I passed my Florida CNA exam yesterday Ms. Patty!!!! I cannot tell you how excited I am! THANK YOU for your instructional videos! If it weren't for these, I most certainly wouldn't have passed!
I am scheduled to take my exam in just 2 days and I am currently watching your videos religiously. I'm very grateful for how thorough and informative you are.
I had my test about a month ago,one of the skills I had to do was catheter care which I did the way you show us here in video with 4 wash cloths instead of 2 that my instructor told us and I passed the test,I want to thank you so much from my part and those who didn't take the time to thank you but that passed the test thanks to your videos ,God bless you!!!
HI,my name is Alana and i will be going for my state board Aug,17 2012 i would like to thank you and your team for making these video you are all angles i pray and wish there were more people like you all, in this world. i did not pass the state board the last time but with the video i know i will pass thanks to you all. GOD BLESS YA'LL HEART'S
Thank you for allowing us to be part of your journey into healthcare! We are so proud of you! We would love to give you your shout-out! Please follow us on Facebook and Instagram for your shout-out! Like and subscribe to be notified when we go live for future events!
I took my state today in Washington and passed it just because of your videos and this was one of the skills I took thanks a lot 4 sharing your information this really helped me and I really appreciate and I hope everyone else helped as well thanks again and again.......
All right so thank you my instructor kept telling me not to watch videos but it was difficult to just read the skills list and I am now a state certified nursing assistant in Michigan so thank you for your videos. Also thanks to your videos I now say Chucks but nobody knows what I'm talking about as they're just familiar with underpad
Thank you so much for your videos! I passed my CNA exam on the 25th thanks to you. I was given ROM on the right shoulder, catheter care, and Measuring and Recording the Urinary Drainage Bag and i had no problems performing them. Thank you again.
Absolutely! All very good points. That would be a great method as well. However, for the exam, it is not required as cleaning the catheter itself first (which will clean around the meatus as well), then holding the catheter up as you clean the labia will provide adequate cleansing for the exam. This demonstration is just one way that could be accomplished; your way is another excellent example. Thank you for your insight and taking the time to post this great observation!
4yourCNA videos are the only true n correct skills that I have seen. Other skill that I looked at missed several proceedures. I truely want to thank you for these Florida skills, I passed with flying colors on the Catheter, Urine drainage and ROM. Yes I was nervous but quickly recognized my mistakes and corrected them then. Again, T HANK YOU FOR YOUR VIDEOS
What a wonderful comment! I am so happy you are taking the initiative to perform the skills properly and not "how everyone else does it"! You will develop a great reputation and the patients will benefit from your attention to detail! Great job and best of luck!
Two washcloths are not enough to clean both the tubing and the peri area and rinse both areas without cross-contaminating. The skill must be performed in such a way as to prevent cross-contamination because urinary tract infections are very common in catheterized patients and every effort must be made to prevent them. Good luck on your exam!
I am happy that you have found our videos helpful as you prepare! Please have your instructor contact us for free training resources! Good luck in your new career!
Raising the bed is optional for the exam because many beds in many settings (long term care, home care, assisted living) may not raise up to comfortable working level so it is not graded. Side rails are also not graded because they are a restraint and you must have a doctor's order to use them. Good luck!
This video instructs on the technical aspects of the skills and does not integrate all the theory associated with CNA training. CNAs are responsible for observing the patient during skills and reporting any observations of abnormalities to the nurse. Great observation!
Yes, you should apply soap to all areas being washed, then rinse those areas with a clean, wet washcloth. This is a required step for the exam. If there is no disinfectant (and there should be in all testing centers), proceed without spraying the disinfectant. Good luck to you on your exam!
I am sorry you feel that way. Many other CNAs would probably agree with you, but many, many more would not. Your work environment and co-workers will have a lot to do with your opinion (and these vary from place to place). If you find that you are not able to perform you skills properly, please tell your supervisor or consider applying at other institutions. You should NEVER vary your skills from how you were taught or perform care poorly because it will put the patients at risk. Good luck!
This is supposed to be an INSTRUCTIONAL video, there is nothing wrong with her explaining the procedure with every step by step she is performing. I'm happy she is doing SO much talking, (as you say) it will help me remember the steps when I take my exam! Also, Ms. Patty is right in saying not knowing what a complete stranger is doing with your genitals is creepy. Talking to them relieves any anxiety.
The state exam does not grade on side rail usage because not all beds in healthcare have siderails (they are considered a restraint). Scooting the patient toward you on the bed before rolling them away from you keeps them in the middle of the bed after rolling, which promotes safety. This is an appropriate action in any setting and keeps the patient safe without the use of siderails. Good luck!
In Florida, you identify the patient verbally before washing your hands ("Hi, Mrs. Jones. I am Patti, your CNA"). Patients in many settings do not have ID bands and even if they do, they are often wrong. It is much more accurate to address the patient by name, giving them an opportunity to correct you if you are wrong. Checking the brakes is not graded on the exam, the bed is always locked during the test. You may check if you wish, but it is not graded. Hope this helps and good luck!
CNAs provide much more personal care and spend more time with patients than any other healthcare provider. This means that they should never be impersonal. However, like anything else, this is a personal choice that each worker must make. I am an RN and have worked with excellent CNAs and nurses and some horrible ones. It is up to you, during each and every patient encounter, to decide which you want to be. If being a CNA is an unpleasant prospect, I would reconsider becoming an RN. Good luck.
