Prometric Skills Demo for Dressing a Client With a Weak Arm
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- čas přidán 14. 10. 2020
- According to Prometric guidelines for the nurse aide state exam, this is a step-by-step demonstration video of dressing the client with a weak arm. This skill is one of the 21 testable skills on the Texas State CNA Exam. The nurse evaluator will tell you during the skills exam, which arm is weak.
Dr. Lee I just want to thank you for making these videos. They helped me so much and because of you I passed my test!!
Excellent Keeli!
Hello Doctor VL, my name Helena is from Miami Florida; Thank u, thank u for all your CNA Skills videos. I passed my Florida CNA Prometric State Board Exam. I learned so much from your videos than i did in my cna school. I have to come on here to extend my thanks and appreciation so others will know that you are a great person who means well for others. I appreciate u, and i will always follow and share your skills videos with all those that are persuading their Medical Dream. May the Lord bless u & your family, and not forgetting your sister who u used in one of your videos. You guys are a blessing to this Field.
Thank you so much Helena for the kind words. I had been down lately due to a family member's illness. So, your note came to me when I needed it most. Thanks again and the best to you in healthcare.
congratulations Helena, I will be taking my CNA test soon ,do you know how many skills you need to learn?? thank you in advance
@@fsiu74 thanks for asking me. During the Exam they will give u 3 skills to perform. They are vary. My # 1 advice to u is don’t be afraid. Pray against the spirit of, and all will be well with u.
@@helenaphonbeh2581 thank you for your help wish you the best
Hi Dr. Lee I did a PCA program three months ago and used your videos as a study tool. I passed my CNA exam today. Thank you so much for all you do, God bless you!
Wonderful Angie! Blessing to you also.
This is veronica from Louisiana. I am teaching CNA classes and I love to watch your videos because because you make an extra effort to tell us to be cautious of certain things that we are doing or should do you were helping me in my class so much. Thank you so much Dr. Lee.
You are so welcome, Veronica.
Dr Lee, this video helps a lot
Thank you for all you do for the Texas CNA students.
Hello Husseina, Thank you for the comment. Take care and be safe.
@@txcnaskills2599 p nu
After watching your videos over and over ,I did pass my state bord exam, I'm now a certified CNA 😊 thank you so much Dr.Lee 🙏 God bless you❤
I am so happy for you. Congratulations.
Hey Dr. Lee, I passed my test today all thanks to your videos from Fl.
Excellent! Glad to hear from you with the good news.
Thank you Dr Lee! Your videos have helped me pass my state exam today! On my first try your are truly a blessing may God bless you.
Congratulations, I am so happy for you. Thanks for the compliment.
Dr. Lee,
Mahalo I passed my CNA clinic exam this pass weekend. I couldn’t have done it without your help and other instructors from you Tube. Including my own instructor from school. However, you included up to date information that was so important once I entered the exam room.
Mahalo Piha
(Thank you plenty)🌹
Hello Leimomi, Great, I am happy for you. Congratulations.
Your such a great teacher, you make it seem so easy unlike my teacher here.. love your explanations and how you reinforce key areas. Keep up the good work. ❤
You're very welcome!
Dr. Lee,
Today I passed my NY state exam!!!! And I have to thank you so much for your videos!! This was one of my skills I had to perform. Passed with flying colors because of your help!!! Thank you, thank you, thank you!!
Great job! Thank you for the news.
Dr Lee.. I’m still currently student taking nursing assistant. This video is so helpful, I am watching all your videos. Please upload more videos thanks a bunch x...
Thanks so much, Miss Fate.
Passed my cNA exams on 12/3/21 I watched her videos thank you so much
Hello, So happy for you Julia. Great Job.
I love the
In Direct Care that Dr.Lee has& expresses to you
Thanks a lot.
Thank you for the tip on remembering the weak side.
You are so welcome Jennifer!
I'm having a good time so far in my CNA program. Thx for the videos!
