Safety + Infection
17%of exam
Basic Nursing
31%of exam
Personal + Restorative
15%of exam
Rights + Role
32%of exam
Mental Health
5%of exam
DementiaBehaviorGriefCultureMental Picker
Quick Facts
- Title
- SRNA
- Testing
- KCTCS only
- Written
- 75 MCQ
- Time
- 2 hours
- Pass
- 70%
- Skills
- 5 procedures
- Training
- 75 hours
- Clinical
- 16 hours
- Renewal
- 8 paid hours
Fire Order
RACE before PASS.
RescueAlarmContainExtinguish
Standard vs Transmission
Standard
- Every resident
- Expected body fluids
Transmission
- Known pathogen risk
- Extra PPE rules
Standard is baseline
Emergency Picker
- Fire discovered→RACE(Rescue first)
- Small contained fire→PASS(If trained)
- Resident choking→Abdominal thrusts
- Resident falls→Stay and call
- Chest pain→Notify nurse
- New stroke signs→Call nurse immediately
Safety
- Call light
- Within reach
- Bed
- Low and locked
- Side rails
- Care-plan directed
- Fall
- Stay, call nurse
- Body mechanics
- Wide base
- Gait belt
- Transfer support
- Restraint
- Nurse-authorized only
- Oxygen
- No adjustment
Extinguisher Order
PASS uses the extinguisher.
PullAimSqueezeSweep
Precautions Picker
- All resident care→Standard precautions
- Body-fluid contact→Gloves
- Splash possible→Gown and mask
- C. diff care→Soap water
- Droplet illness→Surgical mask
- TB exposure→N95 respirator
Infection Control
- Hand hygiene
- Best prevention
- Soap
- Visible soil
- ABHR
- Clean hands
- Gloves
- Body-fluid contact
- Gown
- Splash risk
- Mask
- Droplet barrier
- N95
- Airborne protection
- Clean to dirty
- Care sequence
Emergencies
- RACE
- Fire response
- PASS
- Extinguisher use
- Choking
- Abdominal thrusts
- Chest pain
- Report immediately
- Stroke signs
- Face, arm, speech
- Seizure
- Protect from injury
- Bleeding
- Direct pressure
- Disaster
- Follow facility plan
Subjective vs Objective
Subjective
- Resident says
- Quote if needed
Objective
- You observe
- You measure
Chart facts clearly
Vitals Picker
- Regular pulse→30 sec x2
- Irregular pulse→Full minute
- Counting respirations→Keep hand on wrist
- Blood pressure→Brachial artery
- After hot drink→Delay oral temp
- Abnormal result→Report promptly
Vitals
- Temperature
- Report fever
- Pulse
- Rate and rhythm
- Respirations
- Count unnoticed
- Blood pressure
- Arm at heart
- Pulse accuracy
- Within 5 counts
- Resp accuracy
- Within 5 breaths
- BP accuracy
- Within 4 mmHg
- Pain
- Resident report
Data Collection
- Objective
- Measured or observed
- Subjective
- Resident states
- I&O
- Measure in mL
- Weight
- Same scale timing
- Skin
- Report redness
- Edema
- Report swelling
- Mental change
- Report promptly
- Documentation
- Facts only
Disease Process
- Diabetes
- Foot risk
- CVA
- One-sided weakness
- COPD
- Breathing difficulty
- CHF
- Fluid overload
- UTI
- Confusion possible
- Dysphagia
- Aspiration risk
- Pressure injury
- Bony prominence
- Dehydration
- Low intake
Peri Direction
Front protects from back.
FrontBackFresh surfaceOne stroke
Clean vs Dirty
Clean
- Face first
- Fresh supplies
Dirty
- Peri last
- Bag soiled linen
Move clean to dirty
Skills Picker
- Female peri care→Front to back
- Foley catheter→Away from meatus
- Weak-side dressing→Dress weak first
- Weak-side undressing→Strong side first
- Walker ambulation→Walker, weak, strong
- Wheelchair transfer→Lock brakes first
ADLs
- Bath
- Clean to dirty
- Partial bath
- Face, hands, axillae, peri
- Perineal care
- Front to back
- Catheter care
- Away from meatus
- Oral care
- Brush gums, tongue
- Denture care
- Cool water
- Foot care
- Dry between toes
- Dressing weak
- Weak side first
Mobility + Restorative
- Ambulation
- Support weak side
- Walker
- Walker, weak, strong
- Cane
- Strong side
- Wheelchair
- Lock brakes first
- Dangling
- Pause before standing
- ROM
- Never force
- Contracture
- Prevent stiffness
- Independence
- Encourage self-care
Nurse Report
SBAR keeps reports tight.