No, because the washcloths are never put into the basin of water, which means the water is never contaminated, but remains clean. Therefore, this water can be dumped into the sink. Thank you for your question!
PLEASE do what your teacher taught you. My teacher gets angry when we try to do it our own way but most of the skills are usually the same just certain supply's and small steps may be different . This was very helpful because I take my exam Monday or Tuesday of next week April 29th or 30th I am super nervous yet excited so I need all the help I can get !
Yes, you may put gloves on before touching the underpad. You MUST apply your gloves before touching anything contaminated with body fluids. Since the clean barrier has not been contaminated yet, it is not necessary to have gloves on when touching this item, but it is allowed. Thanks and good luck!
The testing center may not have siderails on the beds because they are illegal in many settings. Siderails can be used as a restraint (a way of keeping a patient confined against their will) so you need to learn how to perform this skill safely without the use of siderails. Scooting the patient toward you and turning them away from you so they are lying in the center of the bed on their side is the proper way to position a patient in a bed without siderails. Good luck!
Lone Star Community College has several campuses in the Houston area that have the program, its like $850 - $900 for the training. There's some other ones in Houston area too just google it. To get CNA you need 108 hrs and to pass the exam. FYI there are practice exams free online.
It depends on what the care plan says that your patient can and can't do. If the care plan states that the patient is able to move and assist, then having the patient raise their hips is fine. If the patient cannot raise their hips, rolling to the side is a better option. You are able to ask the evaluator if the patient is able to perform a certain task if you are unsure (like raising their hips) without penalty. Best of luck!
You may use the mitt method, however it is almost impossible to demonstrate using a completely separate area of the washcloth to limit cross-contamination using that method. It is an old method and the "leaves" method ensures that a new area is used. Once the washcloth has been used to clean the labia, there are no clean areas for the catheter tubing so you need another washcloth. The whole purpose of this is to minimize the potential for UTI, so cleaning well is important! Good luck!
Cleaning the inside of the labia is important, but cleaning the labia majora (outer portion) and skin folds will help decrease microbial contamination and can help lower the risk of infection. Patients with catheters have a higher risk of urinary tract infections and it is vital that the catheter and surrounding areas be kept clean. Since catheter care is often the only "personal care" regarding the peri area that the patient receives, all of that area should be cleaned for comfort. Thanks.
Scooting the patient toward you before rolling them onto their side will ensure they remain in the center of the bed when on their side, eliminating the need for siderails. It is important to know how to perform this skill without siderails, as they will not be present in every setting. You may use them if they are there, but you will not be graded on their use (meaning you must ensure safety regardless of siderail usage). Good luck!
You can if you wish, this is not a graded point. But think about it for a minute...your gloves are soiled (you just cleaned the catheter and peri area) and you really don't want to handle the sheet (that will go right up next to the patient's face) with those soiled gloves. This is why we remove the gloves first, before removing the blanket (handling the "cleaner" underside of the blanket) and pulling up the sheet. This is not a graded point, but is a good general principle. Good luck!
In the state of Florida, it is not mandatory to raise the bed to a comfortable working height because not all patients are in adjustable beds (home care and assisted living may have regular beds), therefore it is not a testable point. It is certainly helpful to do that in a clinical setting if you have the ability, but don't forget to lower the bed at the end of the skill or you will fail for a safety violation (the floor is much further away than the patient expects it to be). Good luck!
For a real patient, yes, absolutely! However, this skill is demonstrated on a manikin for the CNA exam and it is extremely difficult to get the manikin into that position without pulling on the protective pad and risking skin tears. It is safer (when demonstrating on the manikin) to use the scoot and roll method. This demonstrates that you are aware of the safety aspects of pad removal when the patient is not physically able to lift their hips. Thanks for the question and good luck!
Thank you for your comment! We love to hear that students are finding our videos helpful! Good luck on your exam and we wish you success in your new career.
Thank you for your wonderful comment! We sincerely hope that you are successful in your next attempt! We are very happy that you are finding our videos helpful as you prepare to re-test! Good luck and we will be thinking of you on the 17th as you test!
Your videos help me with my cna exam but u guys forgot to do things. Like ask to see their wrist band to make sure it is the right person. And ask them if u can even do the skill first.
This is covered in our introduction and instructional videos, as well as in my classroom teaching. These demonstration videos are designed to be used in conjunction with classroom training and will not feature all instruction. Checking for kinks is important (it does not matter WHEN you do this) because a kinked catheter will not allow urine to flow out of the body. However, failing to perform this point alone will not fail you. Her paperwork will list all points she failed to perform.
That is a good strategy, but be careful what you are touching with those gloves once you have them on! The first thing your gloves should touch is the patient. Touching other things in the environment and then the patient will transfer the pathogens onto the patient. Handwashing before and after every skill (and understanding proper glove use) is a better way to ensure that infections don't spread in a facility. Thanks for the comment and good luck!
Very precise! Some things were different like the disenfect spray,and towels,also pouring water into sink instead of toilet but also im in florida so thats why its most likely different.
Siderails are NEVER to be left up after a skill unless you have a doctor's order because they are a restraint, designed to keep a patient from moving unrestricted. Use of siderails is not graded, because they are not allowed in many settings. Siderails are not used on these videos to demonstrate the safe way to perform the skill without siderails. Scoot the patient toward you and roll them away so they remain on their side in the center of the bed. This is what you will be graded on for exam.
