Kate Dides: I live in Texas and I've never heard of the bed rails being a restraint. If
anything they're a measure of safety when moving patients. Imagine if they
accidentally fell off the bed while you move them? Oops. Should have put up
alan osgood: I take my test this month at a place called patty mac is this the same
place in the video? I heard the lady mention her name was patty
Zvezdan Gluhic: She forgot to lift up the side rails (patient secure) and forgot to lift
the bed to her appropriate height (she is bending her back) points would be
Jairo Barahona: KATE DIDES BUT HERE IN FLORIDA YOU CAN'T RAISE UP THE BED RAILS IT'S LIKE
A RESTRAINT, UNLESS IS REQUIRED IN THE CARE PLAN
blu3_igu4n4: 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.
Mike Leader: I live in Michigan. Here it depends on what type of facility you're working
in. If it's a Nursing Home and ran by the State, bed rails can be
considered restraints. If you work in a private facility, I find they tend
to want you to put rails up. They aren't ran by the state, and don't have
to fear getting a fine for using said restraints. However, that's Michigan.
It is most likely different state by state.
However, I had noticed that our instructor had show us when doing this task
to empty, and use an alcohol pad on the end of the exit point of the cath.
before closing it. I'm just curious if that's considered part of cath.
care? Or would it just be emptying a cath?
yuyu Delv: Patient care tech & Medical assistance: CNA Qualification & Requirements.
alan osgood: quick question for anyone who knows.Should you roll the patient/resident
away from you as preformed in the video or toward you? In class we were
taught to do it toward you and ask examiner to hold patient because its
"safer" and im taking my test in about a week i want to know the current
way for my test and for the future......
Paqe: Ok I do want to clear something up here for some viewers ,the side rails
are a restrain if you put them up but not those rails that are to the head
of the bed but those that are on the middle of the bed,hospital beds have
both of those rails, in test we didn't have rails so you don't have to
worry about it
Paqe: 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!!!
1) forgot to get the hamper
2) You didn't check to see if the wheel on the bed where in lock position,
you also didn't raise the bed to the proper height level, which is hip
3) Prior to placing the chuck pad you was suppose to raise the left side
rail to prevent to pt for falling out of the bed.
4) The entire skill on the this video was done wrong....Failllllllll
4yourCNA: Think about how you would feel as a patient, not knowing what a stranger is
doing to you, especially when you have your genitals exposed? Talking to
the patient, telling them what to expect (what you are going to be doing to
them) will help relieve some of this anxiety. Doing this skill without
explanations is rude and a violation of basic rights. Think of things from
the patient's point of view, not your own. Good luck.
4yourCNA: Congratulations! Best of luck in your new career!
4yourCNA: Thank you for your comment!
Brooke M: for testing do u get the supplies before or during the skill ?
912ronan: hey guys do you guys know any C N A school in houston tx
bemindful24: Did you wash the patient anus and gluteus ?
Brooke Conard: This was helpful, but it was different than what my teacher taught me,
which should i do
4yourCNA: You may raise the bed up to a comfortable height, but it is not required.
If you do raise the bed to a comfortable height, you MUST lower it to the
lowest position at the end of the skill or you may fail because an elevated
bed is a safety risk. Raising the bed to a comfortable height is optional
for the skill (not a graded point) because not every bed in healthcare is
adjustable (think home care and assisted living - regular beds). Good luck.
Elaine Paneca: hi i live in kentucky i see all your videos but am confused you dont raise
up the bed and not use rails
4yourCNA: Getting permission is ALWAYS addressed during the opening. Listen closely
to the opening when I describe what will be done and ask if that is okay.
ID bands are not tested for the exam because they are not always present in
every setting (home care, assisted living and some nursing homes won't use
them) and when they are used they are often wrong. The FEDERAL standard is
that patient identification should be obtained verbally by addressing the
patient by name. Good luck!
tjcp32289: Ok thanks
4yourCNA: Congratulations! Best of luck in your new career!
4yourCNA: 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!
4yourCNA: 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!
Salvacion Acoff: Thank you so much..Its really help with me when i take an exam, I PASS THE
4yourCNA: For the clinical portion of the exam, peri care will only be demonstrated
on a female manikin because female patients have a higher risk of infection
and requires a specific cleaning procedure (top to bottom). Males do not
have the same infection risk (clean from top down in a circular motion).
