Kansas Rules
20%of exam
Rights + Role
30%of exam
Care Skills
35%of exam
Special Care
15%of exam
Quick Facts
- Agency
- KDADS HOC
- Test
- 100 MCQ
- Pass
- 75%
- Training
- 90 hours
- Attempts
- 3 in 12 months
- Fee
- $20 each test
- Registry
- KS Nurse Aide
- Renewal
- 8 paid hours
Scope Filter
Observe, assist, measure, report; never decide.
ObserveAssistMeasureReportNever decide
Test vs Checklist
State test
- 100 MCQ
- 75% pass
- KDADS rule
Skills checklist
- Course competency
- Instructor observed
- Before Trainee II
Exam vs course proof
Kansas Picker
- Need test facts→K.A.R. 26-50-24
- Need training rules→K.A.R. 26-50-20
- Verify active status→KS Nurse Aide Registry
- Out-of-state active→Interstate application
- Inactive CNA→Checklist or refresher
- Course completed→Three attempts
Test Facts
- KDADS
- Kansas exam owner
- HOC
- Credentialing office
- State test
- 100 multiple-choice
- Passing score
- 75 percent
- Course route
- Three attempts
- Equivalent route
- One attempt
- Test fee
- $20 nonrefundable
- Accommodation
- Request with application
Trainee I vs II
Trainee I
- Part I learning
- No direct employment
- Instructor at bedside
Trainee II
- Checklist complete
- Direct supervision
- Four-month limit
Learning vs supervised work
Training Path
- Approved course
- At least 90 hours
- Part I
- 20 class, 20 clinical
- Part II
- 25 class, 25 clinical
- Course sponsor
- Approved by KDADS
- Clinical site
- Adult care home
- Sim lab
- Practice setting
- Task checklist
- Course skills proof
- Correspondence course
- Not approved
CNA vs CMA
CNA
- Personal care
- Observe/report
- No medications
CMA
- Medication aide
- Extra certification
- Nurse supervised
Care vs medications
Registry
- KNAR
- Primary verification
- Active status
- Eligible to work
- Inactive status
- Not eligible
- Renew cycle
- Every two years
- Work proof
- 8 ADL hours
- Employer report
- Employment verification
- No certificate
- Print registry record
- Interstate CNA
- Challenge once
Scope
- CNA
- Supervised nurse aide
- RN/LPN
- Licensed supervision
- Care plan
- Follow assigned care
- Assessment
- Nurse responsibility
- Diagnosis
- Never CNA role
- Medication
- CMA, not CNA
- Treatment change
- Nurse decides
- Delegation
- Task plus supervision
Rights Core
Privacy, dignity, choice, refusal, confidentiality.
PrivacyDignityChoiceRefusalConfidentiality
Objective vs Subjective
Objective
- Measured facts
- Observed signs
- Exact quotes
Subjective
- Resident says
- Pain report
- Feeling report
Facts vs reports
Rights Picker
- Resident refuses→Respect and report
- Care exposes body→Provide privacy
- Family asks results→Refer to nurse
- Resident complains→Listen and report
- Possible abuse→Report immediately
- Need restraint→Nurse order
Resident Rights
- Dignity
- Respectful care
- Privacy
- Cover and knock
- Confidentiality
- Need-to-know only
- Refusal
- Resident choice
- Grievance
- Complaint right
- Property
- Protect belongings
- Visitors
- Personal access
- Restraints
- Order required
Abuse vs Neglect
Abuse
- Harmful act
- Threats or force
- Report immediately
Neglect
- Needed care missed
- Unsafe omission
- Report immediately
Action vs omission
Communication
- Therapeutic
- Listen, validate
- Open question
- Invites detail
- Closed question
- Yes/no answer
- Aphasia
- Allow response time
- Hearing loss
- Face resident
- Vision loss
- Announce presence
- Call light
- Always within reach
- Family request
- Refer to nurse
Reporting
- Abuse
- Report immediately
- Neglect
- Unmet needed care
- Exploitation
- Misused resources
- Fall
- Stay and call
- New confusion
- Report change
- Chest pain
- Emergency report
- Skin redness
- Report early
- Intake change
- Track and report
Documentation
- Objective
- Seen, heard, measured
- Subjective
- Resident reports
- Late entry
- Label clearly
- Error
- Correct per policy
- Incident
- Report facts
- I/O
- Measure accurately
- Weights
- Same scale timing
- Quotes
- Exact resident words
Clean Care
Clean to dirty; front to back.
