Hearts in Training is a Dallas Nurse Aide School. We Prepare Nurse Aides / Nursing Assistants to Test for CNA Certification in Texas.
State Skills Test Overview
The state skill test includes: (5) randomly selected skills, out of a total of (34) skills.
(2) of the skills you will be tested on are: Handwashing, and Communication, leaving (3) skills to be tested on .
You may fail (1) of the (5) skills and still pass the skills test, meaning,
(4) of the (5) skills MUST be successfully completed and passed.
You will take the Skills Examination first. After you pass the Skills Examination, you will be permitted to take the Written (or Oral) Examination. The Skills Examination is a state-developed test. The skills tested are selected from a checklist of thirty-four (34) skills in the Texas Curriculum for Nurse Aides in Long-Term Care Facilities. You must pass both parts in order to be certified and listed on the Texas Nurse Aide Registry. These skills are randomly chosen from the complete Skills Listing. Each skill represents a task that you will be askedto perform in your job and has been broken down intoa series of steps. All skills have Critical Element Steps(highlighted in bold type on the skills listing). Critical Element Steps are important steps that must be performed correctly in order for you to pass the skill. A trained Nurse Aide Evaluator from the state will rate your performance of the skills. If you make a mistake, tell the evaluator, and you will be allowed to go back and begin from where you think you made the error. You have one opportunity during each skill to correct a mistake. Once you begin a new skill, you may not go back to a previous skill. The Nurse Aide Evaluator will not answer questions during the Skills Evaluation and will not tell you if you performed a skill correctly. You may not receive help from anyone during the Skills Evaluation. If you do have any questions, please ask them before the Skills Evaluation begins After the Skills Examination, you will be told whether you have passed or failed. The nurse aide evaluator will discuss your results with you, and you must sign the Candidate Performance Summary Sheet. You will receive a copy.
Resident Care Supply List
Resident Room Adequate space, lighting and ventilation A sink with hot and cold running water. Hospital bed with regular mattress, and side rails (Electric /manual) Over-bed table Bedside table (night stand) Call light (may be simulated) Chair Soiled linen container Provisions for privacy: curtain or screen Lamp Wastebasket with plastic liner (1) by each bed, and sink Supportive devices (pillows, blanket rolls, wedges)
Toileting Supplies Bedpan (standard) 2 per candidatescheduled Toilet tissue Catheter Incontinence briefs / underwear Peri wash and wipes, if used by facility Urinary drainage bag Alcohol wipes Leg band to secure catheter or tape Urinal Toilet / Bedside Commode Urine collection device Incontinent pad or draw sheet Measuring and Recording Supplies Digital thermometers Probe covers (disposable if used by facility) Scale (non-digital stand-up scale) Device for measuring height (device attached to scale) Sphygmomanometer Stethoscope (may use teaching version w/ dual earpiece) Blood pressure cuff / 1 XL for usage Clock preferred or Wrist Watch with second hand Measuring container (graduated - at least 250 ml 's/cc 's units clearly visible) Linens Pillowcase, top and bottom sheets (3 sets per testing) Blanket or bed spread Covered pillows for positioning (minimum of 4) Underpads (disposable, reusable, or towel, 2 per testing) Lift Pad Clothing Undershirt Pants (sweat suit or elastic waist pants) Button front shirt Socks Non-skid foot wear / Slippers Underpants Bra or camisole Gowns and bedclothes Knee-high elastic stockings(1 stocking per testing) Soft mittens Mouth Care Supplies Emesis basin for spitting Toothbrush Toothpaste Dental floss Denture container with lid Denture cleaner Full set of real dentures Mouthwash and swabs for oral care Lubricant (lip balm) Bath Supplies Bathtub and shower (in clinical setting) Bath Basin (4 per testing) Soap, regular and/or rinse-less type Soap dish Bath thermometer Bath mat Robe Deodorant Shower chair Shower cap Shampoo Towels 2 per candidate scheduled Washcloth (3 per candidate scheduled) Bath blanket (optional- sheet may be used) 2 per testing Grooming Supplies Combs Brushes Curlers Nail clippers Nail file or emery boards (4-6 per testing) Orangewood stick (nails) Oil or Lotion, in pump container (hypoallergenic & 1 bottle per testing unscented) Skin bracer or after shave lotion, if indicated Shaving cream/lotion Safety or disposable razors Electric shaver Shampoo Blow dryer Pail Water proof sheets or Rinsette Large pitcher Mirror Hair accessories Nutrition Supplies Dishes Dish covers Meal tray with client's name on meal card (1 pertesting) Clothing protector (napkin or bib) Spoon, knife and fork, including common assistive devices Water pitcher Drinking