You are welcome
Dr lee thank you this video I helped me for the Seattle
Hello Farhiyo, I am glad the videos helped. Make sure to subscribe. Thanks a lot.
In my cna class our educator uses your videos and they are extremely helpful
Hello Nicole, I am happy they are helping you.
Dr. Lee!! I passed my board exams on Friday!!! Thank U for your awesome videos!!
Best of luck!
The videos are really helping me understand skills
I am happy to help.
I'm taking my clinicals Monday 13th of November 2023. I have been watching your videos over and over I hope I remember everything and pass to get my Texas CNA licence.
So happy for you. Good luck tomorrow.
@txcnaskills2599 I passed my written on Oct 30th, and I just passed my clinicals yesterday, Nov 13th. Thank you so much for your videos Dr. Lee!
Thank you. This video is clear.
Glad it was helpful!
Exactly how I did it today, June 3rd.
Thanks Dr.Lee🙏
Your video was very helpful. Am confident I did great watching and practicing ur videos😁😁 can’t wait to see my result tomorrow.💃💃💃
Meanwhile I saw ur twin at the testing center.I was confident it was her So I went to say Hello🙋🏾♀️ 😁😁😁😁😁😁😁😁
Once again thanks Dr lee🙏🙏🙏🙏
Wonderful! Let me know tomorrow how good you did.
@@txcnaskills2599 am so excited💃💃💃💃
I passed all 5 skills💃💃
Thanks so much Dr. Lee🙏🙏
May God bless you for your good work.💗🙏
Thank you for your help
You are welcome.
Questions I been watching your video and noticed no bed safety check are we not graded on checking if the bed is locked with prometrics
Hello HTowngurl17, Great question. The bed safety check is not required when transferring the patient from the bed to the wheelchair. This is different from the Pearson Vue guidelines. When you go to take your test, the evaluator will have the bed wheels locked before your partner gets into the bed for that person's safety. Therefore the wheels are already locked.
Dr.Lee you are doing a tremendous job..👏🏾👏🏾👏🏾👏🏾this is helping alot...
Just a question..you were dressing the weak arm...what do socks and shorts have to do with the dressing and only the skill required the weak arm?¿???
I have watched other same skills but they do not dress up socks and shorts..they just go ahead and dress up the weak side arm..only...no dressing up socks n pants. 17:05
Am from WA state..btw..maybe the guidelines are different
Hello,
If you look at the instruction for this skill, Prometric requires the student to put on three things. (Shirt, pants, and sock)
You must know who the testing agency is for your state. It sounds like you were viewing a Credentia site.
I just checked the internet and the state of Washington test under Prometric. Double check this please. My instructions on this CZcams site is for Prometric.
Dr Lee. Thank you so much for your promatic videos. But how can we know that the person is effective with stroke
Hello Sr. Maggie, When you arrive at the test site, the evaluator will give you a card with your skills listed. The card will indicated if the client has a weak right or left arm.
Dr lee thank you for the video pls I have a question my question is this most I put blankets to cover residents, because when i went to CNA class they did not put blankets on any skills
Hello Angela, Prometric does not care is you use a blanket or the top sheet. The primary thing you will be graded on is keeping the patient covered. This will be graded under patient's rights for indirect care.
@@txcnaskills2599 thank you 🙏
Hi Dr. Lee, let’s say it isn’t a button up shirt, would you put their head through the shirt or the weak arm first?
Hello Atheena, Placing your hands through the shirt is a Prometric requirement.
www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf
See page 4 for the skill (PAY ATTENTION TO STEP 8)
Dress a resident who has a weak arm
The candidate is asked to put a long-sleeved button-front
shirt, pants, and socks on a resident who is lying in bed.