Clean firstDirty lastFront to back
Clean vs Sterile
Clean
- Reduces germs
- Most CNA care
- Hand hygiene
Sterile
- Germ-free field
- Nursing procedure
- Do not break
Reduced vs absent germs
Care Picker
- Female pericare→Front to back
- Weak-side dressing→Dress weak first
- Resident dizzy→Sit and report
- Transfer begins→Lock wheels first
- Soiled linen→Away from uniform
- Unconscious oral care→Turn head side
Infection Control
- Hand hygiene
- Best prevention
- Standard precautions
- Every resident
- PPE
- Barrier protection
- Gloves
- Body-fluid contact
- Gown
- Clothing splash risk
- Mask
- Droplet protection
- Clean to dirty
- Care sequence
- Sharps
- Never recap
ADLs
- Bathing
- Clean to dirty
- Perineal care
- Front to back
- Dressing weak
- Weak side first
- Undressing weak
- Strong side first
- Oral unconscious
- Side-lying safety
- Diabetic feet
- No toenail cutting
- Skin folds
- Clean, dry, report
- Partial bath
- Face, hands, axillae, peri
Mobility
- Body mechanics
- Wide base
- Gait belt
- Transfer support
- Weak side
- Support closely
- Walker
- Move, step, step
- Cane
- Strong side
- Wheelchair
- Lock brakes first
- Dangling
- Prevent dizziness
- Transfer sheet
- Reduce shearing
Vital Signs
- Temperature
- Report fever
- Pulse
- Rate and rhythm
- Respirations
- Count unnoticed
- Blood pressure
- Arm at heart
- Pain
- Resident says
- Oxygen
- Do not adjust
- Apical pulse
- Nurse if assigned
- Abnormal value
- Report promptly
RACE Fire
Rescue, alarm, confine, extinguish.
RescueAlarmConfineExtinguish
Restorative vs Rehab
Restorative
- Maintain ability
- Care-plan routine
- CNA supports
Rehab
- Therapy directed
- Improve function
- Licensed specialists
Maintain vs improve
Emergency Picker
- Resident falls→Stay, call nurse
- Choking occurs→Call and act
- Chest pain→Report immediately
- Fire starts→RACE
- Seizure begins→Protect from injury
- Elopement risk→Notify nurse
Dementia
- Alzheimer's
- Progressive dementia
- Sundowning
- Evening confusion
- Validation
- Acknowledge feelings
- Reorientation
- Gentle reminders
- Wandering
- Redirect safely
- Catastrophic reaction
- Overwhelmed response
- Routine
- Reduces agitation
- Elopement
- Unsafe exit
Restorative
- Restorative care
- Maintain function
- ROM
- Joint movement
- Contracture
- Permanent tightening
- Ambulation
- Walking practice
- Splint
- Apply as care-planned
- Bladder training
- Scheduled toileting
- Independence
- Let resident do
- Fatigue
- Stop and report
Nutrition + Elimination
- Aspiration risk
- Upright feeding
- Dysphagia
- Swallowing difficulty
- Thickened liquids
- Follow care plan
- Fluid restriction
- Measure intake
- NPO
- Nothing by mouth
- Constipation
- Report no BM
- Incontinence
- Prompt pericare
- Catheter bag
- Below bladder
Common Traps
Kansas vendor trap
KDADS HOC ≠ Not Prometric/Credentia
Skills exam trap
State test is MCQ ≠ Checklist is course competency
Registry trap
Active registry required ≠ Training alone insufficient
Refusal trap
Respect refusal ≠ Never force care
Fall trap
Do not move ≠ Call nurse first
Diabetic foot trap
No toenail clipping ≠ Report nurse need
Oxygen trap
Do not adjust ≠ Report breathing changes
Confidentiality trap
Need-to-know sharing ≠ Family needs nurse
Last Minute
- 1.KDADS HOC owns testing
- 2.State test: 100 MCQ
- 3.Pass score: 75%
- 4.Training: approved 90 hours
- 5.Course route: three attempts
- 6.Window: 12 months
- 7.Fee: $20 each test
- 8.Renewal: 8 paid ADL hours
- 9.Refusal: respect and report
- 10.Fall: stay and call
- 11.CNA observes; nurse assesses
- 12.Clean to dirty care
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