Vermont CNA (LNA) study plan
Vermont CNA (LNA) · Give each week a clear focus.
8 weeks · About 7 hours per week
Personal Care and Activities of Daily Living
Demonstrate the correct step-by-step sequence for a complete bed bath, including perineal care, on a skills checklist.
Identify at least 10 dignity, privacy, and safety points to maintain while bathing, dressing, and grooming a resident.
Practice oral care, denture care, and foot and nail care procedures in the lab setting.
Describe how to adapt ADL assistance for a resident with limited mobility, cognition, or one-sided weakness.
Explain how to observe and report skin redness, breakdown, or changes during personal care.
Your checkpoint
Completed skills checklist for bed bath, perineal care, oral/denture care, and dressing, self-scored at 90% or more of steps correct.
Personal Care and Activities of Daily Living & Safety, Emergency Response, and Infection Control
Perform dressing, grooming, and toileting assistance steps in the correct order without prompting.
Demonstrate hand hygiene, glove use, and correct donning and doffing of PPE according to standard precautions.
List the links in the chain of infection and name one intervention that breaks each link.
Identify at least eight fall and environmental hazards in a resident room and state the correction for each.
Describe the first actions to take for choking, severe bleeding, fainting, and seizure activity.
Your checkpoint
Written 30-item safety and infection-control scenario quiz scored at 80% or higher, plus PPE skill sign-off.
Safety, Emergency Response, and Infection Control & Positioning, Mobility, Transfers, and Safe Handling
Demonstrate three safe transfers using a gait belt, including pivot transfer, slide board, and mechanical lift.
Apply correct body mechanics while lifting, reaching, and repositioning a resident in bed.
Position a resident in supine, lateral, and Fowler's positions with proper body alignment and pillow placement.
Describe the correct response to a resident fall, including not moving the resident and reporting immediately.
Demonstrate wheelchair safety checks, including locking brakes and positioning footrests before transfer.
Your checkpoint
Return demonstration of three transfers and three positions signed off on the skills checklist by an evaluator or study partner using the checklist criteria.
Role of the Nurse Aide, Communication, and Interpersonal Skills & Resident Rights, Independence, and Ethical Practice
Describe the LNA scope of practice and list at least five tasks or findings that must be reported to the nurse.
Demonstrate active listening, clarification, and an SBAR report to the nurse in a role-play.
Identify each resident right and give one concrete example of what would violate it.
Explain how to promote resident independence and choice during daily care routines.
Describe the ethical steps to take when a resident refuses care or voices a complaint.
Your checkpoint
Pass a 40-question combined domains 1 and 3 exam at 80% or higher and deliver one SBAR report scored complete on all four components.
Nutrition and Hydration & Vital Signs, Observation, and Reporting
Measure and record fluid intake and output accurately for a simulated 24-hour period.
Identify at least five signs of dehydration and the immediate response to suspected aspiration during a meal.
Describe common therapeutic diets and demonstrate feeding assistance for a resident with dysphagia, including positioning and pacing.
Measure and record temperature, pulse, respiration, blood pressure, and pulse oximetry within acceptable accuracy on three practice runs.
List which vital sign values must be reported to the nurse immediately and why.
Your checkpoint
Ten practice vital sign sets recorded within acceptable range plus a 25-item nutrition and vital signs quiz scored at 80% or higher.
Elimination and Toileting Assistance & Restorative Care and Range of Motion
Demonstrate assistance with bedpan, urinal, commode use, and incontinence care in correct sequence.
Describe how to collect a clean-catch urine specimen and a stool specimen without contaminating the sample.
Identify signs of urinary tract infection, constipation, and impaction that must be reported.
Perform passive range of motion for the major joints in the correct sequence and within safe limits.
Describe restorative care principles, including encouraging self-care and using adaptive equipment.
Your checkpoint
Elimination care and full range-of-motion return demonstration signed off, plus a completed bowel and bladder observation log for two simulated residents.
Role of the Nurse Aide, Communication, and Interpersonal Skills & Safety, Emergency Response, and Infection Control & Resident Rights, Independence, and Ethical Practice & Personal Care and Activities of Daily Living & Nutrition and Hydration & Elimination and Toileting Assistance & Positioning, Mobility, Transfers, and Safe Handling & Restorative Care and Range of Motion & Vital Signs, Observation, and Reporting
Review every missed question from weeks 1 through 6 and rewrite each as a corrected learning note.
Complete a 60-question mixed-domain practice exam under timed conditions.
Re-demonstrate any skill still unsigned on the checklist until it is performed correctly.
Write and review three written scenario responses that combine domains, such as a fall during a transfer or choking at mealtime.
Your checkpoint
Timed 60-question mixed practice exam scored at 75% or higher with a completed error-analysis sheet listing each missed item and its correction.
Personal Care and Activities of Daily Living & Safety, Emergency Response, and Infection Control & Positioning, Mobility, Transfers, and Safe Handling & Vital Signs, Observation, and Reporting
Complete two full-length practice exams under exam conditions.
Recite from memory key numbers, including normal vital sign ranges, intake and output norms, and repositioning intervals.
Perform every skills checklist item at speed while maintaining accuracy and safety.
Build a one-page personal summary sheet of the most frequently missed concepts.
Your checkpoint
Two full-length practice exams scored at 85% or higher and a finished one-page summary sheet reviewed aloud.
Milestones
Week 4: Score 80% or higher on cumulative quizzes for domains 1, 3, and 4, and confirm that all personal care, transfer, and positioning skills are signed off.
Week 6: Score 80% or higher on nutrition, vitals, elimination, and restorative care quizzes, and have every elimination and range-of-motion skill signed off.
Week 7: Complete the timed 60-question mixed exam at 75% or higher with no skill item still unsigned on the checklist.
Week 8: Both full-length practice exams scored at 85% or higher, every skills checklist item signed off, and the one-page summary sheet completed.