Thank you for your wonderful comment! It is not a test requirement to elevate the bed to waist level. This is a comfort measure for you, but not tested on the exam. Failure to lower the bed at the end of the skill will cause the student to fail due to safety issues (the floor being further away than the patient anticipates). Since I don't have the ability to fully TEACH in this setting, I have opted to leave that step out since it does not affect the test. You may elevate the bed if you want.
Why did the CNA turn the patient away from her, especially without any restraint to prevent a possible fall? Always turn the patient towards you especially if you are working alone.
Siderails may not be available for the exam and even if they are used, their use is not graded, which means that you have to provide care safely as if they were not in place. This is why it is important to scoot the patient toward you and roll them to the center of the bed. Siderails are considered a restraint (they keep patients in bed who don't want to remain in bed) and a safety hazard (patients often climb over or under them to get out of bed) and you must have a doctors order to use them.
Catheter care should be performed on ALL catheterized patients at least once per shift to reduce the risk of urinary tract infections (a common occurrence and a potentially deadly consequence of catheters). This should be on the care plan of all patients with a catheter. If it's not being done, it should be! Thanks for the comment!
Thank you so much for creating these videos, Ms. Patty! They are very helpful and probably the most credible of all I've seen so far on youtube! Exam tomorrow... wish me luck! ;-)
You will use 4 wash cloths (1 to wash the peri area, 1 to rinse the peri area, 1 to wash the buttocks and 1 to rinse the buttocks). You will need to use a different area of the washcloth for each stroke (1 down the middle inside, 1 down the right outside, 1 down the left outside, 1 down the right skinfold, 1 down the left skinfold). You can do this by holding the washcloth in a diamond shape with the free corners pointed upward and use a different corner for each stroke. The video shows how.
This is the method used in the video. Folding the washcloths in fourths and holding it in a diamond shape in your hand with the free leaves pointing upward gives you a clean area of the washcloth for each stroke. However, this skill requires FOUR washcloths, not two. One to wash the front, one to rinse the front, one to wash the buttocks, one to rinse the buttocks. Hope this helps! Good luck!
I am working in english, but these videos are fabulous. I congratulate 4yourCNA. I have seen many times, especially of the most difficult and already understand to Patty.. Jajajja. Thank you for providing this great help. My test is on Friday, 12. Estoy esforzandome en el ingles, pero estos videos son fabulosos. Felicito a 4yourCNA. Los he visto muchas veces, sobretodo los mas dificiles y ya entiendo a Patty.. Jajajja. Gracias por proporcionarnos esta gran ayuda. Mi examen es el viernes 12.
Thanks very much. I passed today. Skills Perform Passive Range of Motion to Elbow and Wrist, Feed the Resident in a Chair and Assist a Resident with a Bedpan
You must wash your hands AFTER your opening (the privacy curtain and bed controls are dirty) but BEFORE you get your clean supplies (have to have clean hands to touch clean supplies). Your gloves go on AFTER all preparations have been made and immediately BEFORE touching the patient so that you do not contaminate the gloves. Remember, everything that you touch with your gloves will contaminate the gloves, then you pass that contamination on to the patient! :) Thanks for the question!
The order does not matter for the exam. Every case will be different. Please remember that every patient is an individual and their care will NEVER be EXACTLY the same from patient to patient. Every patient will have a care plan that indicates what tasks you are supposed to do and if there are any special instructions. Don't get so involved in the technical details that you lose sight of the greater performance of the skill. You are cleaning the tube and the skin around the tube.
@Vannatyc1 Using the "leaves" or corner method ensures that you are cleaning the tubing with a clean area of the washcloth with each stroke. Using a mitt does not get the same results. Since the standard is to use a clean area of the washcloth for each stroke during testing, this method is much more acceptable. Thank you for your comment!
You can never go wrong with attending an accredited university or community college. I have heard in some places nursing homes may offer a CNA course if you sign a contract. But like I said accredited schools always a good route because certificates and degrees are accepted almost anywhere, besides you have to have so many experience hours and to pass a state exam to be certified.
Siderails may not be available for the exam and even if they are used, their use is not graded, which means that you have to provide care safely as if they were not in place. This is why it is important to scoot the patient toward you and roll them to the center of the bed. If you put your gloves on earlier, you will contaminate the gloves with everything you touch which will spread the contamination to the catheter and peri area. It is best to follow the example in the video to pass. Thanks.
Congratulations on your certification! I am so proud of you and wish you the best of luck in your new career! We are so happy that you found our videos helpful...please tell others!
You don't HAVE to speak like me...but it helps! :) It is important to let the patient know exactly what you are doing to decrease anxiety. Everything I say has a purpose behind it (education, patient rights, safety, etc). This is the BEST way to perform the skills. Think of what you would want if you were the one laying in the bed scared, alone, sick and somene was going to do something to you. Treat the patient like you would want to be treated. Good luck!
Since I do not know what your teacher taught you, I cannot help you make that decision. There are many ways to perform skills (no single right way), but our skills videos demonstrate all of the necessary procedures and infection control practices. I know that our videos are demonstrated according to current Florida state standards. However, your teacher may also have taught you correctly, although differently. Good luck!