The resident is not able to help with the dressing and has
a weak arm. A mannequin is used for the role of the
resident
Does the candidate:
1 Greet resident, address by name, and introduce self? (IC)
2 Provide explanations to resident about care before beginning and during care? (IC)
3 Include resident in decision-making about clothing to wear?
4 Collect all garments before removing hospital gown?
5 Support affected arm while undressing and dressing?
6 Remove hospital gown?
7 Dress affected arm first?
8 Gather up sleeve to ease pulling over affected arm?
9 Dress resident by putting on pants, shirt with
sleeves, and socks?
Dr lee,does it matter if you start with the socks and then the pants going up?
Hello El, Prometric requires us to put on the shirt first. After that, it does not matter if you put on the socks or pants next.
Good afternoon Dr. Lee ! i thank you for the videos , but i would like to see how you demonstrate the blood pressure measurement.please
Hello, The blood pressure measurement is not required in Texas.
@@txcnaskills2599 okay , thank you !
Thanks 🙏🏻 blessed you
You are welcome. Be blessed.
Would the evaluator fail you for rolling the person to get the shirt under? Because to roll them you have to put some sort of pressure on the weak side arm? Would it be better to briefly sit them up, position the shirt, then have them lay back down? Thanks, I test next week
Hello Clancy,
The evaluator WIll NOT fail you for having the client roll from side to side when putting on the long sleeve shirt. Remember is you roll the client not to get the person near the edge of the bed.
@@txcnaskills2599 thank you, I passed my skills and written!
You’re awesome!!!!!!
Thank you Couch Princess
@@txcnaskills2599 I shared your videos with my CNA class here in New York and everyone loved you. Thank you for your attention to detailed and clarity.
Dr. Lee how about the level of the bed ? It's not supposed to be at lower level in the end of the skill?
Hello Rosangela, If a student raises the level of the bed, then, the bed should be lowered before the skill is over.
Is it okay if I raise the bed into a semi-high Fowler position to dress the strong arm? That is, if I put the bed back to a low safe position of the skills ending. ????????
Hello Liz, You can raise the HOB during this skill.
Hi Dr. lee, do we need to tell the patient that we holding the hands without over extending the limb and joints ? And I saw u didn’t wear a gloves on this skill. Thank u
Hello Aiko, Prometric does not require gloves with this skill. Gloves are only required with open skin, rashes, or peri care is involved. With all of the skills we must tell the patient what we are going to do BEFORE you perform the skill.
@@txcnaskills2599 thanks a lot dr. Lee ❤️❤️❤️
Thank you Dr Lee God bless you with all the prometric skills on CZcams, am so happy I passed my skills. God will give you more wisdom in Jesus name it is well with
You are very welcome. I accept your prayers. Take care.
Thank you for your videos. Is it allowable to sit the HOB up while dressing the resident? Just the HOB, not sitting the resident on the side of the bed. They will be in supine position before the skill, so if we return the resident to the original position after the skill, is that ok?
Thank you.
Yes, absolutely, you can raise the HOB to place the shirt behind the patient's back. Don't put the patient on the side of the bed.
@@txcnaskills2599 thank you! Appreciate all you do to help everyone be successful.
Hello, question. I take my test tomorrow when dressing the resident, does it matter if I put the pants or socks on first or does the socks always go first ?
Putting on the pants and socks can be done in any order. You must put on the shirt first.
also, where does it say, or how did you know to use a bath blanket instead of just using the bedsheet and blanket they already are using?
Hello Michael, Good Questions. If there is a chance that the top sheet will get wet, I suggest using a bath blanket to cover the patient so that you will leave the patient with dry linen. If you have to undress the client, a top sheet is thin and will not keep the elderly patient warm. Again, because elderly people are often cold I suggest using a bath blanket.
Prometric does not tell us to use a bath blanket or a sheet to cover the client. The instructions do state not to expose the client. Ask yourself, can you see a body part under a sheet when bathing or dressing a client. If you can a body part that is normally covered, the client is exposed. I would use this as my deciding factor for using a bath blanket or sheet.
