New York CNA flashcards
New York CNA · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Hand hygiene indications
- Perform hand hygiene before and after every resident contact, after removing gloves, and after contact with body fluids. Gloves never replace handwashing.
- Bed bath washing order
- Wash the face and neck first, then arms, chest, abdomen, legs, back, and perineum last. Change the water when it becomes cool or soiled.
- Denture care steps
- Remove dentures with gauze or a washcloth to prevent slipping, clean them over a basin filled with water, and store them in a labeled cup covered with water.
- Occupied bed making
- Keep the far side rail up, roll the resident toward you to loosen linens, never pull the resident across the bed, and lower the bed when finished.
- Intake and output units
- One ounce equals 30 mL and one cup equals 240 mL. Record all oral fluids taken and urine output in milliliters on the flow sheet.
- Radial pulse counting
- Count the radial pulse for 30 seconds and multiply by two, or count a full minute if irregular. Normal adult rate is 60 to 100 beats per minute.
- Dressing a weak resident
- Dress the affected or weak arm first and undress it last. Clothing is removed from the strong side first to avoid straining the weak limb.
- Urinary drainage bag placement
- Keep the Foley bag below the level of the bladder and off the floor to prevent urine backflow and infection. Empty it when full per policy.
- PPE removal order
- Remove gloves first, then goggles, then the gown, then the mask. Perform hand hygiene immediately after removing all personal protective equipment.
- RACE fire response
- Rescue anyone in immediate danger, sound the Alarm, Contain the fire by closing doors, then Extinguish the fire or Evacuate as directed by facility policy.
- PASS extinguisher use
- Pull the pin, Aim at the base of the fire, Squeeze the handle, and Sweep side to side while standing a safe distance from the flames.
- Seizure care actions
- Move objects away, protect the head, loosen tight clothing, do not restrain the resident or put anything in the mouth, and time how long the seizure lasts.
- Choking adult response
- Encourage coughing if the resident can. Otherwise give abdominal thrusts. If the resident becomes unresponsive, lower them to the floor and start CPR.
- Actions after a fall
- Do not move or lift the resident. Stay with them, check for injury, keep them warm, and call for the nurse immediately while documenting the event.
- Standard precautions scope
- They apply to every resident regardless of diagnosis. Use gloves for body fluids, gowns for splashing, and hand hygiene between residents and between tasks.
- Restraint use rules
- Use only with a physician's order for a specific reason, choose the least restrictive device, release and check circulation per policy, and never use as punishment.
- Fowler's position angles
- Semi-Fowler's is about 30 degrees elevation, standard Fowler's is 45 to 60 degrees, and high Fowler's is 60 to 90 degrees. Used for eating and breathing difficulty.
- Aspiration precautions at meals
- Sit the resident upright at about 90 degrees, offer small bites, encourage a chin tuck, and keep them upright for at least 30 minutes after eating.
- Gait belt placement
- Place the belt snugly around the waist over clothing and hold it during transfers. Ambulate on the resident's weaker side and follow the ordered weight-bearing status.
- Logrolling technique
- Keep the head, neck, and spine aligned, place a pillow between the knees, and turn the resident as one unit with enough staff to prevent injury.
- Daily fluid requirement
- Most adults need about 1500 to 2000 mL of fluid daily unless restricted. Report intake under 500 mL per shift or dark, concentrated urine.
- Pressure injury prevention
- Reposition the resident at least every two hours, keep skin clean and dry, inspect bony areas, and use pressure-relief devices as ordered in the care plan.
- Passive range of motion rules
- Support the joint, move it gently to the point of resistance, never force it, and stop the exercise if the resident reports pain.
- Reportable urine output
- Report urine output below 30 mL per hour or less than 500 mL in 24 hours, along with any inability to eat or drink, to the nurse promptly.
- Right to refuse care
- A resident may refuse any care, treatment, or food. Do not force it; notify the nurse, document the refusal, and offer the care again later.
- Confidentiality rule
- Share resident information only with the care team. Do not discuss residents in hallways, elevators, or with family members who are not involved in their care.
- Communicating with aphasia
- Speak slowly using short sentences, ask yes or no questions, use pictures or gestures, and allow extra time for the resident to respond without interrupting.
- Clock method for food
- Describe the position of food on the tray using clock positions, such as carrots at 3 o'clock, so a visually impaired resident can locate each item.
- Hearing-impaired communication
- Face the resident in good lighting, reduce background noise, speak clearly at normal volume, and avoid shouting or covering your mouth while talking.
- Meaning of a DNR order
- A valid do-not-resuscitate order means CPR is not started if breathing and heartbeat stop. Continue comfort care and notify the nurse immediately.
- Ombudsman role
- A trained advocate who investigates complaints made by or for residents in long-term care and helps resolve problems without retaliation against the resident.
- Knock and announce routine
- Knock, wait for permission to enter, state your name and purpose, and address the resident by their preferred name before beginning any care task.