D&S Diversified Technologies LLP
Headmaster LLP
Massachusetts Nurse Aide Candidate Handbook
Translatable
Version 5
EFFECTIVE: July 15, 2024
Contact Information
Questions regarding alternate language testing: (855)263-6050
Questions regarding the testing process • test scheduling • eligibility
to test: (888) 401-0462
Questions regarding the Nurse Aide Registry, obtaining information on
official regulations and guidelines for nurse aides • obtaining information
regarding approved training programs • updating your name, address •
verification of current nurse aide certification • renewal, reciprocity, and
equivalency information: (617) 753-8144
D&S Diversified Technologies (D&SDT), LLP-
Headmaster, LLP
PO Box 6609
Helena, MT 59604
Email: massachusetts@hdmaster.com
Web Site: www.hdmaster.com
Phone: (888)
401-0462
Alternate Language Phone: (855)263-6050
Hours: Monday through Friday, 8:00AM – 8:00PM,
Eastern Standard Time (EST)
Massachusetts
TMU© Webpage: mc.tmutest.com
Massachusetts Department of Public Health (DPH) Division of Health Care
Facility Licensure and Certification – Nurse Aide Registry
67 Forest Street
Marlborough, MA
01752
Email: nars@mass.gov
Massachusetts Nurse Aide Web Site:
https://www.mass.gov/nurse-aide-registry-program
Phone: (617) 753-8144
Hours: Monday through Friday,
8:00AM – 5:00PM, Eastern Standard Time (EST)
Congress adopted the Nursing Home Reform Act
in 1987 as part of the Omnibus Budget Reconciliation Act (OBRA ’87). This
federal law was designed to improve the quality of care in long-term healthcare
facilities and define training and evaluation standards for nursing aides who
work in such facilities. Each state is responsible for following the terms of
this federal law.
As defined in the OBRA regulations, a Nurse Aide
Competency
Evaluation program provides specific standards for nurse aide-related
knowledge and skills. The purpose of this program is to ensure that candidates
who are seeking to be nurse aides understand these
standards and can competently and safely perform the job of an entry-level nurse aide.
This handbook describes the process of taking
the nurse aide competency examination and is
designed to help prepare candidates for testing. The examination has two parts:
a multiple-choice knowledge test and a skill test. Candidates must pass both
parts to be identified and listed on the Massachusetts Nurse Aide
Registry.
The Massachusetts
Department of Public Health (DPH) approved D&S Diversified Technologies,
LLP (D&SDT)-Headmaster, LLP to provide tests and scoring services for nurse aide
testing. For questions not answered in this handbook, please get in touch
with D&SDT-HEADMASTER at (888)401-0462 or go to D&SDT-HEADMASTER’s Massachusetts Nurse Aide (NA) webpage or at www.hdmaster.com and click on ‘Massachusetts CNA’. The
information in this handbook will help you prepare for your examination.
Massachusetts
Nurse Aide Registry Requirements
The Massachusetts Nurse Aide Registry (MANAR) lists the names of nurse
aides who, through training, testing, and experience, meet federal and/or state
requirements to work as nurse aides in Massachusetts. The Registry includes
substantiated findings of nurse aide abuse, neglect, misappropriation of
resident property, or exploitation involving a nurse aide at a Massachusetts
Department of Public Health (DPH) regulated
facility.
A nurse aide candidate, upon successful completion of training, passing
both the knowledge and skills portions of the competency exam, and meeting
federal and/or state requirements, will be listed on the MANAR. Review the Nurse Aide Competency Exam section below to help prepare for the exam.
To maintain eligibility to work, you must
renew your eligibility every 24 months.
To be eligible to renew, you must work for pay as a nurse aide
performing nursing or nursing-related services at least eight (8) consecutive
hours during the previous 24 months.
Nurse aides with misconduct restrictions on the Registry are not
eligible for renewal.
This information is for applicants who want
to be entered on the MANAR through the Massachusetts Reciprocity/Out-of-State
registry placement process.
Out-of-State
Reciprocity Process
If you are a certified
nurse aide and meet certain requirements, you may apply for reciprocity. To be eligible for Reciprocity, you must be a
CNA:
§
Who is certified in another state
§
Whose certification is current and in good standing
§
Who has never been certified in Massachusetts
The Reciprocity application
and additional information are available at the following link: Reciprocity
Information.
Waiver of the Certified Nurse Aide Training
Requirement
Specific waiver provisions are available for applicants who can verify
they meet the qualifications listed under 105 CMR 156.100 of the Nurse Aide Registry Laws and Regulations.
The application and
information to request a Nurse Aide Training Waiver to take the Massachusetts
Nurse Aide Competency Evaluation is available at the following link: Waiver Information and Application
Americans
with Disabilities Act (ADA)
The Massachusetts Department of Public
Health (DPH)
and D&SDT-HEADMASTER provide reasonable accommodations for candidates with
disabilities or limitations that may affect their ability to perform the nurse
aide competency examination.
Accommodations are granted in accordance with the Americans with
Disabilities Act (ADA).
If you have a qualified disability or limitation, you may request
special accommodations for examination. D&SDT-HEADMASTER must approve
accommodations in advance of the examination. The request for accommodations can be found on the D&SDT-HEADMASTER webpage by clicking the PDF Fillable ADA
Accommodation Form 1404. Fill out the ADA Request and attach the required
documentation found on the second page of the request form to an email to massachusetts@hdmaster.com to be reviewed
for accommodation.
ADA request forms submitted
without supporting documentation of a diagnosed disability will not be accepted
or reviewed.
Please
allow additional time for your request to be approved. If you
have questions regarding the ADA review process or specific required
documentation, please call D&SDT-HEADMASTER at (888)401-0462.
The
Massachusetts Nurse Aide Competency Exam
Both components, knowledge and skills, of the Nurse Aide Certification
Exam are offered in Chinese (traditional and simplified) and Spanish
(simplified), in addition to English.
Effective July 1, 2024, candidates can indicate their intent to take the
NA exam in a language other than English during the exam registration
process. The administration of exams
in languages other than English will begin July 15, 2024.
IMPORTANT! You must proceed with the exam in the language you
indicated during the exam registration. Once you have begun
taking either exam (knowledge and skills) in Spanish or Chinese, you
will not be able to switch languages (revert to English).
Please call
D&SDT-Headmaster’s alternate language line (855)263-6050 with any
questions.
$30.00: Knowledge
Exam: -or- Knowledge
Retake
2nd, 3rd & 4th Attempt(s) Retake
$30.00: Audio
Version of the Knowledge Exam: -or- Audio Knowledge
Retake
2nd, 3rd & 4th Attempt(s) Retake
$70.00: Skill Test:
-or- Skill
Retake
2nd& 3rd Attempt(s) Retake
Complete your TMU© Account
Your initial registration
information will be entered in D&SDT-HEADMASTER’s TestMaster
Universe (TMU©) software.
IMPORTANT: Before you can test, you must sign in to the
Massachusetts CNA TMU© mc.tmutest.com using your secure Email or Username and
Password and complete your demographic information.
It
is highly recommended that when you receive your confirmation email from TMU©
(check your junk/spam mail) that your account has been created, you sign in to
your account, update your password, and complete your demographic information.
If
you do not know your Email or Username and Password, enter your email address
and click “Forgot Your Password?” You will be asked to re-enter your email, and
a ‘reset password link’ will be sent to your email. If you cannot sign in for
any reason, contact D&SDT-HEADMASTER at (888)401-0462.
Schedule a Massachusetts Nurse Aide Exam
Self-Pay
of Testing Fees in TMU©
Testing fees must be
paid before you can schedule a test date. Once your training
program has completed your training record with completion hours and date, you
will receive an email and text message that you are eligible to schedule a test
date. Some training programs pre-pay testing fees for their graduating
students. Your program/instructor will inform you if this is the case. Before
scheduling a test, verify with your instructor if the training program has
already prepaid for your test.
U click
on-
Securely processed Visa or
MasterCard credit card or debit card information is required when paying
testing fees online.
click on-
Once your testing fees are paid, you can choose
a test site and date.
Your test confirmation letter will provide you
with important information regarding where you are scheduled to test (date,
time, and address). It can be accessed at any time.
The body of the test confirmation letter will
refer you to the candidate handbook, which gives you state-specific
instructions on what time to arrive, ID requirements, dress code, etc.
It is
important you read this letter!
Note: Failure
to read the candidate handbook could result in a no-show status for your test
event if you do not adhere to the testing policies, etc.
Please see the ‘Remotely
Proctored Knowledge Exam Option’ under the Knowledge/Audio Exam section if you want
to take your knowledge exam with a remote proctor from your home, etc. If you
have any questions regarding your test scheduling, call D&SDT-HEADMASTER at
(888)401-0462, Monday through Friday, excluding holidays, 8:00AM to 8:00PM EST.
Note: Candidates
who self-schedule online, or those scheduled by their training programs, will
receive their test confirmation at the time they are scheduled.
Check/View your TMU© Notifications
Remember to check your
‘notifications’ in your TMU© account for important notices regarding your
selected test events and other information.
Time Frame for Testing from Training Program
Completion
Training does not expire. If
you fail the knowledge component 4 times or the skills component 3 times, you
must complete another Massachusetts Department of Public Health (DPH) approved
training program to be eligible to schedule testing.
Many training programs host
and pre-schedule in-facility test dates for their graduating students. Your
program/instructor will inform you if this is the case. Before scheduling a
test, verify with your instructor if the training program has already scheduled
your test. Regional test seats are open to all candidates. Regional test dates
are posted on the Massachusetts TMU© site at mc.tmutest.com.
If you have any questions regarding your test
scheduling, call D&SDT-HEADMASTER at (888)401-0462 during regular business
hours, 8:00AM to 8:00PM EST, Monday through Friday, excluding holidays.
You must arrive
at your confirmed test site 20 minutes before your exam is scheduled to start.
· Testing begins promptly
at the start time noted.
· You must ensure
you are at the event 20 minutes before the start time to allow time
to check in with the RN Test Observer.
§ For example, if your
test starts at 8:00AM, you must be at the test site for check-in by 7:40AM.
If you are not present at the
test site 20 minutes before your test start time, you will not be admitted to
the exam, you will be considered a NO SHOW, and any exam fees paid will
NOT be refunded.