I test tomorrow and i was wondering if they started testing over mouth care and feeding again or no because of covid
Hello Kaylee, Prometric in Texas is still not testing the oral skills due to Covid.
@@txcnaskills2599 thank you so much, i test tomorrow and watching your videos has really helped me understand alot !
Dr Lee I'm living in Florida this is the same way they do here?
Cool. Thanks Hyacinth. Most states that test with Prometric will do things the same.
@@txcnaskills2599 thanks Dr Lee
when you are placing the shirt from the weaker side to the stronger side, can you not have them sit up instead of rolling them to their side?
Hello Michael, Placing the patient in fowlers or semi-fowlers position will definitely make putting the shirt on much easier. Keep in mind the patient will be in a supine position when starting the skill.
@@txcnaskills2599 this skill doesn't require gloves when removing dirty gown?
@@andrianadebnam906 no
Hi Dr. Lee, I will be doing my clinicals on Monday, the 29th of January. I noticed that you don’t do safety checks for the bed. Is it not necessary? Am in the state of TX.
Thank you
Hello, Safety checks are not required in Texas or for Prometric.
I appreciate you ma’am.
ive seen some videos where they put the shirt over the bath blanket and button it up instead of trying to button the shirt up under the bath blanket. Is that ok to do?
Yes, either way, is acceptable as long as the patient stays covered
Do you lift the bed before doing this skill and at what point
Hello, Under Prometric guidelines you don't have to raise the bed to your waist level or use siderails.
Hello dr. Lee I passed my skills exam on the 9th🥳🙌
Thank you for your videos ❤
Good for you V.C.D.C. What city are you in?
@@txcnaskills2599 I'm in copperas cove tx
congratulations! on how many skills in total do they tested you , I heard 6
Right as u walk in for yr test I forgot to wash my hands is that automatic fail??
The very first skill when you start the exam will be handwashing. The evaluator will tell you that at the test site.
Hello I had a quick question , arnt we not supposed to refer to the weak side as the ‘weak side ‘ ?
"affected side" would be better
The state has the skill listed as the weak arm. You may want to take that up with the state.
Thanks for this, are we suppose to wear gloves?
Hello, You can wear street cloths. The only requirement is close toe shoes during the state exam.
Correction gloves?
Good morning Dr Lee I just wanted to thank you I just passed my pass skills because of your videos I wish you health longevity prosperity in Jesus name
I accept the blessing.
How many skills will I have to perform for my exam
The nurse aide exam has 5 steps.
Hi doc. Why were you not wearing gloves for the demonstration?
Hello, Gloves are not mandated for this skill. In healthcare, a professional does not have to wear gloves every time he/she touches a patient. We need gloves on if the skin is open or there is a chance of contacting body fluids. Take care.
My CNA school here in San Antonio said to dress them from bottom up for Prometrics is that still current?
Hello Barbara, Prometric does not care which item the student puts on the client first. You will not loose points for putting the pants, socks, or shirts on first. What is important with this skill has to do with the shirt. Always undress the strong arm first.
The student should place the shirt (dress the client) on starting with the weak arm first.
@@txcnaskills2599 Thank you for taking the time to thoroughly answer my question I appreciate it I was also wondering would you happen to have any idea how many mistakes were allowed to make on the clinical and still pass?
So how long is the skills test
Each candidate can have 30-41 minutes for the skills exam.
Are you going to be required to fully dress or just to put on the shirt on the weak side ? Arent you only allowed so many minutes for all of the skills you are asked to do ?
Hello Kimberly, If you are testing through Prometric, you will be required to put the client on (1) a long-sleeve button-up front shirt, (2) a pair of pants, and (3) a pair of socks. The evaluator will tell you which side is the weak side during the exam. Therefore, the candidate does not know the weak side ahead of time.
If you are testing through Pearson Vue, you will only need to put a button-up shirt on the client. Pearson Vue tells the candidate the weak side will be on the right.
The evaluator will tell each candidate how much time he or she has to complete their exam.