SituationBackgroundAssessmentRecommendation
SRNA vs CNA
SRNA
- Kentucky official title
- KBN registry wording
CNA
- Generic aide term
- Common search wording
Kentucky paperwork says SRNA
Reporting Picker
- Resident refuses care→Report refusal
- Suspected abuse→Report immediately
- Care-plan question→Ask nurse
- Family demands info→Refer to nurse
- Observed change→Report facts
- Documentation error→Follow policy
Test Facts
- KCTCS
- Sole test provider
- Written
- 75 multiple-choice
- Oral
- Audio option
- Timer
- Two hours
- Written pass
- At least 70%
- Skills
- Five procedures
- Skill pass
- 70% accuracy
- Critical steps
- 100% required
Kentucky Path
KCTCS tests; KBN lists.
KCTCSScoresKBNRegistry
KBN vs KCTCS
KBN
- Maintains registry
- Handles renewals
KCTCS
- Runs testing
- Reports pass results
Test with KCTCS
Kentucky Rules
- SRNA
- Kentucky aide title
- KBN
- Registry maintainer
- CHFS DMS
- Training regulator
- 907 KAR 1:450
- Training regulation
- Training
- 75 clock hours
- Clinical
- 16 supervised hours
- Preclinical
- Before resident contact
- Employed aide
- Four-month limit
Written vs Skills
Written
- 75 MCQ
- Two-hour limit
Skills
- Five procedures
- Critical steps count
Pass both parts
Registry
- KNAR
- Kentucky registry
- Active status
- Eligible to work
- Renew cycle
- Two years
- Work proof
- 8 paid hours
- Proof options
- Stub, W-2, letter
- Nurse Portal
- Renewal application
- Verification
- Online only
- Certification letters
- No longer mailed
Refusal vs Neglect
Refusal
- Resident choice
- Offer alternatives
Neglect
- Care not provided
- Required needs unmet
Refusal still gets reported
Written Blueprint
- Basic nursing
- 10 questions
- Client rights
- 9 questions
- Role
- 9 questions
- Disease process
- 9 questions
- Safety
- 7 questions
- Communication
- 6 questions
- Infection control
- 6 questions
- Care impaired
- 5 questions
Abuse vs Misappropriation
Abuse
- Harm or threat
- Report immediately
Misappropriation
- Resident property
- Improper use
Both affect registry
Client Rights
- Dignity
- Respectful care
- Privacy
- Knock and cover
- Confidentiality
- Need-to-know only
- Refusal
- Do not force
- Choice
- Honor preferences
- Property
- Protect belongings
- Grievance
- Complaint right
- Abuse
- Report immediately
Role + Communication
- Scope
- Assigned basic care
- Delegation
- Nurse assigns
- Assessment
- Nurse role
- Diagnosis
- Never aide role
- Care plan
- Follow exactly
- SBAR
- Structured report
- Open question
- Invites detail
- Family request
- Refer to nurse
Mental Health
- Dementia
- Progressive impairment
- Sundowning
- Evening confusion
- Validation
- Acknowledge feelings
- Agitation
- Reduce stimuli
- Wandering
- Redirect safely
- Depression
- Report withdrawal
- Grief
- Listen quietly
- Culture
- Respect customs
Common Traps
Title Trap
SRNA in Kentucky ≠ CNA in casual speech
Vendor Trap
KCTCS testing ≠ Not Prometric
Critical-Step Trap
Critical steps 100% ≠ Overall 70%
Respiration Trap
Count discreetly ≠ Do not announce
Denture Trap
Cool water ≠ No hot water
Wheelchair Trap
Lock brakes first ≠ Never transfer unlocked
Renewal Trap
8 paid hours ≠ Not CE credits
Registry Trap
Verify online ≠ No mailed letters
Last Minute
- 1.KCTCS tests; KBN lists
- 2.Written: 75 MCQ, 70%
- 3.Skills: five procedures, 70%
- 4.Critical steps require 100%
- 5.Training: 75 hours total
- 6.Clinical: 16 supervised hours
- 7.Renewal: 8 paid hours
- 8.SRNA is Kentucky title
- 9.Count respirations discreetly
- 10.Peri care front-to-back
- 11.Wheelchair brakes before transfer
- 12.Report changes promptly
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