CNA Skills – Bed Shampoo

CNA Skills – Bed Shampoo is a thorough cleansing of the hair and scalp with thick scalp lather applied with friction and rinsed with clean water. This procedure is done in bed.

The purpose of bed shampoo are the following:

  1. To cleanse the hair ans scalp
  2. To refresh the patient
  3. To complete treatment of pediculi
  4. To promote physical and mental comfort of the patient.

Precautions and Special Considerations in performing Bed Shampoo:

  1. Be sure the treatment is ordered by the doctor
  2. Avoid exposure of the patient and chilling
  3. Observe patient for sign of exhaustion
  4. Provide comfort for the patient during the procedure
Procedure Key Points
1. Bring all equipment needed near the bed To save time and motion
2. Screen the patient, close windows if necessary To provide privacy
3. Explain the procedure to the patient; take and record patient’s TPR To gain his cooperation
4. Loosen top sheet a and assist patient assume comfortable position To facilitate movement
5. If Kelly pad is available, protect bed with rubber sheet, use Kelly pad dropping free into pail. Place rolled edge of Kelly pad covered with towel under the patient’s head For comfort
6. Comb and brush patient’s hair and observe condition of scalp
7. Cover patient’s eyes with washcloth To avoid the soap from getting into the patient’s eyes
8. Plug patient’s ears with cotton To avoid water from getting into patient’s ears
9. Fill small pitcher with water Temperature may depend on patient’s tolerance
10. Pour warm water gradually over the hair wetting it thoroughly. Direct water away from patient’s ears and eyes
11. Pour small quantity of shampoo solution into palm of hand and apply it on hair
12. Massage scalp thoroughly with finger tips, with firm circular motions working up a good lather To bring out the natural oil
13. Rinse well To prevent dandruff
14. Repeat until hair is sufficiently clean
15. Rinse until hair is free from soap
16. Remove Kelly pad and drop it into pail
17. Cover the patient’s head with bath towel which was used to protect the neck and rub hair well To remove excess moisture
18. Place another bath towel under patient’s head
19. Comb hair and allow it to dry
20. When hair is dry, assist patient in fixing it

After Care:

  1. Take all used equipment
  2. Wring water from used towels and put them together with other soiled linens in the linen hamper
  3. Wash pitcher, pail, enamel and Kelly pad a with soap and water. hang Kelly pad to dry

Exam for CNA – Written and Skills

You have aced your theoretical aspect of your online CNA course. You have passed all the required training that comes with it. You have completed the number of hours needed. Now, would all of these things enough to call you a Certified Nursing Assistant or Nurse Aide? Can you have now your certificate? It is still definitely not enough. To be a Certified Nursing Assistant, it does not only end there. There are still a lot of things to be done and needs to be accomplished. Like every profession, every state needs to regulate whoever wants to be a part of their working force. They do this by issuing state regulated examination which suited whatever they required in a certain profession. This also applies to CNAs or Nursing Aides. They need to pass the required passing rate of the CNA exam provided by the state that they are applying for. The required passing rate, however, is different for every state. Therefore it is important that you get a lot of information first regarding the examination that was being provided by the place where you want to work.

Certification CNA ExamFor Certified Nursing Assistant, the examination that they need to take is the CNA certification exam or the Nurse Aide Assessment examination or also called National Nurse Aide Assessment Program (NNAAP). They need to be able to pass this in order to be enlisted in the Nurse Aide Registry of that certain state. This was being prepared by the National Council of State Boards of Nursing. It is composed of two parts: A written examination and a skills examination. Both of these examinations are done on the same day.

a. The written CNA exam: The written part evaluates the knowledge aspect. This assesses how much the applicant has learned during his or her course. It is a multiple-choice type of exam with an average of seventy questions.

b. The skills CNA exam:  This is a hands-on type of evaluation wherein the applicant needs to perform correctly five randomly selected skills that any nursing aide should know. It is observed and graded by a designated evaluator. It is time-framed, which is usually twenty-five to thirty minutes, and done in a place that resembles an actual working place. Some of the skills that could be selected and should be performed are:

1. How to take the blood pressure, the respiratory rate, pulse and weight of a patient
2. How to assist the patient in transferring or moving
3. Giving assistance is performing patient’s personal hygiene activities.

In the case where the applicant has not able to pass the examination, they are allowed to retake the exam for at least three times within two years from the time they had passed their course. However, if they still fail after the third try, they need to attend a retraining. Once they have passed the examination, that’s the time they can have their certificates and at last, can call themselves, a Certified Nursing Assistant.

There are lots of tips that can help you to pass the exam; however, nothing beats constant practice on how to take the exam and of course, fully preparing yourself physically, emotionally and spiritually.