If you are scheduled for a
remotely proctored knowledge exam, please see procedures/policies under ‘Remotely
Proctored Knowledge Exam Option’ in the Knowledge/Audio Exam section.
You must be in full clinical attire for
all in-person test events (not required for remotely proctored
knowledge testing), which consist of:
§ Clinical attire (scrubs [top and
bottom] - as you would on the job) and closed-toed shoes (Scrubs
and shoes can be any color/design.)
§ It is recommended that long hair be pulled back.
Other testing attire requirements:
§ You may bring a standard watch with a second hand.
§ No smartwatches, fitness monitors, or
Bluetooth-connected devices are allowed.
Note: You will
not be admitted for testing if you are not wearing scrubs attire and the
appropriate shoes. You will be considered a NO SHOW. You will forfeit your
testing fees and must pay for another exam date.
You must
bring your US government-issued signature-bearing (*may
contain a fingerprint instead of a signature) and non-expired photo
ID. Examples
of the forms of accepted identification that are US government-issued, current
(not expired), photo-bearing, and include a signature are:
· State or other United
States Government Issued Driver’s License
· State-issued
Identification Card (non-expired
from any state is acceptable)
· US Passport (Foreign
Passports and Passport Cards are not acceptable)
§ Exception: A signed Foreign
Passport that contains a US VISA is acceptable
· Military Identification
Card (that
meets all identification criteria –*may contain a fingerprint in place of a signature )
· Alien Registration
Card (that
meets all identification requirements – *may contain a fingerprint in place of
a signature)
· Tribal Identification
Card (that
meets all identification criteria)
· Work Authorization
Card (that
meets all identification criteria)
EXCEPTION
FOR HIGH SCHOOL STUDENTS ONLY: If you do not have a current, official US
(United States of America) Government-issued photo-bearing identification card,
you must provide your current year high school identification card with a photo
and a secondary form of identification as a listed below. Approved
secondary forms of identification for high school students only:
® Social Security card – hard copy
® Birth certificate - certified
® Credit/Debit Card - signed and not expired
® Health Insurance card
® Hunting License
The FIRST and LAST names
listed on your ID presented to the RN Test Observer during check-in at your
test event MUST EXACTLY MATCH the FIRST and LAST names that
were entered in the Massachusetts Nurse Aide TMU© database by your training
program. You may call D&SDT-HEADMASTER at (888)401-0462 during regular
business hours, 8:00AM to 8:00PM EST, Monday through Friday, excluding
holidays, to confirm that your name of record matches your acceptable ID, or
sign in to your TMU© account mc.tmutest.com using your Email or
Username and Password, to check or change your demographic information.
Note:
· You will not be admitted
for testing if you do not bring proper/valid identification.
· Be sure
your US government-issued, signed (*may contain a fingerprint in place of a
signature), non-expired photo-bearing form of identification is not expired and
is signed.
· Please
check to ensure that the FIRST and LAST printed names on your form of
identification match the current name of record in your TMU© account.
· A
driver’s license or state-issued ID card with a hole punched in it is NOT
VALID and will not be accepted as an acceptable form of ID.
· If names
do not match, your IDs are not proper/valid, or they have a hole punched in
them, this is considered a NO SHOW, and you will have to reschedule and pay for
another test and date.
You will be required to
re-present your photo ID when you enter the knowledge test room and the skills
lab for your skills exam. Please keep your photo ID with you throughout the
exam day.
Instructions for the Knowledge Exam, Remotely
Proctored Knowledge Exam, and Skill Tests
Test instructions for the knowledge
and skills exams will be provided in written format in the waiting area when
you check in for your test. If you are taking a remotely proctored knowledge
exam, the Remotely Proctored Knowledge Exam Instructions can be found in your
TMU© account under the Downloads tab.
The Knowledge,
Remotely Proctored Knowledge, and Skill Exam Instructions are also
available under the ‘DOWNLOADS’ tab in your TMU© account.
These instructions detail the
process and what you can expect during your exam. Please read the
instructions before taking the knowledge exam room or
skills lab. The instructions will be left in the waiting area during testing
for you to refer to throughout your time at the test site. The RN Test Observer
and Knowledge Test Proctor will ask you questions about the instructions you
read when you enter the testing rooms.
The following policies are
observed at each test site:
· Make sure you have signed
in to your TMU© account at mc.tmutest.com before
your test date to update your password and complete your demographic information.
§ If you have
not signed in and completed/updated your TMU© account when you arrive for your
test, you may not be admitted to the exam, and any exam fees paid will
NOT be refunded.
· In the worst-case
scenario, plan to be at the test site for up to five (5) hours (if taking both
components on-site).
· You must arrive
at your confirmed test site 20 minutes before your exam is scheduled to
start. (For
example, if your test start time is 8:00AM – you must be at the test site
at 7:40AM.) If you are not present at the test site 20 minutes before your
test start time, you will not be admitted to the exam, you will be considered a
NO SHOW, and any exam fees paid will NOT be refunded.
§ If you are scheduled for a remotely proctored
knowledge exam, please see the procedures/policies under ‘Remotely
Proctored Knowledge Exam Option’ in the Knowledge/Audio Exam section.
· If you do not bring valid
and appropriate ID (US government-issued, non-expired, signed [*may contain a
fingerprint in place of a signature] photo ID), you will not be admitted to the
exam, and any exam fees paid will NOT be refunded.
§ If the FIRST and LAST names
listed on your ID presented to the RN Test Observer during check-in at your
test event DO NOT MATCH the FIRST and LAST names that were entered in
the Massachusetts Nurse Aide TMU© database, you will not be admitted to the
exam and any exam fees paid will NOT be refunded.
· If you do not wear scrubs
with appropriate shoes to your in-person test event (not required for remotely
proctored knowledge test events) and conform to all testing policies, you will
not be admitted to the exam, and any exam fees paid will NOT be
refunded.
· If you are a NO SHOW status
for your exam day, any test fees paid will NOT be refunded.
· ELECTRONIC DEVICES AND
PERSONAL ITEMS: Cell phones, smart watches, fitness monitors,
electronic recording devices, Bluetooth-connected devices, and personal items
(such as water bottles, purses, briefcases, large bags, study materials, extra
books, or papers) are not permitted to be on or near you in
either testing room. The
testing team will inform you of the designated area to place your personal
items and electronic devices and you are to collect these items when you
complete your test(s).
§ All electronic devices must
be turned off, including smartwatches, fitness monitors, and
Bluetooth-connected devices, which must be removed from your wrist or body.
§ If you are
scheduled for a remotely proctored knowledge exam, please see the procedures/policies
under ‘Remotely
Proctored Knowledge Exam Option’ in the Knowledge/Audio Exam section.
· Anyone caught using any
electronic recording device during either component (knowledge or skills) of
the exam will be dismissed from the exam and testing room(s), your test will be
scored as a failed attempt, you will forfeit all testing fees, and you will be
reported to your training program and the Massachusetts Department of Public
Health (DPH). You may, however, use personal devices during your free time in
the waiting area.
· You are encouraged to bring a
jacket, snack, drink, or study material to have while waiting to test.
· Foreign language paper
word-for-word translation dictionaries are allowed and
must be shown to the RN Test Observer at check-in (for both a remotely
proctored knowledge test and an on-site test event) and to the Knowledge Test
Proctor when you enter the knowledge test room (on-site test event). If there
is any writing or definitions, the translation dictionary will not be permitted
to be used during testing. Translators, using language translators that are not
pre-approved and electronic dictionaries are not allowed.
· You may not remove any notes
or other materials from the testing room.
· You are not permitted to eat,
drink, or smoke (e-cigarettes or vape) during the exam.
· You are not allowed to
leave the testing room (knowledge test room or skills lab) once the exam has
begun for any reason. If you do leave during your test event, you
will not be allowed back into the testing room to finish your exam.
· If you are discovered
causing a disturbance of any kind, engaging in any misconduct, are visibly
impaired, or trying to take any notes or testing materials from the testing
room, you will be dismissed from the exam, your test will be scored as a failed
attempt, you will forfeit all testing fees paid, and you will be reported to
your training program and the Massachusetts Department of Public Health (DPH).
· Test sites, RN Test
Observers, Knowledge Test Proctors, and Actors are not responsible for the
candidate's personal belongings at the test site.
· No visitors, guests, pets
(including companion animals), or children are allowed. Service animals with approved
ADA accommodations are allowed.
· You may not test if you
have any physical limitation (excluding pre-arranged ADAs) that would prevent
you from performing your duties as a nurse aide (examples: cast, arm/leg
braces, crutches, etc.) Call D&SDT-HEADMASTER immediately during regular
business hours, 8:00AM to 8:00PM EST, Monday through Friday, excluding
holidays, if you are on doctor’s orders. You must fax (406)442-3357 or
email massachusetts@hdmaster.com a signed doctor’s
order within 3 business days of your scheduled exam day to
qualify for a free reschedule.
· Please review this
Massachusetts NA Candidate Handbook before your test day for any updates to
testing and/or policies.
· The Candidate Handbook and
Testing Instructions can also be accessed within your TMU© account under your
‘Downloads’ tab.
If you refuse to follow
directions, use abusive language, are visibly impaired, or disrupt the
examination environment, your test will be stopped and scored as a failed
attempt. You will be dismissed from the testing room and forfeit any testing
fees paid. A report of your behavior will be given to your training program and
the Massachusetts Department of Public Health (DPH). You will not be allowed to
retest for a minimum period of six (6) months.
If you remove or try to remove
test material or take notes or information from the test site, you will be
reported to your training program and DPH and are subject to prosecution to the
full extent of the law. Your test will be scored as a failed attempt, and you
will forfeit any testing fees that have been paid. You will not be allowed to
retest for a minimum period of six (6) months. You may need to obtain
permission from DPH in order to be eligible to test again.
If you give or receive help
from anyone during testing (which also includes the use of any electronic
recording devices such as cell phones, smart watches, or navigating to other
browsers/sites during an electronic exam, etc.), your test will be stopped, you
will be dismissed from the testing room and your test will be scored as a
failed attempt. You will forfeit any testing fees paid. You will be reported to
your training program and DPH, and you may need to obtain permission from DPH to
be eligible to test again.
All candidates may reschedule for a new test
date up until one (1) business day preceding the scheduled test day, excluding
Saturdays, Sundays, and holidays.
