Perform Catheter Care CNA Skill
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- Опубліковано 22 січ 2012
- A NEWER VERSION OF THIS SKILL CAN BE FOUND HERE: • Catheter Care CNA Skil...
THIS IS AN OLDER VERSION OF THIS SKILL. View how this skill should look when performing for the Florida CNA State Exam. View to proper way to clean a catheter and the skin surrounding the catheter, as well as viewing how to properly clean and store your supplies. This skill requires comprehension of infection control procedures to reduce the possibility of bacterial infection resulting in a urinary tract infection for the patient. Catheter safety is also demonstrated. This skill is one of the 21 testable skills on the Florida State CNA exam and is also used in RN and LPN training. Additional resources can be found at 4YourCNA.com.
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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 passed my state exam in Florida today because of your videos. Thank you!
Did you just watch the videos over and over ?
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.
Remember to always hand them the call light and check if the bed breaks are in check before starting the procedure especially involving the Privacy which she was correct on out of all I enjoyed watching this( and remember to check if the bed is in a low safe position)
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!
In 17 and in taking my CNA boards tomorrow and this really helped me a lot! Thank you so much.
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.
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!
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?
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!
Congratulations! We wish you luck in your new career! Thank you for using our videos to help you prepare for your test.
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 😟
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
Awww, you are so sweet! Thank you for the wonderful comment! Congratulations and best of luck to you in your new career!
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.
We are happy that you found our videos helpful!
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.......
Thank you for your wonderful comment and we are very happy that you are finding our videos helpful! Best of luck with your exam!
Watched all of the skills video for my test which was today and I aced it! Thank you ☺️
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I'm so glad i stumbled upon your videos, i recently passed my cna test!!!
We hope you did well on your exam! Best of luck in your new career!
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.
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.
My CNA test is tomorrow. So glad these videos are here to help me prepare before then.
Good luck on your exam, we are thinking of you! We wish you great success in your new career!
@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
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
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!
Congratulations! We are very happy that you found our videos helpful! Please tell others! Best of luck in your new career!
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! ;-)
Thanks 4Your CNA for all your instructional videos took my exam on Friday 8/29/14 and i passed both section. cheers
We wish you luck in your training!
Good luck on your exam! We hope you pass too! Best of luck 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!
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!
Thank you so much for your kind comment! We wish you the best of luck!
Yes, men are often employed in healthcare as CNAs and nurses. They are a valuable part of the healthcare team. Good luck!
I passed My exam because of you !!! Thank you so much!!!
Thank you for your comment! Our videos are based on Florida standards, but reflect basic nursing practices, which are universal. Good luck to you as you test tomorrow...we will be thinking of you!
Thank you for your wonderful comment! We are happy you are finding our videos helpful!
Thank you so much..Its really help with me when i take an exam, I PASS THE EXAM!!!
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
Congratulations! We wish you great success in your new career!
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!
Congratulations! Best of luck in your new career!
@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!
We are very happy that you are finding our videos helpful! Please tell others! Best of luck!
Your the best teacher hope ill remember everything I watched tnx
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
Thank you for your comment. To get help with a resume, you should locate your local career services center (I don't know what Maine calls them) but they will have free resume classes and other resources to help clients become employed. You can also do an internet search for resume samples and create a resume based on the samples. Good luck!
Thank you for your comment!
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!
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!
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 !
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.
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.
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.
Taking my test July 1 hope I pass 🤞🏽your videos really help as well
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!
Congratulations! We are so proud of you! Best of luck in your new career!
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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!
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.
THANKS YOU SO MUCH! I PASS MY CLINICAL SKILL EXAM PART!
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!
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.
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.
Thank you for the explanation.
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!
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!
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.
She is a perfect nurse👌💖
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!
@mmc26justme Good luck in challenging the CNA boards and congratulations on attending LPN school. It is acceptable to use the method demonstrated in this video for the Florida state CNA exam as it clearly uses a different area of the washcloth for each stroke, which is the main standard that they are evaluating (along with wiping from front to back). All of our students use this method with great success. Eventually, it will catch on and the mitt will be a thing of the past!
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!
wow.. this is pretty cool! Im going to be a CNA and this stuff is great!
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!
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!
Oh your so very welcome!
Congratulations! We are so proud of you! Good luck 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!
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!
Good luck!
These videos are prepared using Florida state standards and according to general nursing best practices. This procedure takes into account infection control principles, patient rights and safety concerns and will satisfy CNA testing requirements in most states. Instructors may demonstrate different techniques, but as long as these principles (infection control, safety and patient rights) are covered, it will meet the requirements. 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!
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.
I live, not lived, in Texas and yes a side rail is considered a restraint. Just as 4youCNA explain below, the same rules apply here in Texas. Some skills is different for each state. In this skill, we don't have to clean the vagina, just the catheter and we pour the water from the basin into the toilet, not the sink.
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.
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!
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.
these video's are very helpful. Hopefully i can pass my state test
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!
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.
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!
Yes, these skills are demonstrated according to Prometric testing standards (the checklist can be found on Prometric's website). If you follow these guidelines for your skills exam, your performance will meet or exceed Florida requirements. Please pay special attention to infection control standards, patient rights and safety when performing each skill. Pay close attention to what items are clean and dirty and what your hands are touching. Good luck!
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!
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!
This is definitely giving me confidence of passing my state board exam next month
CNA testing standards are uniform throughout Florida. These videos demonstrate all skills according to current Florida state standards. There are many acceptable variations, but I can only speak to our video demonstrations. It is up to you which method you use on the exam (the mitt is fine, as long as you can absolutely prove that you are using a different area of the washcloth for each stroke and it does not matter where the water is dumped, it only held clean washcloths!). Good luck!