+4yourcna Ms. Patty. thank you so much. I did have my doubts when i watched your videos but i took a leap of faith anyway. I needed help, and your videos did just that. I took my exam on the 24th of sept. and i passed. absolutely obliterated it. I would of been in a wreck if it werent for your vids. GUys. if you are testing in florida....study these vides. i had cat care, ROM shoulder and urinary drainage. did everything exactly as these vids and passed. Again, thank you Ms. Patty.
+Tawfiq Khan happy to hear you passed, I test tomorrow and was questioning a few things on this skill..... thank you for letting us know you preformed it the same way she did and passed in Florida, very helpful :)
Emily i doubt this will reach you in time. But the one thing you want to be wary about is time. I performed everything out of memory. didnt forget anything. but as i was so meticulous it ate my time. the proctors were kind to of rush me? through everything. Anyhow it helps to talk out loud despite looking funny. breathe too. when you find out that you passed treat yourself to some high caloric ice cream. you got this. all the best, Emily.
The best place to start is to find out what the licensing requirements are in your state. Contact friends and family in the medical field and ask for recommendations for schools. Call your local nursing homes and hospitals and find out what schools they hire from. Enroll in a class and take your test! These videos will help you prepare for the exam. Some states allow "challenging" the exam, but all CNAs shoud have some formal training to gain skills not taught here! Good luck!
@JackTheHopeful Thank you for your comment! Every teacher will have their own way of teaching cleaning processes and will present infection control principles just a little differently. The only items that NEED to go into the toilet are body substances. Cleaning water can be dumped into the sink. These are Florida state standards. Your instructor may have students dump everything into the toilet rather than having them reason out what can't go in the sink...lol. Thanks!
The way demonstrated in the video is the correct way to perform catheter care in Florida. You will wipe the catheter from body outward 4 times and rinse the catheter using the same technique 4 times. You will clean the female peri-area (front) using peri-care technique. You do not need to clean the buttocks for the exam, just the tubing and the front anatomy. Good luck!
+Ronita Reed Because it is not required on the state exam, it is not performed in the video. These videos reflect testing checkpoints only and are NOT to be considered a sole source of CNA education, but rather an informative example of testing standards. If you wish to raise the bed to perform this skill, then please do so - but don't forget to lower it at the end of the skill. As not all beds in all settings are able to be raised (home care, assisted living facilities, low-income residential facilities, etc.), you will not always have the ability to raise the bed to a comfortable working height. Since you cannot raise the bed in all settings, it is not REQUIRED for the exam, and therefore not shown in the video. Your nursing assistant training program, taught by an RN, will discuss variations of skills based on different settings and individual patient needs. We do not show every possible variation of the skill - these videos are ONLY designed to prepare you for what to expect on the state exam.
For the purposes of the exam, the voice of the manikin will be provided by the evaluator. In this video, there is no evaluator, therefore, no responding voice. However, I proceed to give students an opportunity to hear appropriate interaction between a healthcare worker and a patient, in a manner consistent with testing standards. Thank you for your comment.
You forgot to practice Body Machanics...Like raising the bed to the most comfortable working position and not throwing out your back. Other then that very helpful and clear! :) -An Oklahoman CNA Student.
I passed my Florida CNA exam yesterday Ms. Patty!!!! I cannot tell you how excited I am! THANK YOU for your instructional videos! If it weren't for these, I most certainly wouldn't have passed!
Wow it’s been 9 years how are you doing?
I am scheduled to take my exam in just 2 days and I am currently watching your videos religiously. I'm very grateful for how thorough and informative you are.
I passed my state exam in Florida today because of your videos. Thank you!
Did you just watch the videos over and over ?
I had my test about a month ago,one of the skills I had to do was catheter care which I did the way you show us here in video with 4 wash cloths instead of 2 that my instructor told us and I passed the test,I want to thank you so much from my part and those who didn't take the time to thank you but that passed the test thanks to your videos ,God bless you!!!
My instructor told me the same thing I take my test at the end of the month
We want to wish you great success in your new career and good luck on the exam!
4yourCNA I’m taking my text in 13 days wish me luck I’m
Nervous 😟
HI,my name is Alana and i will be going for my state board Aug,17 2012 i would like to thank you and your team for making these video you are all angles i pray and wish there were more people like you all, in this world. i did not pass the state board the last time but with the video i know i will pass thanks to you all. GOD BLESS YA'LL HEART'S
Love watching the videos. I'm a cna and the videos help me not follow the lazy steps of my coworkers. I like to know I'm doing my job the right way.
Watched all of the skills video for my test which was today and I aced it! Thank you ☺️
Thank you for allowing us to be part of your journey into healthcare! We are so proud of you! We would love to give you your shout-out! Please follow us on Facebook and Instagram for your shout-out! Like and subscribe to be notified when we go live for future events!
In 17 and in taking my CNA boards tomorrow and this really helped me a lot! Thank you so much.
I took my state today in Washington and passed it just because of your videos and this was one of the skills I took thanks a lot 4 sharing your information this really helped me and I really appreciate and I hope everyone else helped as well thanks again and again.......
Yes, men are often employed in healthcare as CNAs and nurses. They are a valuable part of the healthcare team. Good luck!