If you must reschedule your
exam date, please do so as soon as possible. You may reschedule an exam date by
signing in to your TMU© account at mc.tmutest.com using
your Email or Username and Password.
· Example: If you
are scheduled to take your exam on a Friday, you would need to reschedule by the
close of business on Wednesday before your scheduled exam.
D&SDT-HEADMASTER’s regular business hours are 8:00AM to 8:00PM EST, Monday
through Friday, excluding holidays.
|
The scheduled test date is
on a: |
Reschedule before 8:00PM EST
the previous: |
|
Monday |
The previous Thursday |
|
Tuesday |
The previous Friday |
|
Wednesday |
The previous Monday |
|
Thursday |
The previous Tuesday |
|
Friday |
The previous Wednesday |
|
Saturday |
The previous Thursday |
|
Sunday |
The previous Thursday |
Note: Reschedules
will not be granted less than one full business day before a scheduled test
date.
Requesting a refund of testing fees paid is
different than rescheduling a test date. Requesting a refund means that you are
not interested in taking the Massachusetts nurse aide certification exam at
all.
1. If you are scheduled for a
test event, you must request a refund of the testing fees paid by filling out
and submitting the Refund
Request Fillable Form on D&SDT-HEADMASTER’s
main webpage at www.hdmaster.com at least one (1) full
business day before your scheduled test event (excluding Saturdays, Sundays,
and holidays). No phone calls will be accepted.
§ Example: If you
are scheduled to take your exam on a Saturday, Sunday, or Monday, you would
need to request a refund by the close of business the Thursday before your scheduled
exam. D&SDT- HEADMASTER is open until 8:00PM Eastern time, Monday through
Friday, excluding holidays.
2. Refund requests made in the
required time frame qualify for a full refund of any testing fees paid minus a
$35 refund processing fee.
3. Refund requests must be made
within thirty (30) days of payment of original testing fees with D&SDT-
HEADMASTER. Any requests for refunds made beyond 30 days of the original
payment of testing fees with D&SDT-HEADMASTER will not be issued.
Not Scheduled in a Test Event
1. Refund requests must be made
within thirty (30) days of the original payment of testing fees with D&SDT-
HEADMASTER. Any requests for refunds made beyond 30 days of the original
payment of testing fees with D&SDT-HEADMASTER will not be issued.
2. To request a refund for
testing fees paid, you must fill out and submit the Refund Request Fillable Form on D&SDT-HEADMASTER’s main webpage at www.hdmaster.com. No phone calls will be
accepted.
3. Refund requests made in the
required time frame qualify for a full refund of any testing fees paid minus a
$35 refund processing fee.
Unforeseen Circumstances Policy
If an exam date is canceled
due to an unforeseen circumstance, D&SDT-HEADMASTER staff will make every
effort to contact you using the contact information (email, text message, phone
call) we have on file in your TMU© account to reschedule you for no charge, to
a mutually agreed upon new test date. Therefore, you must keep your contact
information current if we need to contact you. (*See examples below for
reasons we may not be able to contact you for which you are responsible.)
If D&SDT-HEADMASTER is
unable to reach you via phone or email with the information in your TMU©
account (*see examples below) due to inclement weather or an unforeseen
circumstance for a test event you are scheduled for, you will be removed from
the test event, and D&SDT-HEADMASTER will not reschedule you until we hear
back from you.
NOTE: The *examples listed
below are your responsibility to check and/or keep updated.
· If
D&SDT-HEADMASTER leaves you a message or emails you at the phone number or
email in your TMU© account and:
§ you do not call us back in a timely manner
§ your phone number is disconnected/your voice mailbox
is full
§ you do not check your messages in a timely manner
§ you do not check your email or reply to our email
in a timely manner
§ your email is
invalid, or you are unable to access your email for any reason
See more information
under ‘No
Show Exceptions’.
If you are scheduled for your
exam and do not show up without notifying D&SDT-HEADMASTER at least one (1)
full business day before your scheduled testing event, excluding Saturdays,
Sundays, and holidays, OR if you are turned away for lack of proper
identification, not arriving at the test site 20 minutes before the test start
time, or any other reason to deem you ineligible to test, you will be
considered a NO SHOW. You will forfeit all fees paid and must
sign in to your TMU© account to repay or submit a new testing fee to schedule
yourself into a new test event.
These fees partially offset
D&SDT-HEADMASTER’s costs incurred for services requested and resulting work
that is performed. If a reschedule or refund request is not done or received
before the one (1) full business day preceding a scheduled test event,
excluding Saturdays, Sundays, and holidays (see examples under Reschedules and
Refunds of Testing Fees Paid), a NO SHOW status will exist and you will forfeit
your testing fees and must repay the full testing fee to secure a new test
event.
Exceptions to the No Show
status exist; if you are a No Show for any test component for any of the
following reasons, a free reschedule will be authorized to the remitter of
record, providing the required documentation is received within the
appropriate time frames outlined below:
· Car breakdown or accident: D&SDT-HEADMASTER
must be contacted within one business day via phone call, fax, or email, and a
tow bill, police report, or other appropriate documentation must be submitted
within three (3) business days of the exam date. If we do not
receive proof within the 3-business day time frame, you will have to pay as
though you were a no-show.
· Weather or road
condition-related issue: D&SDT-HEADMASTER must be contacted within one
business day via phone, fax, or email, and a road report, weather report, or
other appropriate documentation must be submitted within three (3) business
days of the exam date. If we do not receive proof within the 3-business day
time frame, you will have to pay as though you were a no-show.
· Medical emergency or
illness:
D&SDT-HEADMASTER must be contacted within one business day via phone, fax,
or email, and a doctor’s note must be submitted within three (3)
business days of the missed exam date. If we do not receive proof
within the 3-business day time frame, you will have to pay as though you were a
no-show.
· Death in the family: D&SDT-HEADMASTER
must be contacted within one business day via phone, fax, or email, and an
obituary for immediate family must be submitted within seven (7) business days
from a missed exam date. If we do not receive proof within the 7-business-day
time frame, you will have to pay as though you were a no-show. (The immediate
family includes the parent, grand and great-grandparent, sibling, children,
spouse, or significant other.)
· Remotely proctored testing
issues: D&SDT-HEADMASTER must
be contacted within one business day via phone, fax, or email, and appropriate
documentation must be submitted within three (3) business days of
the exam date. If we do not receive proof within the 3-business-day time frame,
you will have to pay as though you were a no-show.
§ Internet outage or
issue: Documentation
from the Internet provider showing outage date and times.
§ Computer or cell phone
issue: If the computer or cell phone fails to work for any
reason, documentation from a computer repair technician/shop or other
appropriate documentation.
Candidate Feedback – Exit Survey
Candidates are provided the
opportunity to complete an exit survey via a link when checking their test
results in their TMU© account. The survey is confidential and will not affect
the outcome of any test. You are encouraged to complete the survey questions
with honest feedback regarding the examination process to help improve the
testing process.
After you have completed both
the Knowledge Test and Skill Test components of the competency exam, your test
results will be officially scored and double-checked by D&SDT-HEADMASTER
scoring teams. Official test results will be available by signing in to your
TMU© account after 7:00PM (EST) the business day after your test event.
D&SDT- HEADMASTER cannot release test results over the phone.
When you pass your exam, you
may be certified and listed on the Massachusetts Nurse Aide Registry ONLY
AFTER you have met all Massachusetts Department of Public Health (DPH)
requirements. One of those requirements includes passing
both the knowledge and skill test components of the Massachusetts nurse aide
examination. To view your test results, sign in to your TMU© account
at mc.tmutest.com.
Note: D&SDT-HEADMASTER
does not send postal mail test results letters.
You have four (4)
attempts to pass the knowledge portion and three (3)
attempts to pass the skill test portion of the exam. If you fail four
attempts on the knowledge component or three attempts on the skills component,
you must complete a new Massachusetts Department of Public Health (DPH)
approved training program to become eligible to further attempt Massachusetts
NA examinations.
NOTE: Federal and State
regulations allow healthcare facilities to employ students for up to 120 days
from the day employment and training is offered in an approved facility-based
nurse aide training and competency evaluation program. However, if you fail
four (4) attempts on the knowledge portion or three (3) attempts on the skills
portion of the state competency exam, the facility is no longer allowed to
employ you to perform nurse aide duties.
Retaking the Nurse Aide Exam
If you fail the knowledge
and/or skill portion of the examination, when you want to apply for a retest,
you will need to repay for the portion that you failed before you can schedule
a new exam date.
You can
schedule a test or re-test online by signing in to your TMU© account with your
Email or Username and Password at mc.tmutest.com. You will need to pay
with a Visa or Master Card before you can schedule.
If you need assistance
scheduling your re-test, please call D&SDT-HEADMASTER at (888)401-0462
during regular business hours, 8:00AM to 8:00PM EST, Monday through Friday,
excluding holidays. We can assist you in scheduling a test or re-test date as
long as your fees have been paid first.
You may request a review of
your test results or dispute any other testing condition. There is a
$25 test review deposit fee (*please read the paragraph below). To request a review, you
must submit the PDF fillable Test Review Request and
Payment Form available on D&SDT-HEADMASTER’s main webpage at www.hdmaster.com (before you get to the
Massachusetts webpage). Submit the Test Review Fee of $25 (MasterCard, Visa, or
debit card) and a detailed explanation of why you feel your dispute is valid
(upload with Form 1403) via the PDF fillable Test Review Request and Payment
Form 1403 within three (3) business days from official scoring
of your test (excluding Saturdays, Sundays and holidays). Late requests will be
returned and will not be considered.
*PLEASE
READ BEFORE FILLING OUT THE TEST REVIEW REQUEST: Please
call D&SDT-HEADMASTER at (888)401-0462 and discuss the test outcome you are
questioning before committing to sending the $25 test review request deposit
fee. Many times, once you have further details about the scoring of your test,
you will understand the scoring process and learn how you can better prepare
yourself for subsequent exam attempts. If, after discussion with
D&SDT-HEADMASTER staff, you still have a concern with your testing process
that affected the outcome of your exam, you may submit a Test Review Request.