cup (disposable) Straws Food (typically be eaten with spoon-no finger food) Napkins/Paper Towels (4-6 per testing) Ambulation /Transfer Supplies Cane Transfer (gait) belt Crutches Mechanical lift Walker Trapeze Wheelchair with footrests and brakes Miscellaneous Facial tissues Pencil and paper for candidate's recording Paper towels dispenser / hand soap Infection Control Disinfectant for cleaning supplies Alcohol and cotton swabs Plastic bags (for wastebasket) 2 per each wastebasket Gloves, large, disposable (3 per candidate scheduled) Gloves, large, disposable non-latex (3 per candidate scheduled) Gown, Isolation (long sleeve & waist ties-(2 cloth or disposable) Hand Sanitizer (1 container per testing) Hand Wipes (may use washcloth) 2 per candidate scheduled Antimicrobial spray/Wipes (1 container pertesting) Special Items Foot board Foot stool or ottoman Hand rolls Heel and elbow protectors Over-bed cradle (optional) Positioning devices Pressure relieving mattress Teaching supplies Charts forms (e.g., ADL flow sheets) Medical dictionary Weights and measures equivalence chart Incident / Accident Forms Turning schedule Mannequin with removable catheter Water coloring (to tint water for Urinary Output- (coffee, tea or soda)
STATE OF TEXAS SKILLS
1. Handwashing 2. How To Start Conversations and Send Messages 3. Communicating With Residents Who Have Vision Loss 4. Communicating With Residents Who Have Hearing Loss 5. Communicating With Residents Who Have Problems With Speech 6. Assisting Residents Who Have Memory Loss, Confusion or Understanding Problems 7. Assisting Residents Who Are Demanding or Angry 8. Moving the Helpless Resident to the Head of the Bed With One Assistant 9. Assisting Resident to Sit Up on Side of Bed 10. Assisting the Resident to Transfer From Chair to Bed or Bed to Chair 11. Assisting the Resident With Ambulation 12. Making the Unoccupied Bed 13. Making the Occupied Bed 14. Tub or Shower Bath With Shampooing the Hair 15. Perineal Care/Incontinent Care--Female With or Without Catheter 16. Perineal Care/Incontinent Care--Male With or Without Catheter 17. Back Rub 18. Brushing the Teeth 19. Denture Care 20. Mouth Care of Dependent Resident 21. Shaving the Male Resident--Safety or Disposable Razor 22. Shaving the Male Resident--Electric Razor 23. Hand and Fingernail Care 24. Foot and Toenail Care 25. ------DELETED----------- 26. Oral Temperature/Pulse/Respirations 27. Axillary Temperature/Pulse/Respirations 28. Rectal Temperature/Pulse/Respirations 29. Blood Pressure 30. Weight of Ambulatory Resident 31. Range of Motion (ROM) Exercise for Right or Left Upper Extremity 32. Range of Motion (ROM) Exercise for Right or Left Lower Extremity 33. Assisting With Dressing, Hair Combing and Application of Prosthetic Devices 34. Complete Bed Bath 35. Feeding the Dependent Resident (Offering Food and Fluids) 36. Turning Resident on His Side Toward You37. Assisting Resident with Use of Bedpan
These guidelines are especially helpful if you need further assistance in understanding of one of the (34) skills.
Procedural Guidelines Pages 1. Fainting and Syncope 51 2. Falls and Suspected Fractures 52 3. Seizures 54 4. Application of Cold Packs to Strains & Bruises 56 5. Vomiting and Aspiration 58 6. Clearing Obstructed Airway (Heimlich Maneuver) 59 7. Handwashing 62 8. Personal Protective Equipment(PPE) 63 9. Isolation Precautions 66 10. Communication and Interpersonal Skills 69 11. Body Mechanics for Nurse Aides 74 12. Positioning Residents 75 13. Turning Resident on Side Toward You 78 14. Moving Resident in Bed 81 15. Assisting Resident to Sit Up on Side of Bed 84 16. Assisting Resident to Transfer to Chair/Wheelchair 86 17. Ambulation and Ambulation Aids 89 18. Making the Unoccupied Bed 92 19. Making the Occupied Bed 94 20. Tub or Shower Bath 96 21. Complete Bed Bath 98 22. Partial Bath 101 23. Bedpan and Urinal 103 24. Perineal /Incontinent Care-Female (With or Without Catheter) 106 25. Perineal /Incontinent Care-Male (With or Without Catheter) 108 26. Back Rub 110 27. Brushing the Teeth 112 28. Denture Care 114 29. Special Mouth Care 116 30. Hair Care 118 31. Shampooing the Hair 120 32. Shaving the Resident 122 33. Hand, Foot and Nail Care 124 34. Dressing and Undressing the Resident 126 35. AM Care/PM Care 128 36. Assisting with Meals 130 37. Feeding the Dependent Resident 133 38. Syringe Feeding the Resident 136 39. Serving Fresh Drinking Water 139 40. Intake and Output (I & O) 141 41. Indwelling Urinary Catheter Care 143 42. Urine Specimen Collection 145 43. Stool Specimen Collection 148 44. Soft Restraints (Mitt and Vest) 150 45. Temperature (Oral, Axillary and Rectal) 153 46. Pulse and Respiration 158 47. Blood Pressure 160 48. Height and Weight 163 49. Observing and Reporting Summary 165 50. Postmortem Care. 167 51. Range of Motion (ROM) Exercises 169 52. Assisting Psychosocial Needs 172 53. Assisting Specific Behavior Problems 176 54. Assisting with Cognitive Impairment 180