All right so thank you my instructor kept telling me not to watch videos but it was difficult to just read the skills list and I am now a state certified nursing assistant in Michigan so thank you for your videos. Also thanks to your videos I now say Chucks but nobody knows what I'm talking about as they're just familiar with underpad
Hey I need a job there pls help
Thank you so much for your videos! I passed my CNA exam on the 25th thanks to you. I was given ROM on the right shoulder, catheter care, and Measuring and Recording the Urinary Drainage Bag and i had no problems performing them. Thank you again.
My niece got the same skills in Oregon
Thought it has to be 5 skills
Absolutely! All very good points. That would be a great method as well. However, for the exam, it is not required as cleaning the catheter itself first (which will clean around the meatus as well), then holding the catheter up as you clean the labia will provide adequate cleansing for the exam. This demonstration is just one way that could be accomplished; your way is another excellent example. Thank you for your insight and taking the time to post this great observation!
My CNA test is tomorrow. So glad these videos are here to help me prepare before then.
Congratulations! We wish you luck in your new career! Thank you for using our videos to help you prepare for your test.
We are so happy for you and wish you luck in your new career! We are happy that you found our videos helpful as you prepared for the exam! Good luck!
I passed My exam because of you !!! Thank you so much!!!
4yourCNA videos are the only true n correct skills that I have seen. Other skill that I looked at missed several proceedures. I truely want to thank you for these Florida skills, I passed with flying colors on the Catheter, Urine drainage and ROM. Yes I was nervous but quickly recognized my mistakes and corrected them then. Again, T HANK YOU FOR YOUR VIDEOS
We absolutely wish you the best of luck when you test! We are so happy that you are finding our videos helpful as you prepare for the exam!
Thanks 4Your CNA for all your instructional videos took my exam on Friday 8/29/14 and i passed both section. cheers
What a wonderful comment! I am so happy you are taking the initiative to perform the skills properly and not "how everyone else does it"! You will develop a great reputation and the patients will benefit from your attention to detail! Great job and best of luck!
Have your videos helped anyone in NYS?
I'm so glad i stumbled upon your videos, i recently passed my cna test!!!
Two washcloths are not enough to clean both the tubing and the peri area and rinse both areas without cross-contaminating. The skill must be performed in such a way as to prevent cross-contamination because urinary tract infections are very common in catheterized patients and every effort must be made to prevent them. Good luck on your exam!
I am happy that you have found our videos helpful as you prepare! Please have your instructor contact us for free training resources! Good luck in your new career!
Raising the bed is optional for the exam because many beds in many settings (long term care, home care, assisted living) may not raise up to comfortable working level so it is not graded. Side rails are also not graded because they are a restraint and you must have a doctor's order to use them. Good luck!
Good luck on your exam, we are thinking of you! We wish you great success in your new career!
This video instructs on the technical aspects of the skills and does not integrate all the theory associated with CNA training. CNAs are responsible for observing the patient during skills and reporting any observations of abnormalities to the nurse. Great observation!
Good luck on your exam! We hope you pass too! Best of luck in your new career!
Yes, you should apply soap to all areas being washed, then rinse those areas with a clean, wet washcloth. This is a required step for the exam. If there is no disinfectant (and there should be in all testing centers), proceed without spraying the disinfectant. Good luck to you on your exam!
I am sorry you feel that way. Many other CNAs would probably agree with you, but many, many more would not. Your work environment and co-workers will have a lot to do with your opinion (and these vary from place to place). If you find that you are not able to perform you skills properly, please tell your supervisor or consider applying at other institutions. You should NEVER vary your skills from how you were taught or perform care poorly because it will put the patients at risk. Good luck!
This is supposed to be an INSTRUCTIONAL video, there is nothing wrong with her explaining the procedure with every step by step she is performing. I'm happy she is doing SO much talking, (as you say) it will help me remember the steps when I take my exam! Also, Ms. Patty is right in saying not knowing what a complete stranger is doing with your genitals is creepy. Talking to them relieves any anxiety.
The state exam does not grade on side rail usage because not all beds in healthcare have siderails (they are considered a restraint). Scooting the patient toward you on the bed before rolling them away from you keeps them in the middle of the bed after rolling, which promotes safety. This is an appropriate action in any setting and keeps the patient safe without the use of siderails. Good luck!
We hope you did well on your exam! Best of luck in your new career!
Awww, you are so sweet! Thank you for the wonderful comment! Congratulations and best of luck to you in your new career!
In Florida, you identify the patient verbally before washing your hands ("Hi, Mrs. Jones. I am Patti, your CNA"). Patients in many settings do not have ID bands and even if they do, they are often wrong. It is much more accurate to address the patient by name, giving them an opportunity to correct you if you are wrong. Checking the brakes is not graded on the exam, the bed is always locked during the test. You may check if you wish, but it is not graded. Hope this helps and good luck!
I agree about the side rails. We are taught to use side rails. I would have had gloves on sooner too. BUT I think you have a really great technique.
CNAs provide much more personal care and spend more time with patients than any other healthcare provider. This means that they should never be impersonal. However, like anything else, this is a personal choice that each worker must make. I am an RN and have worked with excellent CNAs and nurses and some horrible ones. It is up to you, during each and every patient encounter, to decide which you want to be. If being a CNA is an unpleasant prospect, I would reconsider becoming an RN. Good luck.