@@txcnaskills2599 thank you . Yes I am testing with Prometric .
Also how many skills do you have to do with prometric ?
@@kimberlylester2804 Hello Kimberly, when testing through Prometric you will be graded on 5 skills. Each person will have handwashing as their first skill. Each person will be graded on indirect care skills. There will also be three additional skills that the candidate will not know until the evaluator tells him or her during the test.
thank you that is helpful. My skills test is tomorrow it says on the acceptance letter it is 240 mins long is that for just the skills part cause I
have already taken the written part i just have to take the skills part? Thank you so very much for all of your videos it is so greatly appreciated and so helpful and for answering all of the questions also . Also will I know the results that day? Do you have any updated videos on foot care sitting in a chair or mouth care with dentures i couldn't find any updated videos on those from any one ? Sorry about all of the questions just need to pass this time and I am so nervous
How many questions u mis on test and pass
Prometric requires 100% passing with the skills.
Dr. Lee, should you wear gloves when dressing someone?
Hello LaQueasha, When we check Prometric guidelines and the Indirect Care Sheet, gloves are not required for the dressing skill.
No you don’t need gloves because there is no blood or body fluids involved. Remember gloves are worn mostly for standard precautions, right?
Are we allowed to just sit the resident up to put the shirt around them rather then flipping them to the side ?
Hello Morgan, Yes, you can sit the client up.
Dr Lee I'm asking is okay tuning the parson on the side? then put shart on the weak head then let the parson on the back to finish other head
Hello Edna, The state will grade you by which arm you remove the shirt from First and which arm you put the shirt on first. Those are the important steps.
Now to answer your question, I would not turn the patient to the side and then back to the other side to put on a shirt. That is too much turning for me.
@@txcnaskills2599 thank you so much Dr Lee.
Do you guys provide for exams?
❤❤❤❤
Love back at ya.
Can you demonstrate the proper way of washing of hands please.
Hello, I have a video on handwashing.
Hello dr. Lee my exam is coming soon may be next month .I need your help to pass the exam because of covid 19 my instructor doesn't allow me to do the skills practice I am worried how can I pass in skills exam without practice. I have 20 skills in list for the exam. I need Fowler position video...
Hello Sandy, Which skill are you speaking of when you say Fowler's position video?
There is no skill called Fowler's position.
Can we sit the mannequin up to dress them?
Hello Natalie, The evaluator will tell you that the mannequin has a weak arm. It will be important to know which side is weak during the dressing exam. So, are you planning on sitting the mannequin up in bed into a fowlers position?
To me this will be very hard to put the pant on the mannequin while sitting up.
Great but you don’t say weak, you say affected,?right?!
Hello Stacey, Check page 4 of the skills checklist. Prometric uses the word "WEAK"
Suppose the resident was sitted, have a weak hand on the left and had shoes on.
Hello, the dressing skill will be done with the mannikin in the bed.
She forgot to check if its the right person
Hello Wild Frontier, Where does Prometric have listed in the guidelines for testing to check if this is the right person? I have NEVER seen that requirement.
@@txcnaskills2599 in one of your other reply’s to someone else’s comment you commented the pro-metrics guidelines for this skill and it says greet resident, address guest by name, introduce self. First step and a very important one I was taught in my CNA school.
In Colorado this skill is done on your partner not on the manikin
Hello Gullymuma Jen, The skills I teach are according to Prometric guidelines. In the state of Colorado the students TEST under Credentia guidelines. In your state, the student is told ahead of time which arm will be the weak arm. This is not the case with Prometric. You might want to find videos related to Credentia so that you will not be confused. Again, these videos are related to Prometric guidelines.
Gloves are not needed for this skill
Hello, Correct, gloves are NOT needed for the dressing skill.
Does prometrics says exactly how many buttons to do? @txcnaskills
No, Prometric just says to place the client in a button down long sleeve shirt properly. Therefore, you should button all of the buttons even the ones at the cuffs.