However, all medical personnel should know the proper terminology for body
parts and this may be tested on the written portion of the exam. Good luck.
4yourCNA: No. This basin only held clean water (no used washcloths were placed back
into the basin), therefore clean water can be disposed of in the sink. Only
body fluids (urine, feces, wound drainage, emesis, sputum, etc) must be
disposed of in the commode. Since the basin did not hold any of these, the
contents may be disposed of in the sink. Good luck.
Anoop Kaur: Forgot to raise the bed!! u gonna get a backache! good job though :)
4yourCNA: 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
4yourCNA: Thank you so much for your kind comment! We wish you the best of luck!
Rebeca Parker: 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.
4yourCNA: No, checking the ID band is not graded for the exam because ID bands are
not used in many settings and are not the best way of ensuring proper
patient identification. Asking the patient what their name is, or
addressing them by name is acceptable for the exam. For the exam, the
patient will not have an ID band in place to check. We wish you great
success on Sunday! Let us know how you did!
MzMorningStarz: 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.
haven1019: Thank you miss patty and Mr/ms. Jones! i passed my CNA exam and demo last
august 31,2012.before i feel it so hard to memorize it step by step.but
when i saw you're videos.it helps me a lot.i watch you're videos for 3days
before my exam.i only watch cna skills performed by miss patty.the 21
skills. =) thank you.and now i will try to get a job and take my next exam
NCLEX.Godbless all of you! =)
4yourCNA: I own a school in Spring Hill Florida and teach classes there and online
(EKG, Phlebotomy theory, Home Health Aide) - these are located on our
website 4yourCNA (dot org). I cannot recommend any particular school for
training, but ask friends, family members, those in the medical profession
who they would recommend. Healthcare workers know the good schools...and
the bad ones! Good luck!
4yourCNA: 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!
Ryan Smith: THANKS YOU SO MUCH! I PASS MY CLINICAL SKILL EXAM PART!
4yourCNA: You are not required to raise the bed for the test. This is covered in our
classroom portion of the program. You may raise the bed to a comfortable
working height, if you wish, but you MUST return it to the lowest position
at the end of the skill. Since beds in home care, assisted living and some
nursing homes will not be adjustable, it is not always possible to raise
the bed. Good luck!
marielou forones: great videos.. I just want to know,on d exam do I have to speak like what
you did on ur videos? thnx and godbless..
4yourCNA: Patients should ALWAYS be turned away from the CNA. This promotes safety as
the CNA has more control. Having the patient face the CNA is also awkward,
since the patient may be face level with the CNA's crotch. The CNA would
have to reach over the patient to clean the buttocks, which means that you
will not have good visualization or cleaning techniques. Have the patient
scoot toward you then roll away from you to keep them in the center of the
bed to promote safety. Good luck.
4yourCNA: Take a standard square washcloth and fold it in fourths, holding it in a
diamond shape in the palm of your hand with the free edges pointed upward.
You can view more information on this technique by watching our
introduction video on Catheter care, located on our channel. Good luck.
Binkie Babee: 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.
4yourCNA: Congratulations! We are very happy that you found our videos helpful!
Please tell others! Best of luck in your new career!
SOUTHERNCLASSYCHICK: I have one question.. before i begin to roll the padding to put under the
patient, can i put on the gloves just to be safe just in case?
4yourCNA: No, this is not required for the exam. The care plan states that you should
wash the catheter tubing and peri area only. You would wash the anus and
backside during peri care because that area would have been contaminated
with urine (as it runs down) and must be cleaned, but with a catheter
collecting the urine, it is not necessary to clean the backside. Good luck!
Kim Kimmie: I'm so glad i stumbled upon your videos, i recently passed my cna test!!!
danielcow951: 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
sabrinastar2005: these video's are very helpful. Hopefully i can pass my state test
smorgan125: How are you folding the rag?
Holiday: We don\t make alot, but our group do get to travel frequently. Just this year we went to Bangkok to get pictures and their holiday schedules. We are still in a growing phrase so best we can aim for is break even. I think everyone have to overcome the same type of challenge when starting something new. Don\t give up!