Since one qualification for
certification as a Massachusetts nurse aide is demonstrated by examination of
minimum nurse aide knowledge and skills, the likely outcome of your review will
determine who pays for your re-test. If the review results are in your favor,
D&SDT-HEADMASTER will pay your re-test fee. D&SDT-HEADMASTER will
review your detailed recollection, your knowledge test markings, and any skill
task measurements you recorded at the time of your test, in addition to
reviewing markings, notations, and measurements recorded by the RN Test
Observer at the time of your test. D&SDT-HEADMASTER will re-check the
scoring of your test and may contact you and/or the RN Test Observer for any
additional recollection of your test(s). D&SDT-HEADMASTER will not review
test results or disputes with instructors/programs. After a candidate reaches
the age of 18, D&SDT-HEADMASTER will only discuss test results or test
disputes with the candidate. D&SDT-HEADMASTER will not review test results
or disputes with family members or anyone else on behalf of the candidate once
the candidate is 18 years of age. D&SDT -HEADMASTER will complete your
review request within ten business days of receiving your timely review request
and will email the review results to your email address and to the
Massachusetts Department of Public Health (DPH).
You will be required to
re-present your ID when you enter the knowledge test room and the skills lab
for your skills exam. Please keep your ID with you throughout the exam day.
The Knowledge Test Proctor
will hand out materials and give instructions for taking the Knowledge Test.
You will have a maximum of 60 minutes to complete the 60-question Knowledge
Test. You will be told when fifteen (15) minutes remain. You may not ask
questions about the content of the Knowledge Test (such as “What does this
question mean?”). The Knowledge Test Proctor will have scratch paper and a
basic calculator available for use during your knowledge exam.
You must
have a score of 76% or better to pass the knowledge portion of the exam.
All test sites in
Massachusetts utilize electronic TMU© testing using Internet-connected
computers. The Knowledge test portion of your exam will be displayed on a
computer screen for you to read and key/tap or click on your answers.
NOTE: You
will need your TMU© Username or Email and Password to sign in to your knowledge
exam. The Knowledge Test Proctor will provide you with a code at the test event
to start your test.
An audio (oral) version of the
knowledge exam is available. However, you must request an Audio version of the
Knowledge Exam before you submit your testing fee payment.
Foreign language paper
word-for-word translation dictionaries are allowed and
must be shown to the RN Test Observer at check-in (for both a remotely
proctored knowledge test and an on-site test event) and to the Knowledge Test
Proctor when you enter the knowledge test room (on-site test event). If there
is any writing or definitions, the translation dictionary will not be permitted
to be used during the test. Translators using language translators
that are not pre-approved and electronic dictionaries are not allowed.
If needed, you may do math
calculations on scratch paper provided to you by the KTP. If you need a
calculator, please quietly alert the Knowledge Test Proctor; one will be
provided.
· Any
scratch paper and/or provided calculator must be left with the
KTP when testing is done.
Select an Audio Version of the Knowledge Exam
To select the Audio version of the knowledge
exam, under your PROFILE, check the ‘Enable Audio Testing’ to
receive an Audio version of the Knowledge Exam.
at the
bottom of the screen to save.
The questions are read to you
neutrally and can be heard through wired headphones or earbuds plugged into the
computer. Bluetooth-connected devices are not allowed. When taking an
electronic Audio exam, the audio control buttons will be displayed on the
computer screen, enabling you to play, rewind, or pause questions as needed.
Remotely Proctored Knowledge
Exam Candidate Requirements
Candidates must have:
· An updated version of
Google Chrome as your Internet browser.
§ Internet Explorer is not supported by TMU©.
· A reliable Internet
(Wi-Fi) connection.
NOTE: You will need your TMU© Username or Email and Password to sign in
to your knowledge exam. The Knowledge
Test Proctor will provide you with a code at the test event to start your test.
· A personal
computer/tablet/laptop to log into TMU© to access the knowledge exam.
· A smartphone to access the
‘video conferencing app’ (for example, Zoom, etc.) that you will need to have
downloaded.
§ An email will be emailed to you and in your
notifications (in your TMU© account) with information about the ‘video
conferencing app’ (for example, Zoom, etc.) you will need before test day.
§ The night before your scheduled remotely proctored
knowledge exam, you will be emailed, along with a notification (in your TMU©
account), a reminder with the password-protected link to join the test event.
· A distraction and
interruption-free area of your home, etc., where you will be testing.
· If you have selected and
paid for the Audio version of the knowledge exam, you will provide your
own wired headphones/earbuds (Bluetooth-connected devices are
not allowed) to plug into the computer.
§ The questions are neutrally read to you and will be
heard through wired headphones or earbuds plugged into the computer.
§ When taking an Audio exam, the audio control buttons
will be displayed on the computer screen, enabling you to play, rewind, or
pause questions as needed.
Schedule a Remotely Proctored
Knowledge Exam
You will
need to sign in to your TMU© account using your Username or Email and Password
and follow the instructions to ‘Schedule/Reschedule a Test Event’. Please make
sure you have met the ‘Remotely Proctored Knowledge Exam Candidate
Requirements’ listed above before scheduling a remotely proctored knowledge
exam.
· The test site location for
a remotely proctored knowledge exam will be ‘Remotely Proctored Test’.
· Once scheduled, a test
confirmation will be sent via email and/or text message. A notification will be
generated in your TMU© account for you to view.
· Instructions and the link
to download the ‘video conferencing app’ (for example, Zoom, etc.), including
the
§ Remember to also
check your ‘NOTIFICATIONS’ under your profile pic in your TMU© account for this
information.
§ The meeting
ID and password for the remotely proctored knowledge event you are scheduled
for will be emailed to you and included in your notifications.
Remotely Proctored Knowledge
Exam Check-In
You must be signed in to the
remotely proctored exam link for the check-in process with the remote test
proctor before (20 minutes) the start time listed on your test
confirmation. If you are not signed into the remotely proctored exam waiting
room before (at least 20 minutes) the time listed on your test
confirmation, you will not be allowed to test, will be considered a No Show,
forfeit your testing fees paid, and have to pay for another test date.
· You must
show your mandatory forms of identification to the remote Proctor at check-in
before starting your remotely proctored knowledge exam. Please see the
‘Identification’ section for specifics.
· You must show your surroundings to the remote
Proctor during check-in before starting your remotely proctored knowledge exam.
Remotely
Proctored Knowledge Exam Policies
During the remotely proctored
knowledge exam, all ‘Testing Policies’ and ‘Security’ measures are adhered to.
Please refer to those sections for information.
· The
‘video conferencing app’ (for example, Zoom, etc.) link must be maintained
during the entire knowledge exam.
· If the
‘video conferencing app’ (for example, Zoom, etc.) connection is lost, you must
immediately reconnect. Otherwise, the remote proctor will disconnect you from
the test event, and your test will be scored as a failed attempt.
· Your
device must not be muted during testing so that the remote
Proctor can hear if there are any distractions or other interruptions during
your test. REMEMBER: You need to test in a distraction and
interruption-free area just like you would if you were sitting in the knowledge
test room at a test site.
· Please
see remotely proctored testing issues information under the ‘No Show
Exceptions’ section.
· If
needed, you may do math calculations on a piece of scratch paper or with a
basic calculator. You will be asked to show both sides of the scratch paper and
the basic calculator to the remote Proctor before starting
your exam.
§ At the
end of your exam, you will be asked to show both sides of the scratch paper and
the calculator to the remote Proctor again. You
will then be told you must tear up the scratch paper in view of the remote
Proctor and to mute your phone before tearing up the scratch paper.
· Published foreign language word-for-word translation
dictionaries are allowed.
§ You will
need to show the remote Proctor the dictionary during check-in.
§ Translators,
electronic dictionaries, non-approved language translators, or dictionaries
that contain writing or definitions are not allowed.
· If you
have requested an AUDIO version of the Knowledge Exam, you will need to
have wired headphones/earbuds (Bluetooth-connected devices are
not allowed) that plug into the computer.
Please call
D&SDT-HEADMASTER at (888)401-0462 if you have any questions or concerns or
need assistance scheduling a remotely proctored knowledge exam.
The Knowledge Exam consists of
60 multiple-choice questions. Questions are selected from subject areas based
on the Massachusetts Department of Public Health (DPH) approved Massachusetts
test plan and include questions from all the required categories as defined in
the federal regulations. The subject areas are as follows on the next page.
2 Questions in Aging Process and
Restorative
Care 4
Questions in Infection Control
8 Questions in Basic Nursing
Skills 4
Questions in Mental Health
3 Questions in Care
Impaired 4
Questions in Personal Care
5 Questions in
Communication 6
Questions in Resident
Rights
2 Questions in Data
Collection 9
Questions in Role and
Responsibility
7 Questions in Disease
Process 6
Questions in Safety
Self-Assessment Reading Comprehension Exam
The
following passages and corresponding questions will assess your reading
comprehension required for the knowledge portion of the state competency
evaluation. If you miss more than three (3) questions, you should consider
utilizing the audio option for the knowledge exam.
PASSAGE 1
Paul and
Ben are twins. They are identical in features but opposite in personality. Paul
likes to wear dark colors. Ben likes to wear bright colors. Paul likes to read
quietly, and Ben likes to watch football games with friends.
1. Paul can
be classified as an
a. omnivert
b. extrovert
c. introvert
d. ambivert
2. Ben can
be classified as an
a. omnivert
b. extrovert
c. introvert
d. ambivert
3. Paul and
Ben have identical
a. noses
b. shoes
c. earrings
d. tattoos
PASSAGE 2
Amy is
from Montana and lives in an apartment with her parents and her brother, Nick.
Tomorrow, she is flying to Oregon. Amy is bringing three books of three
different colors with her. Nick doesn’t understand why she needs three books.
The yellow one is a Spanish-English dictionary. The red one is a tourist guide
to Oregon. The blue one is about horses, which Amy feels is the most important.
Amy will
not need her United States of America passport because she won’t be leaving the
country.
4. Amy is
from
a. Wisconsin
b. Montana
c. Oregon
d. Wyoming
5. Amy
resides in a(n)
a. house
b. farm
c. condo
d. apartment
6. Amy lives
in
a. Canada
b. America
c. Mexico
d. Peru
7. Amy lives
with her
a. aunt
b. grandmother
c. father
d. sister
8. Amy’s
brother’s name is
a. Nick
b. Loren
c. Chad
d. Jared
9. Tomorrow
she is going to
a. Montana
b. Canada
c. Wisconsin
d. Oregon
10. The type
of book that is yellow is a(n)
a. dictionary
b. animal
interest
c. tourist
d. guidebook
11. Amy
believes the book that is the most important is the color
a. red
b. black
c. yellow
d. blue
PASSAGE 3
Katherine did not like being
called by her full name. She preferred to be called Katie. Katherine’s mother
wanted her to understand why she was given that legal name. Her mother shared a
story about a strong-willed woman who overcame adversities, and her name was
Katherine. Katherine then embraced her given name.
