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Cheat sheet

Illinois CNA Cheat Sheet

Physical Care Skills

39%of exam

ADLsVitalsBathingFeedingMeasurements

Restorative Skills

9%of exam

ROMAmbulationIndependenceWeak SideMobility

Psychosocial Care

8%of exam

DementiaBehaviorValidationRoutineGrief

Nurse Aide Role

10%of exam

Exam FormatScopeBNATPRegistryReporting

Infection Control

11%of exam

HandwashingPPEPrecautionsLinenAsepsis

Safety and Emergency

10%of exam

FallsTransfersFireRestraintsEmergency Picker

Communication

9%of exam

SBARDocumentationObjectiveSubjectiveHIPAA

Resident Rights

9%of exam

PrivacyDignityRefusalAbuseChoice

Quick Facts

Exam
INACE
Vendor
SIUC Testing
Regulator
Illinois IDPH
Written
85 questions
Time
90 minutes
Skills
Clinical evaluation
Registry
IDPH HCWR
Training
120 hours
Theory
62 hours
Lab
18 hours
Clinical
40 hours
Results
HCWR official

Care Opening

Hands, ID, explain, privacy, safety

HandsIDExplainPrivacySafety

Skill Picker

  1. Begin any careIdentify resident(Explain first)
  2. Bathing residentClean to dirty(Perineal last)
  3. Perineal careFront to back(Prevent infection)
  4. Catheter careAway from meatus(One stroke)
  5. Unconscious mouthSide-lying(Prevent aspiration)
  6. Dentures handledLine sink(Avoid breaking)
  7. Output measuredEye level(Record amount)
  8. Skill endsComfort, safety(Call light)

Personal Care

Privacy
Curtain and drape
Bathing
Clean to dirty
Partial bath
Face, hands, perineal
Water check
Use inner wrist
Perineal
Front to back
Catheter care
Away from meatus
Dentures
Cool water
Oral unconscious
Side-lying position
Nails
File only
Feeding
Small bites

Basic Nursing

Temperature
Report abnormal
Pulse
Rate and rhythm
Respirations
Count quietly
Blood pressure
Correct cuff size
Weight
Same scale
I&O
Measure accurately
Output
Read eye-level
Skin
Report redness
Pain
Resident report
Edema
Swelling observed

Weak Side

Dress weak first; undress strong first

Dress weakUndress strongGuard weak

Mobility Picker

  1. Standing transferGait belt(Check snug)
  2. Wheelchair transferLock brakes(Footrests clear)
  3. Weak side presentGuard weak(Close support)
  4. Dress stroke armWeak first(Protect joint)
  5. Undress stroke armStrong first(Less strain)
  6. Passive ROMSupport joint(No forcing)
  7. Walker useStabilize walker(Resident steps)
  8. Dizziness appearsSit resident(Call nurse)

Restorative Care

ROM
Move gently
Active ROM
Resident moves
Passive ROM
CNA assists
Contracture
Shortened muscle
Ambulation
Maintain independence
Walker
Resident moves first
Cane
Strong side
Dressing
Weak side first
Undressing
Strong side first

Dementia vs Delirium

Dementia

  • Gradual decline
  • Routine helps
  • Redirect calmly

Delirium

  • Sudden confusion
  • Report fast
  • Medical concern

Gradual vs sudden

Mental Health

Dementia
Progressive decline
Delirium
Sudden confusion
Validation
Accept feelings
Redirection
Shift attention
Wandering
Safety risk
Sundowning
Evening confusion
Depression
Report mood change
Hallucination
Report calmly
Routine
Reduces anxiety

HCWR vs Email

HCWR

  • Official status
  • Employer verification
  • IDPH source

Email

  • Unofficial notice
  • Personal result
  • Not employment proof

Registry beats email

Exam Format

INACE
Illinois competency exam
Administrator
SIUC Nurse Aide
Regulator
Illinois IDPH
Written
85 questions90 min
Format
Computer or paper
Home test
Written only option
Lockdown
Respondus browser
Login
Required at test
Photo ID
Current, signed

CNA vs Nurse

CNA

  • Observes facts
  • Reports changes
  • Assigned care

Nurse

  • Assesses condition
  • Changes plan
  • Gives medications

Report vs assess

Illinois Rules

BNATP
Approved training program
Total hours
120 minimum
Theory
62 hours
Lab
18 hours
Clinical
40 hours
Program length
Four weeks minimum
Maximum length
120 days
Background
Started before class
Registry
HCWR official status

Registry Results

HCWR
Official verification
Unofficial email
Third day notice
Official upload
Monday before noon
Employer check
Registry required
Pass code
P on HCWR
Fail code
F on HCWR
No show
NS on HCWR
Status proof
HCWR listing only