Congratulations! We are very happy that you found our videos helpful! Please tell others! Best of luck in your new career!
No, because the washcloths are never put into the basin of water, which means the water is never contaminated, but remains clean. Therefore, this water can be dumped into the sink. Thank you for your question!
PLEASE do what your teacher taught you. My teacher gets angry when we try to do it our own way but most of the skills are usually the same just certain supply's and small steps may be different . This was very helpful because I take my exam Monday or Tuesday of next week April 29th or 30th I am super nervous yet excited so I need all the help I can get !
Yes, you may put gloves on before touching the underpad. You MUST apply your gloves before touching anything contaminated with body fluids. Since the clean barrier has not been contaminated yet, it is not necessary to have gloves on when touching this item, but it is allowed. Thanks and good luck!
The testing center may not have siderails on the beds because they are illegal in many settings. Siderails can be used as a restraint (a way of keeping a patient confined against their will) so you need to learn how to perform this skill safely without the use of siderails. Scooting the patient toward you and turning them away from you so they are lying in the center of the bed on their side is the proper way to position a patient in a bed without siderails. Good luck!
I love that you list all of the supplies.
Thank you for your comment! Please review our newest videos for updated skills performance! Best of luck!
Lone Star Community College has several campuses in the Houston area that have the program, its like $850 - $900 for the training. There's some other ones in Houston area too just google it. To get CNA you need 108 hrs and to pass the exam. FYI there are practice exams free online.
Thank you so much..Its really help with me when i take an exam, I PASS THE EXAM!!!
It depends on what the care plan says that your patient can and can't do. If the care plan states that the patient is able to move and assist, then having the patient raise their hips is fine. If the patient cannot raise their hips, rolling to the side is a better option. You are able to ask the evaluator if the patient is able to perform a certain task if you are unsure (like raising their hips) without penalty. Best of luck!
We wish you luck in your training!
Congratulations! We wish you great success in your new career!
You may use the mitt method, however it is almost impossible to demonstrate using a completely separate area of the washcloth to limit cross-contamination using that method. It is an old method and the "leaves" method ensures that a new area is used. Once the washcloth has been used to clean the labia, there are no clean areas for the catheter tubing so you need another washcloth. The whole purpose of this is to minimize the potential for UTI, so cleaning well is important! Good luck!
She is a perfect nurse👌💖
You make everything look so easy and simple to follow.. I have alots of question as i am from Rhode Island and about to take my test.
Cleaning the inside of the labia is important, but cleaning the labia majora (outer portion) and skin folds will help decrease microbial contamination and can help lower the risk of infection. Patients with catheters have a higher risk of urinary tract infections and it is vital that the catheter and surrounding areas be kept clean. Since catheter care is often the only "personal care" regarding the peri area that the patient receives, all of that area should be cleaned for comfort. Thanks.
Scooting the patient toward you before rolling them onto their side will ensure they remain in the center of the bed when on their side, eliminating the need for siderails. It is important to know how to perform this skill without siderails, as they will not be present in every setting. You may use them if they are there, but you will not be graded on their use (meaning you must ensure safety regardless of siderail usage). Good luck!
You can if you wish, this is not a graded point. But think about it for a minute...your gloves are soiled (you just cleaned the catheter and peri area) and you really don't want to handle the sheet (that will go right up next to the patient's face) with those soiled gloves. This is why we remove the gloves first, before removing the blanket (handling the "cleaner" underside of the blanket) and pulling up the sheet. This is not a graded point, but is a good general principle. Good luck!
In the state of Florida, it is not mandatory to raise the bed to a comfortable working height because not all patients are in adjustable beds (home care and assisted living may have regular beds), therefore it is not a testable point. It is certainly helpful to do that in a clinical setting if you have the ability, but don't forget to lower the bed at the end of the skill or you will fail for a safety violation (the floor is much further away than the patient expects it to be). Good luck!
For a real patient, yes, absolutely! However, this skill is demonstrated on a manikin for the CNA exam and it is extremely difficult to get the manikin into that position without pulling on the protective pad and risking skin tears. It is safer (when demonstrating on the manikin) to use the scoot and roll method. This demonstrates that you are aware of the safety aspects of pad removal when the patient is not physically able to lift their hips. Thanks for the question and good luck!
Thank you for your comment! We love to hear that students are finding our videos helpful! Good luck on your exam and we wish you success in your new career.
Thank you for your wonderful comment! We sincerely hope that you are successful in your next attempt! We are very happy that you are finding our videos helpful as you prepare to re-test! Good luck and we will be thinking of you on the 17th as you test!
Congratulations! Best of luck in your new career!
Your videos help me with my cna exam but u guys forgot to do things. Like ask to see their wrist band to make sure it is the right person. And ask them if u can even do the skill first.
We are happy that you found our videos helpful!
This is covered in our introduction and instructional videos, as well as in my classroom teaching. These demonstration videos are designed to be used in conjunction with classroom training and will not feature all instruction. Checking for kinks is important (it does not matter WHEN you do this) because a kinked catheter will not allow urine to flow out of the body. However, failing to perform this point alone will not fail you. Her paperwork will list all points she failed to perform.
Thank you for your wonderful comment and we are very happy that you are finding our videos helpful! Best of luck with your exam!
