm, hand and underarm during test?
Hello, Prometric REQUIRES the student to wash the chest and abdomen ALSO.
It sounds like your teacher is reviewing a Credentia guideline. So, please find out which testing provider is used by your state.
Dr. Lee, could I test the water with my wrist while the water is running instead of putting my hand inside the basin to test the water? Thank you.
Hello, The evaluator does not care how we test the water. The important step is that the student tests the water BEFORE using the water on the patient.
Hi
Thanks for the video in case that I use only one washcloth for washing and rinsing the one with soap I can not put it back in the basin right?
Thank you,
Yes, correct. You must keep the water free of soap.
@@txcnaskills2599 ok, thank you for answering
Your videos are very helpful thanks again.
Dr lee thanks for the teachings but her hips were not clean why
Hello Austin, For the Prometric state exam the peri area cleaning is a separate skill. The state tells the client what part of the body to clean for this skill.
Please is partial bed bath and modified bed bath the same thing or are they two different skills?
Hello Elizabeth, They are the same skill. Prometric calls the skill "Provide resident a partial bed bath and back rub".
If you have ever studied for a Pearson Vue exam the skill is called "Modified Bath"
Hi Dr Lee
Two questions.
1. My class was taught to change gloves upon removing the gown and after finishing the bath prior to removing the privacy blanket. Does Prometric require glove changes?
2. We were also instructed that we must lift the breast using the back of our opposite hand to wash under it. Is that not correct?
Hello Amie,
Prometric does not require gloves to be worn during the modified bath, therefore you are not required to change gloves. Please see the indirect care instructions for the modified bath. (Prometric states, IF WORN).
Prometric does not require the student to left the breast using the back of the opposite hand. You will be performing this skill on a manikin. The breast will not move. (LOL)
www.prometric.com/sites/default/files/IndirectCareBehaviors.pdf
See page 6 for the modified bath.
Dr lee I will go to do my state test soon and I really learning with your videos. Since i will do the prometric state test I have a question. Does prometric required us to checked the patient wrist band for check their name and date of birth before stated perform the skill?
Hello Lucy, Checking a client/patient's wristband for their name is NOT a requirement for the state exam. The student should knock on the door, announce their presence, call the patient by their name, and tell the patient who they are.
I instruct my students to ask their partner what their name is before starting the exam. The evaluator will pair you up with someone before the exam starts. So, ask your partner what name should I call you during the exam.
Thanks satifatory.
Thank you Bolanie.
When covering the patient with the flat sheet after the partial bath, do we need to tuck the corners of the sheet under the bed?
Hello Nerm210, We DON"T need to tuck the corners of the sheet under the bed because this behavior is not a part of the skill.
hello :) is this done on a mannequin or live patient?
Hello Jennifer, Prometric will require the modified bath to be done on a Mannequin.
Thank you helpful
Hello Tina, You are welcome.
Hi Doctor Lee , my teacher said that we should change water on every wash , this includes change water after washing the face gloves including, change water after washing the hand and change water after washing the abdomen? How Truee is this ?
Hello Julia, You must remember that the candidate will be timed approximately 30-40 minutes to complete the skills portion. Prometric DOES NOT require the changing of the bath water unless it is soapy or cold. Therefore, changing the water after cleaning each body part is not necessary.
Think about when bathing at home. Do we change the water after washing different body parts?
Can you use more than 5 washcloths if you don't like to reuse washcloths? say 7 washcloths?
That will be fine.
You are not changing water for back .
Hello, Changing the water to clean the back is NOT a requirement.
Thank you so much for these helpful videos. My class would like to know, do we only have to perform the skill on the one side of the body for a modified bed bath? They also want to know if they should change their gloves after the bath so that they are using clean gloves for the back rub?
Hello Cassi,
The candidate does not have to change their gloves during the bath or when putting up the dirty towels/emptying the dirty water. The candidate does not have to change the gloves when giving a back rub.
The candidate will clean one upper part of the body as stated in the Prometric Skills Checklist.
The candidate is asked to bathe a resident who is in bed and who is not able to help with his/her bathing. For testing purposes only, the candidate is asked to wash just part of the body so that technique can be evaluated. Instructions ask the candidate to wash the resident’s
face, neck, back, one hand and arm, and the chest and abdomen. Soap and water should be used for the bathing. The resident also needs a back rub. When completing the skill, the mannequin is dressed in a clean hospital-style gown. A mannequin is used for the role of the resident.
@@txcnaskills2599 Thank you so much for responding so quickly. I will let my class know this information.
