Cheat sheet

Connecticut CNA Cheat Sheet

Physical Care Skills

61%of exam

ADLsVital SignsInfection ControlSafetyBody MechanicsRestorative

Psychosocial Care Skills

13%of exam

CommunicationEmotional NeedsDementia CareCulturalSpiritualLoss/Grief

Role of the Nurse Aide

26%of exam

Residents' RightsReportingLegal/EthicalScopeTeamCT Registry

Quick Facts

Exam
CT Nurse Aide
Provider
Prometric / DPH
Written
60 questions
Time
90 min written
Pass written
~72%
Skills
5 (Hand Hygiene + 4)
Training
100 hours
Renewal
Every 2 years

Fire Response

RACE = Rescue, Alarm, Confine, Extinguish

R: rescueA: alarmC: confineE: extinguish

Soap vs Sanitizer

Soap + Water

  • Visibly soiled
  • C. diff / norovirus
  • 20 seconds

Sanitizer

  • Not soiled
  • Faster routine
  • Most pathogens

Soiled or spores = soap

Infection / PPE Picker

  1. Hands visibly soiledSoap + water(Always)
  2. C. diff or norovirusSoap + water(Spores resist gel)
  3. Hands not soiledHand sanitizer(Faster)
  4. MRSA / C. diffContact gown+gloves(Private room)
  5. InfluenzaDroplet mask(Within 3 ft)
  6. TuberculosisN95 respirator(Airborne, negative pressure)
  7. Any residentStandard precautions(Treat all)

ADLs

Bathing
Clean to dirty
Grooming
Hair, nails, shaving
Dressing
Weak arm first
Undressing
Strong arm first
Toileting
Privacy, dignity
Feeding
Sit upright 90°
Oral care
Turn head, side
Perineal care
Front to back

Extinguisher Use

PASS = Pull, Aim, Squeeze, Sweep

P: pull pinA: aim baseS: squeezeS: sweep

Active vs Passive ROM

Active ROM

  • Resident moves
  • Aide guides
  • More function

Passive ROM

  • Aide moves limb
  • Resident cannot
  • Prevent contractures

Who does the moving

Emergency Response

  1. Fire alarmRACE(Rescue first)
  2. Use extinguisherPASS(Aim at base)
  3. Resident chokingAbdominal thrusts(If conscious)
  4. Resident fallingEase to floor(Protect head)
  5. After a fallStay, call nurse(Do not lift)
  6. SeizureClear area, time(Nothing in mouth)
  7. BleedingDirect pressure(Gloves on)

Vital Sign Norms

Temp oral
97.6-99.6°F
Pulse adult
60-100 bpm
Respirations
12-20 / min
BP normal
<120/80 mmHg
O2 sat
95-100%
Apical pulse
Full minute
Radial pulse
Wrist, thumb side
Report changes
Tell nurse

Dressing Side

Weak in first, strong out first

Dress: weak armUndress: strong armSupport jointsResident's pace

Infection Control

Hand hygiene
Best preventionMandatory
Soap + water
C. diff, norovirus
Sanitizer
If not soiled
Standard precautions
All residents
Contact
MRSA, gown/gloves
Droplet
Flu, mask
Airborne
TB, N95
Don order
Gown, mask, goggles, gloves

PPE + Handwashing

Doff first
Gloves off first
Doff last
Mask off last
Wash time
20 seconds
Fingertips down
Below elbows
Dry paper towel
Turn off faucet
No touch sink
Keep apron dry
Soiled gloves
Change between tasks
Cuts covered
Bandage breaks

Safety + Emergency

RACE
Rescue, Alarm, Confine, Extinguish
PASS
Pull, Aim, Squeeze, Sweep
Call light
Within reach
Bed low
Lock wheels
Choking
Heimlich, abdominal thrusts
Fall
Ease to floor
Seizure
Protect head, time it
Burn
Cool water

Body Mechanics + Transfers

Wide base
Feet shoulder-width
Bend knees
Not the back
Hold close
Load near body
Push not pull
Use legs
Gait belt
Transfer safety
Lock wheelchair
Before transfer
Strong side
Lead transfer
Two aides
Dependent lift

Restorative + Positioning

ROM
Maintain joint motion
Active ROM
Resident moves self
Passive ROM
Aide moves limb
Reposition
Every 2 hours
Fowler's
Sitting upright
Supine
On back
Lateral
On side
Prevent contractures
Use ROM

Dementia vs Delirium

Dementia

  • Gradual onset
  • Permanent decline
  • Chronic

Delirium

  • Sudden onset
  • Often reversible
  • Report fast

Slow vs sudden

Psychosocial Care

Empathy
Acknowledge feelings
Active listening
Eye contact, attention
Validation
Enter their reality
Reality not forced
Avoid arguing
Redirect
Calm agitation
Routine
Comforts dementia
Cultural respect
Honor beliefs
Grief stages
No fixed order

Knock + Privacy

Knock, identify, explain, privacy, dignity

Knock firstSay your nameExplain carePull curtain

Objective vs Subjective

Objective

  • Measured facts
  • Vitals, intake
  • What you see

Subjective

  • Resident says
  • Pain, nausea
  • Quote them

Seen vs reported

Reporting + Documentation

  1. Suspect abuseReport to nurse now(Mandatory)
  2. Vital out of rangeTell nurse(Objective data)
  3. Resident refuses careReport, document(Honor right)
  4. ChartingFacts only(No opinions)
  5. Made an errorReport honestly(Never hide)
  6. Asked to do nurse taskDecline politely(Out of scope)

Residents' Rights (OBRA)

Dignity
Respect always
Privacy
Knock, curtains
Confidentiality
HIPAA protected
Self-determination
Make choices
Free from restraints
Last resort only
Free from abuse
Report suspicion
Refuse care
Resident may decline
Grievance
Voice complaints

MOLST vs Living Will

MOLST

  • Physician order
  • Actionable now
  • CT form

Living Will

  • Patient wishes
  • Legal document
  • Future guide

Order vs directive

CT DPH vs Prometric

CT DPH

  • Maintains registry
  • Investigates abuse
  • Approves training

Prometric

  • Administers exam
  • Written + skills
  • Scoring

Regulator vs tester

Common Traps

Soap vs sanitizer

Soap kills spores Gel does not

Report vs decide

Aide reports changes Nurse interprets

Scope of practice

CNAs give care No meds or IVs

Dress vs undress

Dress weak first Undress strong first

Restraint use

Last resort only Needs MD order

Refuse care

Resident may refuse Report, do not force

Last Minute

  1. 1.Weights: ~61% / ~13% / ~26%
  2. 2.CT requires 100 training hours
  3. 3.Written: 60 questions, 90 minutes
  4. 4.Skills: Hand Hygiene + 4 random
  5. 5.Renew every 2 years; in-service yearly
  6. 6.Soap + water for C. diff, norovirus
  7. 7.TB = N95; MRSA = contact; flu = droplet
  8. 8.Dress weak first; undress strong first
  9. 9.Report suspected abuse to nurse immediately
  10. 10.CNAs never give meds or IVs
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