That is a good strategy, but be careful what you are touching with those gloves once you have them on! The first thing your gloves should touch is the patient. Touching other things in the environment and then the patient will transfer the pathogens onto the patient. Handwashing before and after every skill (and understanding proper glove use) is a better way to ensure that infections don't spread in a facility. Thanks for the comment and good luck!
Your the best teacher hope ill remember everything I watched tnx
I just passed my test; I am grateful for the videos. Thank you for your instructional videos! .
Congratulations! We are super proud of you! Tune in to our Live Q&A Session on Thursday at 3pm (ET) for your congratulations shoutout! :-)
Very precise!
Some things were different like the disenfect spray,and towels,also pouring water into sink instead of toilet but also im in florida so thats why its most likely different.
Siderails are NEVER to be left up after a skill unless you have a doctor's order because they are a restraint, designed to keep a patient from moving unrestricted. Use of siderails is not graded, because they are not allowed in many settings. Siderails are not used on these videos to demonstrate the safe way to perform the skill without siderails. Scoot the patient toward you and roll them away so they remain on their side in the center of the bed. This is what you will be graded on for exam.
Thank you for your wonderful comment! It is not a test requirement to elevate the bed to waist level. This is a comfort measure for you, but not tested on the exam. Failure to lower the bed at the end of the skill will cause the student to fail due to safety issues (the floor being further away than the patient anticipates). Since I don't have the ability to fully TEACH in this setting, I have opted to leave that step out since it does not affect the test. You may elevate the bed if you want.
Why did the CNA turn the patient away from her, especially without any restraint to prevent a possible fall? Always turn the patient towards you especially if you are working alone.
Congratulations! We are so proud of you! Good luck in your new career!
Siderails may not be available for the exam and even if they are used, their use is not graded, which means that you have to provide care safely as if they were not in place. This is why it is important to scoot the patient toward you and roll them to the center of the bed. Siderails are considered a restraint (they keep patients in bed who don't want to remain in bed) and a safety hazard (patients often climb over or under them to get out of bed) and you must have a doctors order to use them.
Catheter care should be performed on ALL catheterized patients at least once per shift to reduce the risk of urinary tract infections (a common occurrence and a potentially deadly consequence of catheters). This should be on the care plan of all patients with a catheter. If it's not being done, it should be! Thanks for the comment!
Thank you so much for creating these videos, Ms. Patty! They are very helpful and probably the most credible of all I've seen so far on youtube! Exam tomorrow... wish me luck! ;-)
You will use 4 wash cloths (1 to wash the peri area, 1 to rinse the peri area, 1 to wash the buttocks and 1 to rinse the buttocks). You will need to use a different area of the washcloth for each stroke (1 down the middle inside, 1 down the right outside, 1 down the left outside, 1 down the right skinfold, 1 down the left skinfold). You can do this by holding the washcloth in a diamond shape with the free corners pointed upward and use a different corner for each stroke. The video shows how.
This is the method used in the video. Folding the washcloths in fourths and holding it in a diamond shape in your hand with the free leaves pointing upward gives you a clean area of the washcloth for each stroke. However, this skill requires FOUR washcloths, not two. One to wash the front, one to rinse the front, one to wash the buttocks, one to rinse the buttocks. Hope this helps! Good luck!
I am working in english, but these videos are fabulous. I congratulate 4yourCNA. I have seen many times, especially of the most difficult and already understand to Patty.. Jajajja. Thank you for providing this great help. My test is on Friday, 12.
Estoy esforzandome en el ingles, pero estos videos son fabulosos. Felicito a 4yourCNA. Los he visto muchas veces, sobretodo los mas dificiles y ya entiendo a Patty.. Jajajja. Gracias por proporcionarnos esta gran ayuda. Mi examen es el viernes 12.
+Soe Cruz We are very happy that you are finding our videos helpful! Best of luck on your test!
Thanks very much. I passed today. Skills Perform Passive Range of Motion to Elbow and Wrist, Feed the Resident in a Chair and Assist a Resident with a Bedpan
and in the written exam... just fail in 5
+Soe Cruz Congratulations! Very happy for you! Best wishes in your new career! :-)
Thank you......very much
You must wash your hands AFTER your opening (the privacy curtain and bed controls are dirty) but BEFORE you get your clean supplies (have to have clean hands to touch clean supplies). Your gloves go on AFTER all preparations have been made and immediately BEFORE touching the patient so that you do not contaminate the gloves. Remember, everything that you touch with your gloves will contaminate the gloves, then you pass that contamination on to the patient! :) Thanks for the question!
The order does not matter for the exam. Every case will be different. Please remember that every patient is an individual and their care will NEVER be EXACTLY the same from patient to patient. Every patient will have a care plan that indicates what tasks you are supposed to do and if there are any special instructions. Don't get so involved in the technical details that you lose sight of the greater performance of the skill. You are cleaning the tube and the skin around the tube.
@Vannatyc1 Using the "leaves" or corner method ensures that you are cleaning the tubing with a clean area of the washcloth with each stroke. Using a mitt does not get the same results. Since the standard is to use a clean area of the washcloth for each stroke during testing, this method is much more acceptable. Thank you for your comment!
Am a nurse here in Italy am really looking forward to do this exam too CNA
You can never go wrong with attending an accredited university or community college. I have heard in some places nursing homes may offer a CNA course if you sign a contract. But like I said accredited schools always a good route because certificates and degrees are accepted almost anywhere, besides you have to have so many experience hours and to pass a state exam to be certified.