Llamas k
Hi I have a question! if we are raising and lowering the bed are we allowed to touch the bed controls with gloves on? For example, at the end of the skill when I go to lower the bed should I remove my gloves to lower it? It seems like the most sanitary option but also doesn't seem right because I have to wash my hands when I remove my gloves and I cannot leave the bed raised if I leave to go wash my hands first. Please let me know!
Hello, The Prometric evaluator will NOT penalize you for raising or lowering the entire bed with your gloves on BECAUSE this is not a step that is being graded for the skill.
@@txcnaskills2599 Thanks so much, also do you know if they are testing denture, oral and feedings yet?
Hello Dr. Lee!
I cannot find your male video for peri care.
Have you made one?
Thank you for all the videos!
Hello KK, male peri care is not a skill that is required by Prometric.
when you wash one hand do you do it to the other one as well ?
Hello Jennifer, Prometric only requires one hand be done during the nurse aide exam.
Hello Dr.Lee!
Aren`t those two rinse towels you`ve put back in the basin contaminated?
Hello KK, I can put the rinse towels back into the basin because they don't have soap on them. The towels are not making the basin water contaminated. Remember, most patients take a bath at home using one towel to wash and rinse with. Good questions.
Do you have to fold the washcloth for the arm ,chest and abdomen ???
Hello Vanessa, No, you don't have to fold the washcloth when bathing the patient.
Dr Lee I have to take my test in two hours I have a question! Do prometric require us to keep adjusting the elevation of the bed ?
Not at all. I am just seeing your post. Sorry. I pray that you passed the exam.
Hello Dr.Lee!
The ears and neck don`t they come after the face and before the arm or it don`t matter?
Hello KK, The ears are not included with the modified bath. After cleaning the face the students can go in any order with the rest of the body.
Do we not need to raise the bed ?
Hello, raising the bed is not a requirement for the Prometric skills.
hi dr lee are we allowed to use the same towel for drying all areas of the body?
Hello Courtney,
Yes you can. Remember when most bathe in their private homes, the person use the same dry towel over the body.
Do we need to put a clean linen protector in the end?
Hello,
Prometric does not require a linen protector be placed on the bed at the end of the skill.
We only wash one arm for the test
Hello Nicole, that is correct.
When we give a bed bath will it be on a live person
Hello Demetric, Prometric requires the modified bed bath to be done on a mannikin.
Do we only need to put lotion at the back? Not the arm and chest area?
Hello Miyat, Yes the skill only requires lotion to be put on the back with a backrub.
Does the amount of towels you use to dry matter ?
No it does not matter.
A modified bed bath is the only time we change the pt gown???
Hello, Yes that is correct.
hi, after applying lotion, do you have to pat dry the excess? also, if for any skill you are in the middle of demonstrating & you forget a supply, can you grab & get it?
Hello Joseph, Anytime a student applies extra lotion to a person, the candidate must pat dry it off. A student is allowed to self correct to gather supplies that was forgotten in the beginning of the skill.
Hi Dr.Lee! why don't we use bed pads for this skill?
It is not required for this skill. When nurses are doing private duty in a person's home the nurse may not have s bed pad for use
are we have to wash the other arm too?
Hello DB LM, Prometric only requires the candidate to wash ONE arm.
Question when we pour out the water in the basin do we empty the water and the rinse water in the sink or the toliet
Hello Thelma, Prometric does not care where we empty the dirty water. I empty the bath water in the sink.
Thank you so much Dr Lee I test this Thursday wish me luck I will be letting you know how everything goes
Can we do the neck and abdomen before the arm?
Hello Danielle, Prometric requires the eye and then the face to be cleaned first. After the face is clean, it does not matter which part of the body you do next.
Dr. Lee do we need to change the water for the back?
Hello Miyat,
You don't need to change the water unless it get too cold or soapy.
Are you offering any CNA courses soon
Hello, My next nurse aide class starts in 2 weeks.
Hello@dr lee thanks for the video
But you didn’t take off your glove before touching the call lights cos the glove is contaminated already as you use it all through
Please explain
Hello Adams, No where in the skills guidelines does the state require us to remove the gloves before touching the call light. This is not a graded step.
Okey
Not sure what you said here.
What's prometric?
Hello Maria,
Prometric is an agency that is contracted with most states in the US to administer the certified nurse aide exam.
hi are you using the prometric 2020 skills and all details are same , where can i get the skills sheet
Hello Raquel, My school is located in Texas. To locate the Prometric guidelines for Texas please go to this site:
www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf
If you live in another state, please search for Prometric CNA skills for ____________ the name of your state. I hope this helps. Take care.
