Prometric Clinical Skills: What’s Covered in this CNA Examination?
The term “clinical skills” refers to the set of skills that one should possess as required in the execution of duties. In the case of nursing assistants or nurse aides, these are the skills they need to take care of the patients as part of their duties. These skills are evaluated as part of the Prometric CNA examination. It matters little whether you take the Prometric CNA NY exam or the Prometric Nurse Aide FL exam, or any of the other CNA examinations. All of them share a common set of skills to be tested and evaluated.
The first skill that is tested is how you wash your hands. Unlike the other skills, this one is not prompted by the examiner, as the examinee is expected to know not just how to wash his or her hands but also when it is appropriate to do so.
Throughout all the evaluations of skills that involve contact with the patient, you will be watched for the right behavior. These are rated under Indirect Care, which includes your ability for communication, regard and knowledge of patient rights, comfort, and safety. Even whether or not you greet your patient and introduce yourself is monitored.
Here is a list of many of the skills examined during a clinical skills test, along with some special notes:
- Ambulation using a gait belt – Be aware and ask if you patient feels dizzy, uncomfortable, or tired upon standing, and during ambulation.
- Bedpan – From positioning to disposal and cleaning.
- Catheter care – Check the hose for obstructions and kinks, and make sure it is off the floor.
- Measuring and recording urinary drainage bag contents.
- Changing the position of the patient – Explain to the patient and check padding.
- Changing the sheets on an occupied bed – Position patient safely to the nonworking side, secure bottom sheet, leave top sheet untucked at the sides.
- Dressing a patient, specifically one with injured extremities.
- Feeding the patient – Offer a drink regularly, check if patient has swallowed before offering next spoonful.
- Foot, hair and nail care – Check water temperature, smooth nail edges, no snags during combing.
- Measuring and recording blood pressure, pulse, respiration.
- Measuring and recording weight – Check zero reading.
- Mouth care – Both with and without dentures.
- Partial bed baths and perineal care.
- Range of motion – Upper and lower extremities, smooth and gentle movements, watching or asking for feedback from patient.
- Transfer using a wheelchair.
- Applying waist restraints to a patient in a wheelchair.
Remember to always apply standard safety and cleanliness procedures throughout all the evaluations, in addition to always paying attention to patient comfort and safety.
If you want a more detailed breakdown of the various points for checking, then you can visit the webpage specific to the Prometric CNA exam of the state where you plan to get certified. Look for the “Clinical Skills Checklist”, and you will get the full list so you can review and correct your procedures.