Wyoming CNA flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Right to refuse treatment

Residents may decline any care, food, or medication. The CNA stops, tells the nurse, documents the refusal factually, and never forces or threatens the resident.

Restraint-free care rule

Physical or chemical restraints require a physician's order, must be the least restrictive option, and are never used for convenience, discipline, or staffing shortage.

Mandatory abuse reporting

Any CNA who suspects physical, sexual, verbal, or financial abuse or neglect must report it immediately to the charge nurse and under Wyoming law.

Resident right to privacy

Knock and announce before entering, close the door or curtain for care, keep the body draped, and never discuss a resident's medical information outside the care team.

RACE fire response

Rescue anyone in immediate danger, pull the Alarm, Contain the fire by closing doors, then Extinguish or Evacuate. Elevators are never used during a fire.

Adult CPR compression ratio

For one- or two-rescuer adult CPR, give 30 chest compressions then 2 breaths, at 100 to 120 compressions per minute and a depth of at least 2 inches.

Seizure safety actions

Ease the resident to the floor, protect the head, loosen tight clothing, put nothing in the mouth, time the seizure, and turn the resident to the side afterward.

Fall prevention checklist

Before leaving the room: bed lowest, wheels locked, call light within reach, non-skid footwear on, path clear, and personal items placed within the resident's reach.

Chain of infection links

Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host. Hand hygiene breaks the most common link, transmission on hands.

Soap and water priority

Use soap and water rather than alcohol rub when hands are visibly soiled or after caring for a resident with Clostridioides difficile, because alcohol does not kill spores.

PPE removal order

Remove gloves first, then goggles, then gown, and the mask last, with hand hygiene afterward; the outside of gloves and mask is contaminated and must not touch skin.

Bath water temperature

Use water at about 105 degrees Fahrenheit, or 40.5 degrees Celsius. Test it with a thermometer or the inner wrist and never leave the resident alone in the tub.

Perineal care direction

Wash from front to back with one stroke per washcloth, cleaning the urethral area first, so fecal bacteria are not moved toward the urinary meatus and cause infection.

Denture care steps

Remove dentures, brush them over a sink lined with a towel or filled with water, rinse, store them in a labeled cup of water, and report any mouth sores.

Normal adult vital ranges

Oral temperature 97.6 to 99.6 Fahrenheit, pulse 60 to 100 beats per minute, respirations 12 to 20 per minute, blood pressure under 120 over 80, oxygen saturation 95 to 100 percent.

Counting respirations

Count breaths without telling the resident, keeping fingers on the wrist as if still taking the pulse. Count for 30 seconds and double, or a full minute if irregular.

Blood pressure cuff placement

Wrap the cuff on the bare upper arm about one inch above the elbow, with the bladder width near 40 percent of arm circumference and the arm supported at heart level.

Pulse deficit calculation

Apical pulse counted by stethoscope for a full minute minus the radial pulse counted at the same time. A deficit means some beats do not create a peripheral pulse.

Aspiration warning signs

Coughing, choking, a wet or gurgling voice, tearing eyes, and trouble breathing during a meal signal aspiration. Stop feeding, sit the resident upright, and notify the nurse.

Dysphagia feeding rules

Position the resident upright at 90 degrees, give small bites, allow full chewing, offer thickened liquids as ordered, check the cheek for pocketing, and keep the resident upright 30 minutes.

Intake and output recording

Record all oral fluids and all urine, vomitus, and drainage in milliliters. Report urine output below 30 milliliters per hour or under 300 milliliters in 8 hours.

Bedpan use basics

Warm the pan with water, raise the head of the bed, slide the wider end under the buttocks, provide privacy, stay nearby, and remove the pan promptly when finished.

Urine specimen collection

Collect a clean-catch midstream specimen in a labeled container, note the time, and deliver it promptly. Report cloudy, bloody, or foul-smelling urine to the nurse.

Catheter bag positioning

Keep the drainage bag below bladder level and off the floor, route the tubing without kinks or loops, and empty the bag when it is about half full.

Repositioning schedule

Turn and reposition an immobile resident at least every 2 hours, support the body with a 30-degree lateral tilt or pillows, and check the skin for redness at each turn.

Gait belt transfer steps

Apply the gait belt snugly over clothing at the waist, lock the bed and wheelchair, stand in front or on the weak side, and pivot the resident toward the strong side.

Body mechanics for lifting

Stand with feet shoulder-width apart, bend the knees not the back, hold the load close to the body, tighten the abdominal muscles, and never twist while lifting.

Objective documentation rules

Chart what you saw, did, and were told in factual, measurable terms; sign with name and title; record promptly; and never white-out or chart care you did not give.

Communicating with aphasia

Speak slowly in short sentences, ask yes-or-no questions, allow extra time for a response, and never finish the resident's sentences or pretend to understand.

Redirection in dementia

When a resident with dementia is upset, acknowledge the feeling and then shift attention to a simple pleasant activity, such as folding towels, instead of arguing about the confused statement.

Behavior as communication

Agitation, hitting, or calling out often signals an unmet need such as pain, hunger, a full bladder, noise, or fatigue. Look for and remove the trigger first.

Suicidal statement response

Take any talk of self-harm seriously, stay with the resident, move dangerous items out of reach, and notify the nurse immediately without promising to keep it secret.