12. Katherine
is a
a. last name
b. middle
name
c. legal
name
d. nickname
13. The
purpose of Katherine’s mother sharing the story with Katherine is to
a. entertain
b. persuade
c. inform
d. describe
Answers: 1. C | 2. B | 3. A | 4. B
| 5. D | 6. B | 7. C | 8. A | 9. D | 10. A | 11. D | 12. C | 13. C
D&SDT-HEADMASTER offers a
free knowledge test question of the day and a ten-question online static
practice test available on our website at www.hdmaster.com. Candidates may also
purchase complete practice tests that are randomly generated based on the state
test plan. A mastery learning method is used, and each practice test will be
unique. This means candidates must get the question they are attempting correct
before they move on to the next question. A first-attempt percentage score and
vocabulary feedback are supplied upon completion of the practice test. A list
of vocabulary words to study is provided at the end of each test. Single or
group purchase plans are available.
NOTE: Make sure you select MASSACHUSETTS from the drop-down list.
The
following is a sample of the kinds of questions that you will find on the
Knowledge/Audio exam:
1. Clean
linens that touch the floor should be:
a. Picked up quickly and placed back
on the clean linen cart
b. Used immediately on the next
resident's bed
c.
Considered
dirty and placed in the soiled linen hamper
d.
Used only
in the room with the floor the linen fell on
2. When you are communicating with residents, you
need to remember to:
a. Face the resident and make eye
contact
b. Speak rapidly and loudly
c.
Look away
when they make direct eye contact
d.
Finish
all their sentences for them
3. A resident’s psychological needs:
a. Should be given minor
consideration
b. Make the resident withdrawn
and secretive
c.
Are
nurtured by doing everything for the resident
d. Are nurtured when residents
are treated like individuals
ANSWERS:
1-C | 2-A |3-D
The Manual Demonstration Skill Test
· The purpose of the Skill
Test is to evaluate your performance when demonstrating DPH-approved nurse aide
skill tasks. You will find a complete list of skill tasks in this handbook.
· You will be asked to
re-present your ID that you showed the RN Test Observer at check-in.
· Be sure you understand all
the instructions you read while in the waiting area before you begin your skill
task demonstrations. You may not ask questions once the Skill Test begins and
the timer starts. Once the Skill Test begins, the RN Test Observer may not
answer questions.
· Each of your randomly
selected three (3) or four (4) tasks will have associated scenarios. The
scenarios will be read to you by the RN Test Observer immediately before you
are asked to do each task.
· You will be allowed a
maximum of forty (40) minutes to complete your three or four
tasks. You will be alerted when 15
minutes remain.
· Listen carefully to all
instructions given by the RN Test Observer. You may request to have any of the
scenarios repeated at any time during your Skill Test up until
you run out of time or tell the RN Test Observer that you are finished with
your skill task demonstrations.
· You must correctly perform
all of the key steps (in bold font) and 80%
of all non-key steps on each task assigned to pass the Skill Test.
· If you believe you made a mistake while performing
a task, tell the RN Test Observer you would like to make a correction. You will
need to correctly demonstrate the step or steps on the task you believe you
performed incorrectly to receive credit for the correction.
· You may repeat or
correct any step or steps on any task you
believe you have performed incorrectly at any time during your
allotted 30 minutes or until you tell the RN Test Observer you are finished
with the Skill Test.
· The skill task steps are
not order dependent unless the words BEFORE or AFTER are
used in a step.
· When you finish each task, verbally tell the RN
Test Observer you are finished and move to the designated “relaxation area.”
When the RN Test Observer and actor have set up and are ready for your next
skill task demonstration, the RN Test Observer will read the scenario for your
next task.
· All steps must actually be
demonstrated. Steps that are only verbalized WILL NOT COUNT.
If your skill test includes a skill task that
requires recording a count or measurement, the RN test observer will provide a
recording form that you will be asked to sign during the equipment/supplies demonstration.
You will be assigned one of the following
mandatory tasks with embedded hand washing using soap and water as your first
task:
· Assist
Resident with the use of a Bedpan, Measure, and Record Urine Output with Hand
Washing
· Catheter Care for a Female
with Hand Washing [DEMONSTRATED ON A MANIKIN]
· Donn Gown and Gloves, Empty a Urinary Drainage Bag, Measure and Record Urine
Output, and Remove Gown and Gloves with Hand Washing
· Perineal
Care for a Female with Hand Washing [DEMONSTRATED
ON A MANIKIN]
Note: Hand
washing with soap and water is embedded in each of the mandatory tasks and must
be demonstrated at the end of each mandatory task.
You will also receive an
additional two (2) or three (3) randomly selected tasks from the Skill Task
listing below. These selected tasks will make up your personalized and unique
skill test. Each skill test randomly assigned by the TMU© skill test assignment
algorithm will be comparable in overall difficulty.
Every step must actually be
performed and demonstrated during your skill test demonstration to receive
credit.
The steps
listed for each task are the steps required for a nurse aide candidate to
successfully demonstrate minimum proficiency in the skill task for the RN Test
Observer. For all but two of the tasks, the steps will be performed on a live
resident actor; the catheter care for a
female and the perineal care for a female will be done on a
manikin. You will be scored only on the steps listed.
You must score 80% on each
task without missing any key steps (the bolded steps) to pass the skill
component of your competency evaluation.
If you fail the Skill Test,
there will always be one of the first mandatory tasks to start each Skill Test.
You will receive one of the tasks you failed (if you failed more than one task,
the computer will randomly draw which task you failed to retest on), and one or
two other tasks are randomly chosen so that every Skill Test is comparable in
difficulty and average length of time to complete. The RN Test Observer will
observe your demonstrations of your skill tasks and record what they see you
do. D&SDT-HEADMASTER scoring teams will officially score and double-check
your test.
Note: The
skill task steps included in this handbook are offered as guidelines to help
prepare candidates for the Massachusetts nurse aide skill test, and the steps
included herein are not intended to be used to provide complete care that would
be all-inclusive of best care practiced in an actual work setting.
APPLY A
KNEE-HIGH ANTI-EMBOLIC (COMPRESSION) STOCKING TO ONE LEG
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Raise bed height.
4. Provide for resident’s
privacy.
5. Provide for resident's
privacy by only exposing one leg.
6. Roll, gather, or turn the
stocking down inside out to at least the heel.
7. Place the foot of the
stocking over the resident's toes, foot, and heel.
8. Roll -or- pull the top of
the stocking over the resident’s foot, heel, and up the leg.
9. Check toes for possible pressure
from stocking.
10. Adjust stocking as needed.
11. Leave the resident with a stocking that is
smooth/wrinkle-free.
12. Lower bed.
13. Place the call light or signaling device within
easy reach of the resident.
14. Maintain respectful, courteous interpersonal
interactions at all times.
15. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
ASSIST RESIDENT TO AMBULATE USING A GAIT BELT
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Obtain a gait belt for the
resident.
4. Assist the resident in
putting on non-skid shoes/footwear.
5. Adjust the bed height to
ensure that the resident’s feet are flat on the floor when the resident is
sitting on the edge of the bed.
6. Lock bed brakes to ensure
resident's safety.
7. Lock wheelchair brakes to
ensure resident’s safety.
8. Bring the resident to a
sitting position.
9. Place a gait belt around
the resident’s waist to stabilize the trunk.
10. Tighten gait belt.
11. Check the gait belt for tightness by slipping fingers
between the gait belt and the resident.
12. Face the resident.
13. Grasp the gait belt on both sides with an upward
grasp.
14. Bring the resident to a standing position.
15. Stabilize the resident.
16. Ambulate the resident at least ten (10) steps to
the wheelchair.
17. Assist resident in pivoting/turning and sitting
resident in the wheelchair in a controlled manner that ensures safety.
18. Use proper body mechanics
at all times.
19. Remove gait belt.
20. Place the call light or signaling device within
easy reach of the resident.
21. Maintain respectful, courteous interpersonal
interactions at all times.
22. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
ASSIST
RESIDENT WITH THE USE OF A BEDPAN, MEASURE AND RECORD URINE OUTPUT WITH HAND
WASHING
(One of
the possible first mandatory tasks.)
-EMBEDDED HAND WASHING ADDED-
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Put on gloves.
5. Position resident on
bedpan/fracture pan safely and correctly. (Pan is
not upside down, is centered, etc.)
6. Raise the head of the bed
to a comfortable level.
7. Leave tissue within reach
of the resident.
8. Leave the call light or signaling
device within reach of the resident.
9. Step behind the privacy
curtain to provide privacy for the resident.
10. When the RN Test Observer indicates the
candidate returns.
11. Lower the head of the bed.
12. Gently remove the bedpan/fracture pan.
13. Hold the bedpan for the RN Test Observer while
an unknown quantity of liquid is poured into bedpan.
14. Place the graduate on a designated level flat
surface.
15. Pour bedpan/fracture pan contents into the
graduate.
16. With the graduate at eye level, measure output.
17. Empty equipment used into the designated
toilet/commode.
18. Rinse equipment used and empty rinse water into
the designated toilet/commode.
19. Return equipment to storage.
20. Wash/assist the resident in washing and drying
hands with soap and water.
21. Place soiled linen in the designated laundry
hamper.
22. Remove gloves, turning them inside out as they
are removed, and dispose in a trash container.
23. Record output on the previously signed recording
form.
24. The candidate's recorded measurement is within
25mls of the RN Test Observer's reading.
25. Place the call light or signaling device within
easy reach of the resident.
26. Maintain respectful, courteous interpersonal
interactions at all times.
27. Turn on water.
28. Wet hands and wrists thoroughly.
29. Apply soap to hands.
30. Rub hands together using friction with soap.
31. Scrub/wash hands together for at least twenty
(20) seconds with soap.
32. Scrub/wash with interlaced fingers pointing
downward with soap.
33. Wash all surfaces of your hands with soap.
34. Wash wrists with soap.
35. Clean fingernails by rubbing fingertips against
the palm of the opposite hand.
