Basic Nursing Care
26%of exam
Promotion of Function Health
24%of exam
Role of Nurse Aide
18%of exam
AHCA RegistryScopeResident RightsHIPAAReporting
Promotion of Safety
18%of exam
Specialized Resident Care
14%of exam
DementiaSensory LossOxygenEnd of LifeMental Health
Florida Rules + Logistics
18%of exam
AHCA RegistryLevel 2 ScreeningIn-ServiceAbuse HotlinePrometric
Quick Facts
- Exam
- Florida CNA
- Vendor
- Prometric
- Registry
- Florida AHCA
- Written
- 60 questions
- Written time
- 90 min
- Pass written
- 70%
- Skills
- 5 skills
- Skills accuracy
- 100% required
- Training
- 120 hours
- Renewal
- Every 2 years
Skills Flow
Knock, wash, explain, privacy, safety
IdentifyGatherPerformDocument
Objective vs Subjective
Objective
- Measured
- Observed
- Chart facts
Subjective
- Resident states
- Symptoms
- Quote if needed
Seen vs said
Vital Signs
- Temp range
- 97.8-99.1 F
- Oral temp
- 98.6 F typical
- Pulse
- 60-100 bpm
- Respirations
- 12-20 per minute
- BP normal
- Below 120/80
- BP report
- Above 140/90
- Count resp
- Without telling
- Radial pulse
- Wrist site
Sign vs Symptom
Sign
- Objective
- Can measure
- Fever, swelling
Symptom
- Subjective
- Resident feels
- Pain, nausea
Visible vs felt
Observation + Report
- Objective
- Seen or measured
- Subjective
- Resident states
- Chest pain
- Notify nurse now
- New confusion
- Report promptly
- Edema
- Report swelling
- Skin change
- Observe redness
- Chart
- Timely and factual
- Never chart
- Opinions or guesses
Hypertension vs Hypotension
Hypertension
- High BP
- Above 140/90
- Report high
Hypotension
- Low BP
- Dizzy on standing
- Fall risk
High vs low pressure
Skills Test
- Hand washing
- Required skill
- Indirect care
- Scored every skill
- Privacy
- Curtain and cover
- Safety
- Lock and check
- Measurement
- Within range
- Supplies
- Gather first
- Closing
- Call light in reach
Active vs Passive ROM
Active ROM
- Resident moves
- Self-directed
- Encourage ability
Passive ROM
- CNA moves joint
- No resident effort
- Prevent contracture
Self vs assisted
Skills Picker
- Before any skill→Wash hands
- Transfer resident→Gait belt
- Dress weak side→Affected first
- Catheter care→Clean away
- Measure output→Eye level
- Finish any skill→Call light
Personal Care
- Bathing
- Promote privacy
- Perineal care
- Front to back
- Catheter
- Clean away meatus
- Oral care
- Watch aspiration
- Dentures
- Line basin water
- Dressing
- Weak side first
- Undressing
- Strong side first
- Nail care
- No diabetic trim
Mobility + ROM
- ROM
- Joint movement
- Contracture
- Shortened muscle
- Ambulation
- Walking assist
- Gait belt
- Transfer support
- Cane
- Strong side
- Transfer
- Lock wheels first
- Reposition
- Every 2 hours
- Fowler's
- Head raised
Nutrition + Elimination
- I and O
- Intake and output
- Aspiration risk
- Sit upright
- Dysphagia
- Swallowing trouble
- NPO
- Nothing by mouth
- Force fluids
- Encourage intake
- Restrict fluids
- Limit intake
- Output
- Measure at eye level
- Constipation
- Report no stool
Scope vs Delegation
Scope
- Allowed tasks
- CNA role
- No diagnosis
Delegation
- Nurse assigns
- Clear directions
- Report back
Can do vs assigned
Escalation Picker
- Abuse suspected→Report immediately(Hotline + supervisor)
- Chest pain→Notify nurse(Stay with resident)
- New confusion→Notify nurse
- Resident refuses→Report refusal(Do not force)
- Fall occurs→Stay and report(Do not move)
- Task not assigned→Ask the nurse
Exam Format
- Written
- 60 questions90 min
- Pass written
- 70% (42/60)
- Skills
- 5 demonstrated skills
- Hand washing
- Always tested
- Other skills
- 4 random of 21
- Skills score
- 100% accuracy
- Vendor