Scope

CNA role
Assigned basic care
Care plan
Follow exactly
Nurse
Delegates and supervises
Assessment
Nurse responsibility
Diagnosis
Never CNA duty
Medication
Not basic CNA
Sterile task
Nurse duty
Change noted
Report promptly

Standard vs Transmission

Standard

  • Every resident
  • Blood fluids
  • Hand hygiene

Transmission

  • Added PPE
  • Isolation sign
  • Specific pathogen

Always vs added

Infection Picker

  1. Visible soilSoap water(Full wash)
  2. Body fluidsGloves(Standard precautions)
  3. Splash likelyGown mask(Protect mucosa)
  4. Contact signGloves gown(Before entry)
  5. Droplet signMask(Near resident)
  6. Airborne signRespirator(Special room)
  7. Clean item dropsReplace item(Contaminated now)
  8. Gloves removedHand hygiene(Always after)

Infection Control

Hand hygiene
Best prevention
Soap wash
Visible soil
Friction
Scrub all surfaces
Fingertips
Point downward
Faucet
Use towel barrier
Standard
Every resident
Gloves
Body-fluid risk
Gown
Splash risk
Dirty linen
Away from uniform
Soiled items
Never on floor

Precautions

Contact
Gloves and gown
Droplet
Mask near resident
Airborne
Special respirator
C. diff
Soap water preferred
MRSA
Contact precautions
TB
Airborne precautions
Clean supplies
Keep clean
Contamination
Replace immediately

Care Closing

Comfort, low bed, call light, hands

ComfortLow bedCall lightHands

Restraint vs Alternative

Restraint

  • Order required
  • Limits movement
  • Check often

Alternative

  • Least restrictive
  • Redirect first
  • Safer option

Least restrictive first

Mobility Safety

Bed
Low and locked
Call light
Within reach
Wheelchair
Brakes locked
Gait belt
Snug, checked
Shoes
Non-skid before standing
Weak side
Guard closely
Fall
Stay, call nurse
Transfer
Pivot, no twisting
Oxygen
No flames

Fire Safety

RACE first; PASS only if safe

RescueAlarmContainExtinguishPullAim

Emergency

RACE
Fire response order
PASS
Extinguisher use
Choking
Call help first
Bleeding
Apply pressure
Seizure
Protect from injury
Restraint
Order required
Elopement
Report immediately
Disaster
Follow facility plan

Rapid Report

Sudden, severe, unsafe: report now

SuddenSevereUnsafeReport

Objective vs Subjective

Objective

  • Measured data
  • Observed facts
  • Chart exact

Subjective

  • Resident says
  • Pain report
  • Use quotes

Measured vs stated

Report Picker

  1. Resident refuses careRespect, report(Never force)
  2. Sudden confusionTell nurse(Acute change)
  3. Chest painGet nurse(Emergency cue)
  4. Fall occursStay, call(Do not move)
  5. New skin rednessReport promptly(Pressure risk)
  6. Abuse suspectedProtect, report(Mandatory concern)
  7. Vital abnormalNotify nurse(Do not diagnose)
  8. Pain reportedReport words(Quote resident)

Communication

SBAR
Organized nurse report
Objective
Seen or measured
Subjective
Resident says
Documentation
Facts, not opinions
Late entry
Mark per policy
HIPAA
Need-to-know only
Aphasia
Language impairment
Hearing loss
Face resident
Reportable
Sudden, severe, unsafe

Privacy vs Confidentiality

Privacy

  • Curtain closed
  • Body draped
  • Knock first

Confidentiality

  • PHI protected
  • Need-to-know
  • No public talk

Body vs data

Rights

Dignity
Respectful address
Privacy
Body and information
Choice
Resident preference
Refusal
Respect and report
Confidentiality
No hallway talk
Property
Protect belongings
Abuse
Protect and report
Neglect
Unmet needed care
Ombudsman
Resident advocate

Common Traps

Registry proof

HCWR is official Email is unofficial

Training hours

Illinois requires 120 Not just 75

Scope trap

CNA reports facts Nurse assesses meaning

Refusal trap

Resident may refuse Never force care

Fall trap

Do not move Stay and call

Denture trap

Cool water only Hot water warps

Documentation trap

Chart facts only Avoid blame words

Privacy trap

Close curtain first Drape during care

Last Minute

  1. 1.INACE: 85 questions
  2. 2.Written time: 90 minutes
  3. 3.SIUC administers INACE
  4. 4.IDPH maintains HCWR
  5. 5.HCWR is official proof
  6. 6.BNATP total: 120 hours
  7. 7.Theory/lab/clinical: 62/18/40
  8. 8.Hands before resident care
  9. 9.Resident can refuse care
  10. 10.CNA reports; nurse assesses
  11. 11.Falls: stay and call
  12. 12.Bathing: clean to dirty
  13. 13.Perineal: front to back
  14. 14.Dress weak side first
  15. 15.Document facts, not opinions
  16. 16.Protect privacy every time
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