36. Rinse fingers, hands, and wrists thoroughly
under running water with fingers pointed downward.
37. Starting at the fingertips, dry fingers, hands,
and wrists with a clean paper towel(s).
38. Discard paper towel(s) in a trash container as
used.
39. Turn off the faucet with a clean, dry paper
towel and discard it in a trash container as used, or use the elbow or
knee/foot control to turn off the faucet.
40. Do not re-contaminate
hands at any time during the hand washing procedure. (For
example, do not touch the sides of the sink during the procedure or crumple up
the paper towel used to turn off the faucet with both hands before discarding
it.)
CATHETER
CARE FOR A FEMALE RESIDENT WITH HAND WASHING
(One of
the possible first mandatory tasks.)
-EMBEDDED HAND WASHING ADDED- [DEMONSTRATED ON A MANIKIN]
1. Perform hand hygiene.
a. Cover all surfaces of hands
with hand sanitizer.
b. Rub your hands together until
they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Fill a basin with comfortably
warm water.
5. Put on gloves.
6. Expose the area
surrounding the catheter, only exposing the lower half of the resident’s body.
7. Hold the catheter where it
exits the urethra with one hand.
8. While holding the
catheter, clean at least 3-4 inches down the drainage tube.
9. Clean with at least two
strokes only away from the urethra.
10. Use a clean portion of the washcloth for each
stroke.
11. While holding the catheter, rinse at least 3-4
inches down the drainage tube.
12. Rinse using strokes only away from the urethra.
13. Rinse using a clean portion of the washcloth for
each stroke.
14. Pat dry.
15. Do not allow the tube to be tugged/pulled at any
time during the procedure.
16. Replace the top cover over the resident.
17. Place soiled linen in the designated laundry.
18. Empty, rinse, dry, and return equipment to
storage.
19. Remove gloves, turn them inside out as they are
removed, and dispose in a trash container.
20. Place the call light or signaling device within
easy reach of the resident.
21. Maintain respectful, courteous interpersonal
interactions at all times.
22. Turn on water.
23. Wet hands and wrists thoroughly.
24. Apply soap to hands.
25. Rub hands together using friction with soap.
26. Scrub/wash hands together for at least twenty
(20) seconds with soap.
27. Scrub/wash with interlaced fingers pointing
downward with soap.
28. Wash all surfaces of your hands with soap.
29. Wash wrists with soap.
30. Clean fingernails by rubbing fingertips against
the palm of the opposite hand.
31. Rinse fingers, hands, and wrists thoroughly
under running water with fingers pointed downward.
32. Starting at the fingertips, dry fingers, hands,
and wrists with a clean paper towel(s).
33. Discard paper towel(s) in a trash container as
used.
34. Turn off the faucet with a clean, dry paper
towel and discard it in a trash container as used, or use the elbow or
knee/foot control to turn off the faucet.
35. Do not re-contaminate hands at any time during
the hand washing procedure. (For example, do not touch the sides of the sink
during the procedure or crumple up the paper towel used to turn off the faucet
with both hands before discarding it.)
DENTURE
CARE – CLEAN AN UPPER OR LOWER DENTURE
-WITHOUT MOUTH CARE-
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Line the bottom of the
sink with a protective lining that will help prevent damage to the dentures.
(Towels,
washcloths, or paper towels are all acceptable.)
4. Put on gloves.
5. Apply denture cleanser
(paste) to denture brush (or toothbrush).
6. Remove the denture from
the cup.
7. Handle the denture
carefully to avoid damage.
8. Rinse the denture under
cool running.
9. Thoroughly brush the inner
surfaces of an upper or lower denture.
10. Thoroughly brush the outer surfaces of an upper
or lower denture.
11. Thoroughly brush denture chewing surfaces of an
upper or lower denture.
12. Rinse all surfaces of the denture under cool
running water.
13. Rinse the denture cup and lid.
14. Place the denture in the rinsed cup.
15. Add cool, clean water to the denture cup and
replace the lid on the denture cup.
16. Rinse equipment.
17. Return equipment to storage.
18. Discard the sink protective lining in an
appropriate container.
19. Remove gloves, turn them inside out as they are
removed, and dispose in a trash container.
20. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
21. Place the call light or signaling device within
easy reach of the resident.
22. Maintain respectful, courteous interpersonal
interactions at all times.
DONN GOWN
AND GLOVES, EMPTY A URINARY DRAINAGE BAG, MEASURE AND RECORD URINE OUTPUT, AND
REMOVE GOWN AND GLOVES WITH HAND WASHING
(One of the possible first
mandatory tasks.)
-EMBEDDED HAND WASHING ADDED-
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Unfold the gown.
3. Face the back opening of
the gown.
4. Place arms through each
sleeve.
5. Secure the neck opening.
6. Secure the gown at the
waist, making sure that the back flaps cover the clothing as completely as
possible.
7. Put on gloves.
8. Ensure the cuffs of the
gloves overlap the cuffs of the gown.
9. Explain the procedure to
the resident.
10. Provide for resident’s privacy.
11. Place a barrier on the floor under the drainage
bag.
12. Place the graduate on the previously placed
barrier.
13. Open the drain to allow the urine to flow into
the graduate until the bag is completely empty.
14. Avoid touching the graduate with the tip of the
tubing.
15. Close the drain.
16. Wipe the drain with an alcohol wipe AFTER
emptying the drainage bag.
17. Place the graduate on a level, flat surface.
18. With the graduate at eye level, measure output.
19. Empty the graduate into the designated
toilet/commode.
20. Rinse equipment, emptying rinse water into the
designated toilet/commode.
21. Return equipment to storage.
22. Record the output on the previously signed
recording form.
23. The candidate's recorded measurement is within
25mls of the RN Test Observer's measurement.
24. Place the call light or signaling device within
easy reach of the resident.
25. Maintain respectful, courteous interpersonal
interactions at all times.
26. Remove gloves before removing the gown OR, with
gloves on, pull/pop the gown off by pulling on the front of the gown.
27. Remove gloves by turning them inside out and
folding one glove inside the other, or pull/pop the gown from the neck, always
keeping gloved hands on the outside (contaminated) portion of the gown.
28. Do not touch the outside of the gloves with your
bare hand at any time OR work gown down the arms from the neck and roll the
gown inside out as it is removed.
29. Dispose of the gloves in the appropriate
container without contaminating yourself, OR peel them off, keeping them inside
out and rolling up inside the gown.
30. Unfasten the gown at the
waist with bare hands if not using an alternate removal method.
31. Unfasten the gown at the neck with bare hands if
not using an alternate removal method.
32. Remove the gown by folding/rolling the soiled
area to the soiled area with either removal method.
33. The candidate’s bare hands never touch the
soiled surface of the gown.
34. With either method of removal, dispose of the
gown in an appropriate container without contaminating yourself.
35. Turn on water.
36. Wet hands and wrists thoroughly.
37. Apply soap to hands.
38. Rub hands together using friction with soap.
39. Scrub/wash hands together for at least twenty
(20) seconds with soap.
40. Scrub/wash with interlaced fingers pointing
downward with soap.
41. Wash all surfaces of hands with soap.
42. Wash wrists with soap.
43. Clean fingernails by rubbing fingertips against
the palm of the opposite hand.
44. Rinse fingers, hands, and wrists thoroughly
under running water with fingers pointed downward.
45. Starting at the fingertips, dry fingers, hands,
and wrists with a clean paper towel(s).
46. Discard paper towel(s) in a trash container as
used.
47. Turn off the faucet with a clean, dry paper
towel and discard it in a trash container as used, or use the elbow or
knee/foot control to turn off the faucet.
48. Do not re-contaminate
hands at any time during the hand washing procedure. (For
example, do not touch the sides of the sink during the procedure or crumple up
the paper towel used to turn off the faucet with both hands before discarding
it.)
DRESS A
RESIDENT WITH AN AFFECTED (WEAK) SIDE IN BED
-SHIRT, PANTS AND SOCKS-
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together until
they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Raise bed height.
5. Keep the resident covered
while removing the gown.
6. Remove the gown from the
unaffected side first.
7. Place the soiled gown in
the designated laundry hamper.
8. Dress the resident in a
button-up shirt. Insert your hand through the sleeve of the shirt and grasp the
resident's hand.
9. When dressing the resident
in a button-up shirt, always dress from the affected (weak) side first.
10. Assist the resident to raise their buttocks or
turn the resident from side to side and draw the pants over the buttocks and up
to the resident's waist.
11. Put on the resident's
socks. Draw the socks up the resident's foot until they are smooth.
12. Leave the resident comfortably/properly dressed
(pants pulled up to the waist front and back and shirt completely buttoned).
13. Lower bed.
14. Place the call light or signaling device within
easy reach of the resident.
15. Maintain respectful, courteous interpersonal
interactions at all times.
16. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
FEED A DEPENDENT RESIDENT IN BED
-WITH THE RESIDENT IN THE BED-
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Ask the resident to state
the name and verify that the name matches the name on the diet card.
4. Position the resident in
an upright, sitting position at least 75-90 degrees BEFORE feeding.
5. Protect clothing from soiling
by using a napkin, clothing protector, or towel.
6. Provide hand hygiene for
the resident BEFORE feeding. (Candidate may use a disposable wipe and dispose
of it in a trash can –or- wash resident’s hands with soap and a wet washcloth
–or- they may rub hand sanitizer over all surfaces of the resident’s hands
until dry.)
7. Ensure the resident's
hands are dry BEFORE feeding. (If a wet washcloth with
soap was used, the candidate will need to dry the resident’s hands. If a
disposable wipe or hand sanitizer was used, the hands must be dry.)
8. Place soiled linen in the
designated laundry hamper or dispose of disposable wipes in the trash container
if used.
9. Sit in a chair, facing the
resident, while feeding the resident.
10. Describe the food and fluid being offered to the
resident.
11. Offer each fluid frequently.
12. Offer small amounts of food at a reasonable
rate.
13. Allow resident time to chew and swallow.
14. Wipe the resident's hands and mouth AFTER
feeding the resident.
15. Remove the clothing protector and place it in
the designated laundry hamper. If a napkin is used, dispose of it in a trash
container.
16. Leave the resident sitting
upright in bed with the head of the bed set up to at least 45 degrees.
17. Record intake as a percentage of total solid
food eaten on the previously signed recording form.
18. The candidate's calculation must be within 25
percentage points of the RN Test Observer’s.
