Role
18%of exam
Safety
18%of exam
InfectionPPEFallsFireEmergencies
Function + Health
24%of exam
Basic Nursing
26%of exam
VitalsObservationReportingChokingStroke
Specialized Care
14%of exam
DementiaBehaviorEnd-of-lifeCultureImpairments
Quick Facts
- Exam
- Idaho CNA
- Provider
- Prometric
- Registry
- IDHW
- Written
- 60 Q
- Time
- 90 min
- Parts
- Written + skills
- Training
- 120 hr
- Renewal
- 8 paid hr
- Attempts
- 3 tries
SBAR
SBAR makes reports tight
SituationBackgroundAssessmentRecommendation
IDHW vs BON
IDHW
- CNA registry
- NATCEP oversight
- Idaho renewal
BON
- Nurse licenses
- RN/LPN scope
- Not registry
Registry vs nursing licenses
Report Picker
- Suspected maltreatment→Report immediately
- Serious injury suspected→Law enforcement(Within 4 hours)
- New chest pain→Nurse now
- Sudden confusion→Nurse now
- Resident refuses→Respect, report
- Out-of-scope task→Decline, escalate
- Family asks records→Refer nurse
- Fall occurs→Stay, call
Idaho Rules
- IDHW
- Registry owner
- Prometric
- Exam contractor
- NATCEP
- Approved training
- Training
- 120 hours
- Classroom
- 80 hours
- Clinical
- 40 hours
- Renewal
- 24 months
- Work proof
- 8 paid hours
Scope
Observe; report; never diagnose
MeasureReportDocumentEscalate
Observe vs Diagnose
Observe
- Measure facts
- Report changes
- Document policy
Diagnose
- Provider role
- Nursing judgment
- Outside CNA scope
Facts vs conclusions
Scope + Team
- Observe
- Collect facts
- Report
- Tell nurse
- Document
- Follow policy
- Delegate
- RN/LPN assigns
- Diagnosis
- Nurse/provider role
- Medication
- Outside scope
- Care plan
- Follow exactly
- SBAR
- Structured handoff
Resident Rights
- Dignity
- Respect choices
- Privacy
- Cover/knock
- Refusal
- Report refusal
- Grievance
- May complain
- Restraints
- Last resort
- Abuse-free
- Mandatory protection
- HIPAA
- Protect records
- Valuables
- Use facility process
Fire Response
RACE before PASS
RescueAlarmContainExtinguishPullAim
Clean vs Sterile
Clean
- Routine care
- Reduces organisms
- CNA common
Sterile
- No microbes
- Procedural field
- Licensed task
Reduce vs eliminate
Care Priority
- Fire starts→RACE
- Sharps used→Sharps container
- Contact organism→Gown + gloves
- TB suspected→N95
- Transfer planned→Gait belt
- Oxygen present→No flames
- Red skin appears→Relieve pressure
- Choking begins→Emergency protocol
Infection + PPE
- Hand hygiene
- Top control
- Standard
- Every resident
- Contact
- Gown + gloves
- Droplet
- Mask near
- Airborne
- N95/negative room
- Sharps
- No recap
- Gloves
- Not handwashing
- Clean-to-dirty
- Reduce spread
Contact vs Airborne
Contact
- Touch spread
- Gown/gloves
- Surfaces matter
Airborne
- Tiny particles
- N95 needed
- Negative pressure
Touch vs inhaled
Mobility + Safety
- Gait belt
- Transfer support
- Body mechanics
- Wide base
- Falls
- Stay, call
- Bed
- Low locked
- Call light
- Within reach
- Oxygen
- No sparks
- RACE
- Fire response
- Elopement
- Wandering risk
Bath Order
Clean first; peri last
FaceUpper bodyBackPeri last
Assistive vs Restraint
Assistive
- Promotes safety
- Supports function
- Care-plan use
Restraint
- Limits movement
- Requires order
- Last resort
Support vs restrict
Skills Picker
- Bed bath→Clean-to-dirty
- Female peri→Front to back
- Uncircumcised male→Replace foreskin
- Dentures cleaned→Towel basin
- Unconscious oral→Side-lying
- Feeding resident→Upright posture
- Catheter bag→Below bladder
- ROM care→Support joints
Personal Care
- Bed bath
- Face first
- Peri care
- Front to back
- Male peri
- Replace foreskin
- Dentures
- Towel basin
- Unconscious oral
- Side-lying
- Partial bath
- Face/hands/peri
- Skin folds
- Dry thoroughly
- Reddened skin
- Do not massage
Nutrition + Elimination
- Dysphagia
- Swallow risk
- Aspiration
- Airway entry
- Hydration
- Offer fluids
- Feeding
- Slow small bites
- Catheter
- Bag below bladder
- Incontinence
- Prompt care
- Constipation
- Report pattern
- Output
- Measure accurately
Written vs Skills
Written
- 60 questions
- 90 minutes
- Knowledge test
Skills
- Manual performance
- Critical steps
- Demonstrated care
Know vs perform
Written Outline
- Role
- 18%
- Safety
- 18%
- Function
- 24%
- Basic care
- 26%
- Specialized
- 14%
- Written
- 60 questions
- Limit
- 90 minutes
Basic Nursing
- BP
- Blood pressure
- Pulse
- Rate/rhythm
- Respirations
- Count quietly
- Temperature
- Report fever
- O2 sat
- Oxygen level
- I&O
- Measure intake/output
- Choking
- Call, clear
- Stroke
- FAST changes
Dementia vs Delirium
Dementia
- Gradual decline
- Redirect calmly
- Routine helps
Delirium
- Sudden change
- Report fast
- Often medical
Chronic vs sudden
Restorative + Psych
- ROM
- Maintain joints
- Ambulation
- Encourage independence
- Assistive device
- Use correctly
- Dementia
- Redirect calmly
- Delirium
- Sudden change
- Grief
- Listen supportively
- Culture
- Respect beliefs
- End-of-life
- Comfort focus
Common Traps
Registry owner
IDHW registry ≠ Not nursing board
Renewal rule
8 paid hours ≠ Not CE credits
Scope line
Report observations ≠ Do not diagnose
Glove trap
Gloves protect ≠ Hands still washed
Skin care
Relieve pressure ≠ Never massage redness
Peri care
Front to back ≠ Not back to front
Restraint trap
Needs order ≠ Not convenience
Last Minute
- 1.IDHW owns registry
- 2.Prometric administers exam
- 3.Written: 60 in 90
- 4.Training: 80 + 40
- 5.Renewal: 8 paid hours
- 6.Role/Safety/Function/Basic/Specialized
- 7.Hand hygiene beats gloves
- 8.Peri care front-to-back
- 9.Report changes promptly
- 10.Never diagnose or prescribe
- 11.Red skin: no massage
- 12.Falls: stay and call
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