ASSIST A RESIDENT WITH A BEDPAN, MEASURE AND RECORD OUTPUT WITH HAND WASHING (one of the possible first mandatory tasks)
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Gather supplies.
4) Provide privacy for the resident; pull the privacy curtain.
5) Put on gloves.
6) Position the resident on a standard bedpan/fracture pan with the pan in the correct orientation and using the correct body mechanics.
7) Raise the head of the bed.
8) Leave tissue within reach of the resident.
9) Leave the call light or signaling device within reach of the resident.
10) Step away from the resident until the RN Test Observer identifies that the resident is finished.
11) Upon returning, lower the head of the bed.
12) Gently remove the bedpan.
13) Hold the bedpan while the RN Test Observer pours fluid into the bedpan.
14) Place the graduate on a flat surface for reading output at eye level and pour fluid into the graduate.
15) Empty the graduate into the designated toilet.
16) Rinse and dry the bedpan and graduate, and return to storage.
17) Obtain a wet washcloth and wash/assist the resident in washing hands.
18) Dry/assist resident to dry hands.
19) Place soiled linens in a designated container.
20) Remove gloves, turning them inside out as they are removed, and dispose of them in a designated container.
21) Leave the resident in a position of comfort and safety.
22) Record output on the provided, previously signed recording form.
23) The candidate's recorded output is within 25 mls of the RN Test Observer’s recorded output.
24) Open the privacy curtain.
25) Maintain respectful, courteous interpersonal interactions at all times.
26) Place the call light or signal device within easy reach of the resident.
27) Turn on water.
28) Wet all surfaces of hands BEFORE applying soap.
29) Wet wrists BEFORE applying soap.
30) Apply soap to wet hands.
31) Rub hands together using friction.
32) While hands are not under running water, rub hands together for at least 20 seconds.
33) Interlace fingers pointing downward.
34) Wash all surfaces of hands and wrists with soap.
35) Rinse hands and wrists thoroughly under running water with fingers pointed downward.
36) Dry hands and wrists with a clean paper towel(s).
37) Immediately discard paper towel(s) in a trash container.
38) Turn off the faucet with a clean, dry paper towel.
39) Do not re-contaminate hands at any time during the hand-washing procedure. (Using a wet paper towel to turn off the faucet is considered recontamination.)