19. Record estimated intake as the sum of total
fluid consumed in mls on the previously signed
recording form.
20. The candidate's
calculation must be within 60mls of the RN Test Observer's.
21. Place the call light or signaling device within
easy reach of the resident.
22. Maintain respectful, courteous interpersonal
interactions at all times.
23. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Fill a basin with
comfortably warm water.
4. Remove a sock from the
resident’s (right/left) foot. (The scenario read to you will specify whether
it is right or left.)
5. Immerse the resident’s
foot in warm water.
a. Verbalize
the 5 to 20 minutes of soaking time after you begin soaking the foot.
b. Once the
5 to 20-minute soaking time is verbalized, the RN Test Observer acknowledges
the stated time and says, “You may continue with your demonstration now.”
6. Use water and a soapy
washcloth.
7. Wash entire foot.
8. Wash between toes.
9. Rinse entire foot.
10. Rinse between toes.
11. Dry foot thoroughly.
12. Dry thoroughly between toes.
13. Apply lotion to the top and bottom of the foot.
14. Avoid getting lotion between the resident’s
toes.
15. If any excess lotion is on the foot, wipe with a
towel/washcloth.
16. Replace the sock on the resident’s foot.
17. Empty, rinse, dry, and return equipment to
storage.
18. Place soiled linens in the designated laundry
hamper.
19. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
20. Place the call light or signaling device within
easy reach of the resident.
21. Maintain respectful, courteous interpersonal
interactions at all times.
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Gather linen and transport
linen away from the body without touching the uniform.
4. Place linen over the back
of the chair, drape it over the foot of the bed, or place it on the overbed
table.
5. Provide for resident’s
privacy.
6. Raise bed height.
7. The resident is to remain
covered at all times.
8. Assist the resident in
rolling onto the side.
9. Roll or fan fold soiled
linen, soiled side inside, to the center of the bed.
10. Place a clean bottom sheet on the mattress.
11. Secure two fitted corners.
12. Roll or fan-fold clean linen against the
resident’s back.
13. Assist the resident in rolling onto the side
over the clean bottom linen.
14. Remove soiled linen without shaking.
15. Avoid placing soiled linen on the overbed table,
chair, or floor.
16. Avoid touching soiled linen to your uniform.
17. Place soiled linen in the designated laundry
hamper.
18. Pull through and smooth out the clean bottom linen, leaving it tight and wrinkle-free.
19. Secure the other two fitted corners.
20. Place resident on their back.
21. Ensure that the resident never touches the bare
mattress at any time during the demonstration.
22. Place clean top linen over the covered resident.
23. Place a clean blanket or bedspread over the
covered resident.
24. Remove soiled linen keeping resident unexposed
at all times.
25. Place soiled linen in the designated laundry
hamper.
26. Tuck in clean top linen, blanket, or bedspread
at the foot of the bed while providing room for the resident’s feet to move.
27. Apply a clean pillowcase
with zippers and/or tags to the inside.
28. Gently lift the resident's head while replacing
the pillow.
29. Leave the bed neatly and completely made.
30. Lower bed.
31. Place the call light or signaling device within
easy reach of the resident.
32. Maintain respectful, courteous interpersonal
interactions at all times.
33. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
MODIFIED BED BATH- FACE AND ONE ARM, HAND AND UNDERARM
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Raise bed height.
5. Cover the resident with a
bath blanket.
6. Remove the remaining top
covers. Fold to the bottom of the bed or place aside.
7. Remove the resident's gown
without exposing the resident and place the soiled gown in the designated
laundry hamper.
8. Fill a basin with
comfortably warm water.
9. Beginning with eyes, wash
eyes WITHOUT SOAP using a clean portion of the washcloth for each stroke,
washing the inner aspect to the outer aspect.
10. Wash the resident’s face
WITHOUT SOAP.
11. Pat dry face.
12. Place a towel under the resident’s arm, exposing
one arm.
13. Wash the resident’s arm with soap.
14. Wash the resident’s hand with soap.
15. Wash the resident’s underarm with soap.
16. Rinse arm.
17. Rinse hand.
18. Rinse underarm.
19. Pat dry arm.
20. Pat dry hand.
21. Pat dry underarm.
22. Assist the resident in putting on a clean gown.
23. Empty, rinse, dry, and return equipment to
storage.
24. Place soiled linen in the designated laundry
hamper.
25. Lower bed.
26. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
27. Place the call light or signaling device within
easy reach of the resident.
28. Maintain respectful, courteous interpersonal
interactions at all times.
MOUTH CARE—BRUSH RESIDENT’S TEETH
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Drape the resident's chest
with a towel to prevent soiling.
5. Put on gloves BEFORE
cleaning the resident’s mouth.
6. Wet the toothbrush and
apply a small amount of toothpaste.
7. Gently brush the inner
surfaces of the resident’s upper and lower teeth.
8. Gently brush the outer
surfaces of the resident’s upper and lower teeth.
9. Gently brush the chewing
surfaces of the resident’s upper and lower teeth.
10. Gently brush the resident's tongue.
11. Assist the resident in rinsing the mouth.
12. Wipe the resident's mouth.
13. Remove soiled linen.
14. Place soiled linen in the designated laundry
hamper.
15. Empty container. (The container may be an
emesis basin or a disposable cup.)
16. Rinse the emesis basin, if used, or discard
disposable items in the trash can.
17. Dry emesis basin, if used.
18. Rinse the toothbrush.
19. Return equipment to storage.
20. Remove gloves, turning them inside out as they
are removed, and dispose in a trash container.
21. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
22. Place the call light or signaling device within
easy reach of the resident.
23. Maintain respectful, courteous interpersonal
interactions at all times.
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Fill a basin with warm
water.
4. Immerse right/left hand
nails in warm water. (The scenario read to you will specify right or
left.)
a. Verbalize
the ‘at least 5 minutes’ soaking time after you begin soaking the nails.
b. Once the
at least 5 minutes of soaking time is verbalized, the RN Test Observer
acknowledges the stated time and says, “You may continue with your
demonstration now.”
5. Dry hand thoroughly.
6. Specifically dry between
the fingers.
7. Gently clean under the
resident’s nails with an orange stick.
8. Gently push the resident’s
cuticles back with a towel or washcloth.
9. File each fingernail.
10. Empty, rinse, dry, and return equipment to
storage.
11. Place soiled linen in the designated laundry
hamper.
12. Place the call light or signaling device within
easy reach of the resident.
13. Maintain respectful, courteous interpersonal
interactions at all times.
14. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
PASSIVE RANGE OF MOTION EXERCISES FOR ONE HIP
AND ONE KNEE
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Raise bed height.
5. Position resident supine
(bed flat).
6. Correctly support joints
at all times by placing one hand under the resident’s knee and the other hand
under the resident’s ankle.
7. Gently move the resident’s
entire leg away from the body.
a. Abduction
8. Gently return the
resident’s leg toward the body.
a. Adduction
9. Gently complete abduction
and adduction of the hip at least three times.
10. Continue to correctly support joints at all
times by placing one hand under the resident’s knee and the other hand under
the resident’s ankle.
11. Gently bend the resident’s
knee and hip toward the resident’s trunk.
a. Flexion
of hip and knee at the same time.
12. Gently straighten the resident’s knee and hip.
a. Extension
of hip and knee at the same time.
13. Gently complete flexion and extension of the
knee and hip at least three times.
14. Do not force any joint beyond the point of free
movement.
15. The candidate must ask at
least once during the PROM exercise if there is/was any discomfort/pain.
16. Lower bed.
17. Place the call light or signaling device within
easy reach of the resident.
18. Maintain respectful, courteous interpersonal
interactions at all times.
19. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together until they are completely
dry.
PASSIVE
RANGE OF MOTION EXERCISES FOR ONE SHOULDER
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Raise bed height.
5. Position resident supine
(bed flat).
6. Correctly support joints
at all times by placing one hand under the resident’s elbow or upper arm and
the other hand under the resident’s wrist.
7. Gently raise the
resident's straightened arm up and over the resident's head to ear level.
a. Flexion
8. Gently bring the
resident's arm back down to the side of the resident's body.
a. Extension
9. Gently complete flexion
and extension of the shoulder at least three times.
10. Continue to correctly support shoulder joints by
placing one hand under the resident’s elbow or upper arm and the other hand
under the resident’s wrist.
11. Gently move the resident's
entire arm away from the side of the resident’s body to shoulder level.
a. Abduction
12. Gently return the resident’s arm to the side of
the resident's body.
a. Adduction
13. Gently complete abduction and adduction of the
shoulder at least three times.
14. Do not force any joint beyond the point of free
movement.
15. The candidate must ask at
least once during the PROM exercise if there is/was any discomfort/pain.
16. Lower bed.
17. Place the call light or signaling device within
easy reach of the resident.
18. Maintain respectful, courteous interpersonal
interactions at all times.
19. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
PERINEAL
CARE FOR A FEMALE RESIDENT WITH HAND WASHING
(One of the possible first
mandatory tasks.)
-EMBEDDED HAND WASHING ADDED- [DEMONSTRATED ON A MANIKIN]
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Fill a basin with
comfortably warm water.
5. Raise bed height.
6. Put on gloves.
7. Turn the resident or raise
hips and place a waterproof pad under the resident’s buttocks.
8. Expose the perineal area
only.
9. Separate labia. (It is
helpful if you verbalize separating labia as you demonstrate separating labia.)
10. Use water and a soapy washcloth (no peri-wash or
no-rinse soap allowed).
11. Clean one side of the labia from front to back.
12. Use a clean portion of the washcloth and clean
the other side of the labia from front to back.
13. Use a clean portion of the washcloth and clean
the vaginal area from front to back.
14. Use a clean washcloth and rinse from one side of
the labia from front to back.
15. Use a clean portion of the washcloth and rinse
the other side of the labia from front to back.
16. Use a clean portion of the washcloth and rinse
the vaginal area from front to back.
17. Pat dry.
18. Assist the resident (manikin) in turning
sideways away from the candidate toward the center of the bed.
a. RN Test
Observer may help hold the manikin on their side ONLY after the candidate has turned
the manikin.
19. Use a clean washcloth with water and soap (no
peri-wash or no-rinse soap allowed).
20. Wash from vagina to rectal area.
21. Use a clean portion of the washcloth with any
stroke.