Siderails may not be available for the exam and even if they are used, their use is not graded, which means that you have to provide care safely as if they were not in place. This is why it is important to scoot the patient toward you and roll them to the center of the bed. If you put your gloves on earlier, you will contaminate the gloves with everything you touch which will spread the contamination to the catheter and peri area. It is best to follow the example in the video to pass. Thanks.
Congratulations on your certification! I am so proud of you and wish you the best of luck in your new career! We are so happy that you found our videos helpful...please tell others!
I have no idea which points you are referring to. I can only assume that bolded items indicate important points that should not be missed. Good luck!
You don't HAVE to speak like me...but it helps! :) It is important to let the patient know exactly what you are doing to decrease anxiety. Everything I say has a purpose behind it (education, patient rights, safety, etc). This is the BEST way to perform the skills. Think of what you would want if you were the one laying in the bed scared, alone, sick and somene was going to do something to you. Treat the patient like you would want to be treated. Good luck!
Taking my test July 1 hope I pass 🤞🏽your videos really help as well
Thank you so much for your kind comment! We wish you the best of luck!
Since I do not know what your teacher taught you, I cannot help you make that decision. There are many ways to perform skills (no single right way), but our skills videos demonstrate all of the necessary procedures and infection control practices. I know that our videos are demonstrated according to current Florida state standards. However, your teacher may also have taught you correctly, although differently. Good luck!
This is definitely giving me confidence of passing my state board exam next month
+4yourcna Ms. Patty. thank you so much. I did have my doubts when i watched your videos but i took a leap of faith anyway. I needed help, and your videos did just that. I took my exam on the 24th of sept. and i passed. absolutely obliterated it. I would of been in a wreck if it werent for your vids. GUys. if you are testing in florida....study these vides. i had cat care, ROM shoulder and urinary drainage. did everything exactly as these vids and passed. Again, thank you Ms. Patty.
+Tawfiq Khan happy to hear you passed, I test tomorrow and was questioning a few things on this skill..... thank you for letting us know you preformed it the same way she did and passed in Florida, very helpful :)
Emily i doubt this will reach you in time. But the one thing you want to be wary about is time. I performed everything out of memory. didnt forget anything. but as i was so meticulous it ate my time. the proctors were kind to of rush me? through everything. Anyhow it helps to talk out loud despite looking funny. breathe too. when you find out that you passed treat yourself to some high caloric ice cream. you got this. all the best, Emily.
thanks girl! yesssss i passed yesterday! had cath care and she did have to remind me of my time as well..... but all went wel!!! :)
+Emily Williams what state u in
tested in FL
The best place to start is to find out what the licensing requirements are in your state. Contact friends and family in the medical field and ask for recommendations for schools. Call your local nursing homes and hospitals and find out what schools they hire from. Enroll in a class and take your test! These videos will help you prepare for the exam. Some states allow "challenging" the exam, but all CNAs shoud have some formal training to gain skills not taught here! Good luck!
wow.. this is pretty cool! Im going to be a CNA and this stuff is great!
We are very happy that you are finding our videos helpful! Please tell others! Best of luck!
@JackTheHopeful Thank you for your comment! Every teacher will have their own way of teaching cleaning processes and will present infection control principles just a little differently. The only items that NEED to go into the toilet are body substances. Cleaning water can be dumped into the sink. These are Florida state standards. Your instructor may have students dump everything into the toilet rather than having them reason out what can't go in the sink...lol. Thanks!
The way demonstrated in the video is the correct way to perform catheter care in Florida. You will wipe the catheter from body outward 4 times and rinse the catheter using the same technique 4 times. You will clean the female peri-area (front) using peri-care technique. You do not need to clean the buttocks for the exam, just the tubing and the front anatomy. Good luck!
It's proper body mechanics. Which is something that is constantly stressed working in this field, and is documented in the skills book as well.
+Ronita Reed Because it is not required on the state exam, it is not performed in the video. These videos reflect testing checkpoints only and are NOT to be considered a sole source of CNA education, but rather an informative example of testing standards. If you wish to raise the bed to perform this skill, then please do so - but don't forget to lower it at the end of the skill. As not all beds in all settings are able to be raised (home care, assisted living facilities, low-income residential facilities, etc.), you will not always have the ability to raise the bed to a comfortable working height. Since you cannot raise the bed in all settings, it is not REQUIRED for the exam, and therefore not shown in the video. Your nursing assistant training program, taught by an RN, will discuss variations of skills based on different settings and individual patient needs. We do not show every possible variation of the skill - these videos are ONLY designed to prepare you for what to expect on the state exam.
meanwhile: 3 call bells are going off, the nurse is asking you about vitals, and the patient in 15 is crawling out of bed... 😂
holy habakkuk!! 😆😅
Preach it 🙌 lol
Lolll that happen last night,omg
For the purposes of the exam, the voice of the manikin will be provided by the evaluator. In this video, there is no evaluator, therefore, no responding voice. However, I proceed to give students an opportunity to hear appropriate interaction between a healthcare worker and a patient, in a manner consistent with testing standards. Thank you for your comment.
You forgot to practice Body Machanics...Like raising the bed to the most comfortable working position and not throwing out your back. Other then that very helpful and clear! :) -An Oklahoman CNA Student.