@@txcnaskills2599 thank you i am in Texas too, and that is same one we have i thought she was following a master list because of the her teaching methods. so your videos are following that list too? Next week we continue skills and should be done soon would like to know if you already had students test with prometric.
@@raquelserranogarcia Hello Raquel, My students have tested with Prometric and have been very successful.
@@raquelserranogarcia Hello Raquel, If you watch me closely in my videos, I will speak to the patient and say the steps of the skill that I am doing. This behavior is for you to follow along with me as I demonstrate the skills. Let me know if you see me speaking out each step on the skill checklist. I will be waiting to hear back from you.
@@txcnaskills2599 I will practice speaking out each step , I do the greetings and closing I am having trouble following our teacher with the steps her teachings are different. thank you so much , will put and extra effort to understand her with the help of yours
thank you for you replies
So I'm want to thank God first, I wanna thank me for believe in me, and I wanna thank Dr Lee for doing a great job online 👏
Our pleasure! I am glad your gave praises to God first.
Hi Dr Lee I have a question! on the skill mortified bed bath can I put the towel you dry off with on the bed as long as I have the bathe blanket on them that wouldn't be containmenting the sheet would it and I'm testing with prometrics as well and also when putting up the basin I can put the basin up with gloves on as long I have a clean paper towel to hold the basin as I put it back up
Hello Thelma,
I hope I understand your questions.
1. Yes, you can place the towel you dry the client off with on the bed. The important thing with Prometric is that the bed linen stays dry and the top sheet stays dry.
2. When you empty and rinse the basin, it becomes clean. Since we still have on the dirty gloves, we use a paper towel to pick up the basin and store it.
I hope this makes sense.
Ok thank you so much for answering my question that's all I needed to know thank you so much I understand now thank you
can I use same wash towel for the arm and front of the body?
Hello, I am not sure I understand your question. Are you asking if you can use the same washcloth to wash and rinse the front of the body?
When im done washing the arm can i use same washcloth for the front of the body?
@UCZqx7V1_wqNRtk88yHZhRng Hello V.CD.C I would not recommend you to use the same washcloth to wash and rinse the patient. If you review step 16 from Prometric for this skill (16 Replace basin of water during task if it becomes cold or soapy) that would infer not to place the soapy washcloth in the basin of clear water unless you want to keep changing the water in the basin. I hope this is clear.
@@txcnaskills2599 no no not to rinse, i mean to wash the arm n then wash front of the body with same washcloth?
@@v.cd.c5323 Hello, You can put soap on a washcloth and wash the arm and chest if you like. That should not make you fail the skill.
Hi Dr.Lee, my students who have been selected for this particular skill at the prometric state exam are telling me that their skills card states that the patient cannot sit up and is too weak to help. They said they are having to roll the resident in order to put the towel under them. Just wanted to see if you were aware of that?
Hello Cassi, The state guidelines in the Skills Checklist does not state the patient CANNOT sit up or is too weak to help. I am not aware of this requirement especially since this skill is done on a Mannequin and NOT a resident.
The candidate is asked to bathe a resident who is in bed and who is not able to help with his/her bathing. For testing purposes only, the candidate is asked to wash just part of the body so that technique can be evaluated. Instructions ask the candidate to wash the resident’s face, neck, back, one hand and arm, and the chest and abdomen. Soap and water should be used for the bathing. The resident also needs a back rub. When completing the skill, the mannequin is dressed in a clean hospital-style gown. A mannequin is used for the role of the resident.
@@txcnaskills2599 thank you Dr.Lee, I wonder why the cards they have been given at state say they cannot sit up and are too weak to help. I have had 3 separate students come back and tell me that is what their cards state🤔
Hi
Hello
Jj.v..
Hello, I didn't understand your comment.
do I need to add extra washclothes in the basin since you just washed one arm?
Hello Susan, Prometric does not count the number of washcloths the student use. They are concerned with the technique.
@@txcnaskills2599 so is it true that we can use more washcloths and keep the rinse cloths out after each use? Wouldn’t the water become soapy from rinsing? Or am I overthinking this, lol.
Does it matter what order each body part is cleaned for example starting with the face to then moving on to the neck instead of the arm? Will they deduct points if that order is done?
Hello Marilyn, Yes the order for doing the bath does matter.
1. You must start with the eyes and then clean the rest of the face.
2 After you have rinsed and dried the face you may do the rest of the body parts in any order.
3. You will fail the exam if you don't start with the eyes. Remember no soap on the face.