22. Use a clean washcloth and rinse the rectal area
from front to back.
23. Use a clean portion of the washcloth with any
stroke.
24. Pat dry.
25. Safely remove the waterproof pad from under the
resident’s buttocks.
26. Position resident on their back.
27. Place soiled linen in the designated laundry
hamper.
28. Empty, rinse, dry, and return equipment to
storage.
29. Remove gloves, turn them inside out as they are
removed, and dispose in a trash container.
30. Lower bed.
31. Place the call light or signaling device within
easy reach of the resident.
32. Maintain respectful, courteous interpersonal
interactions at all times.
33. Turn on water.
34. Wet hands and wrists thoroughly.
35. Apply soap to hands.
36. Rub hands together using friction with soap.
37. Scrub/wash hands together for at least twenty
(20) seconds with soap.
38. Scrub/wash with interlaced fingers pointing
downward with soap.
39. Wash all surfaces of your hands with soap.
40. Wash wrists with soap.
41. Clean fingernails by rubbing fingertips against
the palm of the opposite hand.
42. Rinse fingers, hands, and wrists thoroughly
under running water with fingers pointed downward.
43. Starting at the fingertips, dry fingers, hands,
and wrists with a clean paper towel(s).
44. Discard paper towel(s) in a trash container as
used.
45. Turn off the faucet with a clean, dry paper
towel and discard the paper towel in a trash container as used, or use elbow or
knee/foot control to turn off the faucet.
46. Do not re-contaminate
hands at any time during the hand washing procedure. (For
example, do not touch the sides of the sink during the procedure or crumple up
the paper towel used to turn off the faucet with both hands before discarding
it.)
POSITION A DEPENDENT RESIDENT IN BED ON THEIR
SIDE
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Position the bed flat.
5. Raise bed height.
6. Direct the RN Test
Observer to stand on the side of the bed opposite the working side or raise the
side rail opposite the working side of the bed to provide safety.
7. From the working side of
the bed – gently move the resident's upper body toward self.
8. From the working side of
the bed – gently move the resident's hips toward self.
9. From the working side of
the bed – gently move the resident's legs toward self.
10. Gently assist/turn the resident to slowly roll
onto the correct side that the RN Test Observer read to the candidate in the
scenario at the start of the task.
11. Place or adjust the pillow
under the resident’s head for support.
12. Reposition the resident’s arm and shoulder so
that the resident is not lying on the arm.
13. Place the support device under the resident's
upside arm.
14. Place the support device behind the resident’s
back.
15. Place the support device between the resident’s
knees.
16. Lower bed.
17. Place the call light or signaling device within
easy reach of the resident.
18. Maintain respectful, courteous interpersonal
interactions at all times.
19. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
TRANSFER RESIDENT FROM THEIR BED TO A WHEELCHAIR
USING A GAIT BELT
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Provide for resident’s
privacy.
4. Obtain a gait belt for the
resident.
5. Assist the resident in
putting on non-skid shoes/footwear.
6. Adjust the bed height to
ensure that the resident’s feet are flat on the floor when the resident is
sitting on the edge of the bed.
7. Lock bed brakes to ensure
resident's safety.
8. Lock wheelchair brakes to
ensure resident’s safety.
9. Bring the resident to a
sitting position.
10. Place a gait belt around the resident’s waist to
stabilize the trunk.
11. Tighten gait belt.
12. Check the gait belt for tightness by slipping
fingers between the gait belt and the resident.
13. Position the wheelchair arm/wheel touching the
side of the bed.
14. Face the resident.
15. Grasp the gait belt on both sides with an upward
grasp.
16. Bring the resident to a standing position.
17. Assist the resident to pivot in a controlled
manner that ensures safety.
18. Lower the resident into the wheelchair in a
controlled manner that ensures safety.
19. Remove gait belt.
20. Place the call light or signaling device within
easy reach of the resident.
21. Maintain respectful, courteous interpersonal
interactions at all times.
22. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together until they are completely
dry.
VITAL
SIGNS – COUNT AND RECORD RESIDENT’S RADIAL PULSE AND RESPIRATIONS
-PULSE AND RESPIRATIONS COMBINED-
1. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
2. Explain the procedure to
the resident.
3. Locate the resident’s
radial pulse by placing fingertips on the thumb side of the resident's wrist.
4. Count the resident’s
radial pulse for one full minute.
a. Tell the
RN Test Observer when you start counting and tell them when you stop counting.
5. Record the resident’s
radial pulse rate reading on the previously signed recording form.
6. The candidate’s recorded
radial pulse rate is within eight (8) beats of the RN Test Observer's recorded
rate.
7. Count the resident’s respirations
for one full minute.
a. Tell the
RN Test Observer when you start counting and tell them when you stop counting.
8. Record the resident’s
respiration reading on the previously signed recording form.
9. The candidate’s recorded
respiratory rate is within four (4) breaths of the RN Test Observer's recorded
rate.
10. Place the call light or signaling device within
easy reach of the resident.
11. Maintain respectful, courteous interpersonal
interactions at all times.
12. Perform hand hygiene.
a. Cover all surfaces of
hands with hand sanitizer.
b. Rub your hands together
until they are completely dry.
Knowledge Exam Vocabulary List
abandonment
abdominal thrust
abductor wedge
abnormal vital signs
absorption
abuse
accidents
activities
acute
adaptive
ADL
admission
admitting resident
affected side
aging process
agitation
Alzheimer's
ambulation
angina
anterior
anti-embolic (compression)
stocking
anxiety
aphasia
arthritis
aspiration
assault
assistive device
atrophy
authorized duty
basic needs
bath water temperature
bathing
bed cradle
bed height
bed making
bedrest
behavior
behavioral care plan
beliefs
biohazard
bleeding
blindness
blood pressure
body alignment
body fluid
body language
body mechanics
body temperature
bone loss
bowel program
brain stem
breathing
burnout
call light
cancer
cardiac arrest
cardiovascular system
care impaired
care plan
care planning
cataract
catheter
catheter care
cc's in an ounce
central nervous system
chain of command
charge nurse
choking
chronic
circulation
circulatory system
cleaning
clear liquid diet
clergy
cold pack
colostomy
colostomy care
coma
combative resident
communicable
communication
conduct
confidentiality
conflict
confused resident
congestive heart failure
constipation
contracture
converting measures
COPD
coughing excessively
CPR
cultural
culture
CVA
dangling
de-escalation
death and dying
deeper tissue
dehydration
delegation
demanding resident
dementia
denture care
dentures
dependability
developmental disability
diabetes
diastolic
diet
dietitian
digestion
dirty linen
discharging resident
disease
disease process
disinfection
disoriented
disposing of contaminated
materials
disrespect
dizziness
DNR
documentation
domestic abuse
dressing
dry skin
dying
dyspnea
dysuria
edema
elastic (compression)
stockings
elimination
emesis
emesis basin
emotional abuse
emotional needs
emotional stress
emotional support
empathy
essential behaviors
ethics
eye glasses
falls
fasting
feces
feeding
fire
fire safety
first aid
flatus
Foley catheter
foot care
foot drop
fractures (broken bones)
fraud
frayed cord
gait belt
gastric feedings
gastrostomy tube
geriatrics
gestures
gifts
gloves
grieving process
group settings
hair care
hand care
hand tremors
hand washing
health-care team
hearing aid
hearing impaired
hearing loss
heart muscle
Heimlich maneuver
helping residents
hemiplegia
HIPAA
HIV
hormones
hospice
hyperglycemia
hypertension
hyperventilation
immobility
impaired
in-house transfer
in-service programs
incontinence
indwelling catheter
infection
infection control
initial observations
insomnia
intake
intake and output
(I&O)
interpersonal skills
invasion of privacy
isolation
isolation precautions
IV care
jaundice
job description
lactose intolerance
lift/draw sheet
linen (sheets, towels,
etc.)
log rolling
loose teeth
male perineal care
masturbation
measuring height
measuring temperature
mechanical lift
medical record
medications
memory loss
mental health
mentally impaired
microorganism
military time
mistakes
mobility
mouth care
moving
Multiple Sclerosis
muscle spasms
musculoskeletal
nail care
nasal cannula
neglect
non-contagious disease
NPO
nurse aide's role
nutrition
objective
objective data
occupied bed
ombudsman
oral care
oral hygiene
oral temperature
orientation
oriented
orthostatic hypotension
osteoporosis
ostomy bag
output
overbed table
oxygen
oxygen use
palliative care
paralysis
paranoia
Parkinson's
passive
patience
perineal care
personal care
personal items
personal protective
equipment (PPE)
personal values
pet therapy
phone etiquette
physical needs
physical therapist
physician's authority
plaque
plate rim
positioning
precautions
pressure ulcer/injury
preventing falls
privacy
pronation
prostate gland
prosthesis
prothesis
psychological needs
psychosocial
pulse
quadriplegia
quality of life
RACE (acronym)
radial
range of motion
reality orientation
rectal
regulation
rehabilitation
religious service
reminiscing
renewal
reporting
reposition
resident abuse
resident belongings
resident independence
resident pictures
resident right
resident treatment
resident trust
Resident's Bill of Rights
resident's chart
resident's families
resident's room
residents
respectful treatment
respiration
respiratory symptoms
respiratory system
responding to resident
behavior
responsibility
restorative care
restraint
resuscitation
rights
risk factor
rotation
safety
safety procedures
sanitizer
scale
secretions
seizure
self-esteem
sexual abuse
sexual harassment
sexual needs
shampoo tray
sharing information
sharps container
shaving
skin observation
smoking
social needs
social worker
soiled linen
specimen
spiritual/religious needs
standard precautions
stealing
stethoscope
stress
stroke
subjective
subjective data
sundowning
supplemental feedings
(snacks, Ensure, Boost, etc.)
suprapubic
survey
swelling
tachycardia
telephone etiquette
temperature
tendons
terminal illness
terminology
thickened liquids
threatening resident
tips
toenails
toileting schedule
transfer belt
transfers
transporting food
transporting linens
tub bath
tubing
twice daily
tympanic
tympanic temperature
unaffected
unconscious
unsteady
urethral
urinary catheter bag
urinary system
urinary tract
urination
validation therapy
vision change
vital signs
vocabulary
vomitus
walker
wandering resident
water faucets
weakness
weighing
weight
well-being
wheelchair safety
withdrawn resident