D&S
Diversified Technologies LLP
Headmaster
LLP
EFFECTIVE: JUNE 2024
Translatable Version 4.5
Contact Information
Questions regarding: testing
process • test scheduling • eligibility to test (888) 401-0462
Questions regarding: 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
Phone: (888) 401-0462
Hours: Monday through Friday 8:00AM – 8:00PM, Eastern Standard Time (EST)
Massachusetts TMU© Webpage: mc.tmutest.com
Massachusetts Department of Health (DPH) Division of Health Care Facility Licensure and Certification – Nurse Aide Registry
67 Forest Street
Marlborough, MA 01752
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 contact 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. In order 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. Accommodations must be approved by D&SDT-HEADMASTER 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 in order 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 any 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
Knowledge Exam: -or- Knowledge Retake $40.00
2nd, 3rd & 4th Attempt(s) Retake
Audio Version of the Knowledge Exam: -or- Audio Knowledge Retake $50.00
2nd, 3rd & 4th Attempt(s) Retake
Skill Test: -or- Skill Retake $70.00
2nd&
3rd
Attempt(s) Retake
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 on “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 are unable to sign in
for any reason, contact D&SDT-HEADMASTER at (888)401-0462.
Once your completed account is in the D&SDT-HEADMASTER TestMaster Universe©
(TMU©) database and your testing fee has been paid ), you may schedule your
exam date online at the Massachusetts TMU© webpage, mc.tmutest.com,
using your Email or Username and Password. If you are unable to sign in with
your email, please call D&SDT-HEADMASTER for assistance at (888)401-0462
during regular business hours, 8:00AM to 8:00PM EST, Monday through Friday,
excluding Saturdays, Sundays, and holidays.
To schedule or
reschedule your test date, sign in to the Massachusetts TMU© webpage at mc.tmutest.com
with your Email
or Username and Password. If you are unable to schedule/reschedule online,
please call D&SDT- HEADMASTER at (888)401-0462 for assistance.
Self-Pay of Testing Fees in TMU©
Testing
fees will need to 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 will be eligible to 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 No-Show status for your test event
for not adhering to the policies of testing, etc.
Please
see the ‘Remotely
Proctored Knowledge Exam Option’ under the Knowledge/Audio Exam section if you are interested in taking 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.
Remember
to check your ‘notifications’ in your TMU© account for important notices
regarding your selected test events and other information.
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 in order to be eligible to schedule
testing.
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
need to make sure you are at the event 20 minutes before the start time to allow time to get
checked 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 have to pay for another exam date.
You must bring your US government-issued signature-bearing (*may contain a
fingerprint in place 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.
·
Check
to ensure that the FIRST and LAST printed names on your form of identification
match your current name of record in your TMU© account.
·
A
driver’s license or state-issued ID card that has a hole punched in it is NOT
VALID and will not be accepted as an acceptable form of ID.
·
In
the cases where names do not match or your IDs are not proper/valid or 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.
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 http://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 into a remotely
proctored knowledge exam, please see 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. You will be informed by the testing team 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 into a remotely
proctored knowledge exam, please see procedures/policies under ‘Remotely Proctored Knowledge
Exam Option’ in the
Knowledge/Audio Exam section.
·
Anyone
caught using any type of 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 kind of
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 an approved ADA accommodation in place are allowed.
·
You may not test if
you have any type of 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 will forfeit
any testing fees paid and 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 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 in order 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 http://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 close of business the 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.
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 up to date in case we need to
contact you. (*See examples below for reasons we may not be able to contact you that you
are responsible for.)
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. (Immediate family is 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.
o
Internet
outage or issue: Documentation from the Internet provider showing outage date and times.
o 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.
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 http://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 in order 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.
In the
event that 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 http://mc.tmutest.com. You will need to pay with a
Visa or Master Card before you are able to 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 are able to 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 condition of your testing. 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 1403 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
results of the review 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
10 business days of the receipt of 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. There is an additional fee of $10 (total for Knowledge AUDIO is
$50) for an Audio version of the knowledge exam.
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
done testing.
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 read to you in a neutral
manner 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.
Scheduling 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 in your notifications.
Remotely Proctored Knowledge Exam Check-In
You
are required to 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,
considered a No Show, forfeit your testing fees paid, and have to pay for
another test date.
·
You
will need to 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 will be required to 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, or you will be disconnected from the test event by
the remote Proctor, 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 (and paid for) 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
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. Ben likes to attend 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 taken 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:
1.
Picked
up quickly and placed back on the clean linen cart
2.
Used
immediately on the next resident's bed
3.
Considered
dirty and placed in the soiled linen hamper
4.
Used
only in the room with the floor the linen fell on
2. When you are communicating with residents,
you need to remember to:
1.
Face
the resident and make eye contact
2.
Speak
rapidly and loudly
3.
Look
away when they make direct eye contact
4.
Finish
all their sentences for them
3. A resident’s psychological needs:
1.
Should
be given minor consideration
2.
Make
the resident withdrawn and secretive
3.
Are nurtured
by doing everything for the resident
4.
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 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 scenarios
associated with them. 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 thirty (30) minutes to complete your three
or four tasks. After fifteen (15) minutes have elapsed, 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 in order 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
in order 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 in order 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 have a score of 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.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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 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
hands together until hands 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
hands together until hands 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 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 in ml’s 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) to trash container
as used.
39. Turn off the faucet with a clean, dry
paper towel and discard it in the 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.)
(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
hands together until hands 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) to trash container
as used.
34. Turn off the faucet with a clean, dry
paper towel and discard it in the 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.)
-WITHOUT MOUTH
CARE-
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands 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.
(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
hands together until hands 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 in mls 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 the gloves off, keeping them
inside out and rolled up inside the gown.
30. Unfasten the gown at the waist with bare
hands if not using an alternate method of removal.
31. Unfasten the gown at the neck with bare
hands if not using an alternate method of removal.
32. Remove the gown by folding/rolling the
soiled area to the soiled area with either method of removal.
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) to trash container
as used.
47. Turn off the faucet with a clean, dry
paper towel and discard it in the 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.)
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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 hand through the sleeve of the shirt and grasp the hand of the resident.
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
hands together until hands are completely dry.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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 total
fluid consumed in ml’s 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
hands together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands 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
hands together until hands 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 free of wrinkles.
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
hands together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands 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.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands 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
hands together until hands 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
hands together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub hands
together until hands 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 hands together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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
hands together until hands 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
hands together until hands 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) to trash container
as used.
45. Turn off the faucet with a clean, dry
paper towel and discard the paper towel to the 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.)
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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 hands
together until hands are completely dry.
1. Perform hand hygiene.
a.
Cover
all surfaces of hands with hand sanitizer.
b.
Rub
hands together until hands 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 hands together until hands 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
hands together until hands 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 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 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
hands together until hands 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
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