- Prometric Florida
- Fee
- $135 combined
Rights + Ethics
- Dignity
- Respect choices
- Privacy
- Cover body
- Confidentiality
- Protect information
- HIPAA
- Health info privacy
- Refusal
- Report refusal
- Unopened privacy
- Restraint-free
- Resident right
- Abuse
- Report immediately
Fire Response
RACE first, PASS only if safe
RescueAlarmConfineExtinguishPullAim
Clean vs Sterile
Clean
- Reduce microbes
- Medical asepsis
- Most CNA tasks
Sterile
- No microbes
- Surgical asepsis
- Not CNA scope
Fewer vs none
Precaution Picker
- All resident care→Standard
- Body fluids likely→Gloves
- Splash risk→Mask and eye
- Contact isolation→Gown and gloves
- Droplet illness→Surgical mask
- Airborne illness→N95 + room
Infection Control
- Hand hygiene
- Best prevention
- Standard
- Every resident
- Contact
- Gown and gloves
- Droplet
- Surgical mask
- Airborne
- N95 + special room
- Clean to dirty
- Work direction
- Sharps
- Never recap
- Biohazard
- Red bag
PPE Don Order
Gown, mask, goggles, gloves on
Gown firstMask nextGogglesGloves last
Safety + Emergency
- Fall risk
- Call light near
- Bed wheels
- Locked before care
- Low bed
- Fall prevention
- RACE
- Fire response
- PASS
- Extinguisher use
- Choking
- Abdominal thrusts
- Oxygen
- No open flames
- Restraint
- Last resort only
PPE Doff Order
Gloves, goggles, gown, mask off
Gloves firstGogglesGownMask last
Stroke FAST
Face, Arms, Speech, Time to call
Face droopArm weaknessSlurred speechCall now
Specialized Care
- Dementia
- Memory decline
- Sundowning
- Evening confusion
- Validation
- Acknowledge feelings
- Redirection
- Shift attention
- Wandering
- Maintain safety
- Depression
- Report withdrawal
- Hospice
- Comfort care
- Post-mortem
- Respect body
Abuse vs Neglect
Abuse
- Harmful act
- Intent possible
- Report immediately
Neglect
- Care omitted
- Unmet needs
- Also report
Harm vs omission
Florida Picker
- Verify CNA status→AHCA registry
- Report abuse→1-800-962-2873
- Schedule exam→Prometric Florida
- Background check→Level 2 screening
- Keep certification→24 hr in-service
- Failed one part→Retake that part
Florida Rules
- Registry
- Florida AHCA
- Training
- 120 hours minimum
- Clinical hours
- 40 hands-on
- Statute
- FL 464.203
- Apply within
- 24 months
- Attempts
- 3 within 24 months
- Renewal
- Every 2 years
- In-service
- 24 hours biennium
Florida Screening
- Level 2
- FDLE + FBI
- Clearinghouse
- Background screening
- Fingerprints
- Required
- Chapter 435
- Disqualifying offenses
- Disqualifiers
- Abuse, neglect, theft
- Work day
- One per biennium
Florida Reporting
- Abuse Hotline
- 1-800-962-2873
- Chapter 415
- Mandatory reporter
- Report when
- Immediately
- Also tell
- Supervisor
- Failure to report
- A crime
- Ombudsman
- Rights advocate
Common Traps
Florida training hours
Florida requires 120 ≠ Not 75 federal
Registry agency
AHCA holds registry ≠ Not Board of Nursing
Scope drift
CNA reports data ≠ Nurse assesses
Privacy vs confidentiality
Privacy covers body ≠ Confidentiality covers info
Refusal of care
Resident may refuse ≠ CNA must report
Diabetic nail care
Clean and observe ≠ Do not trim
Skills accuracy
Skills need 100% ≠ Written needs 70%
Last Minute
- 1.Written: 60 questions, 90 min
- 2.Pass written: 70% (42/60)
- 3.Skills: 5 demonstrated, 100% accuracy
- 4.Hand washing is always tested
- 5.Florida training: 120 hours, 40 clinical
- 6.Renewal: 24 in-service hours, 2 years
- 7.Abuse Hotline: 1-800-962-2873
- 8.AHCA holds the Nurse Aide Registry
- 9.Wash hands before any care
- 10.Call light within reach
- 11.Privacy before exposure
- 12.CNA reports; nurse assesses
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