Physical Care Skills
61%of exam
Role of Nurse Aide
26%of exam
Psychosocial Care
13%of exam
DementiaMental HealthCultureHospiceCommunication
Quick Facts
- Exam
- NY CNA
- Vendor
- Prometric
- Registry
- NYSDOH
- Written
- 70 questions
- Written time
- 90 min
- Skills
- 5 tasks
- Pass
- 70% written
- Training
- 100 hours
- Window
- 24 months
- Fee
- $115 first test
RACE Fire
Rescue alarm contain extinguish.
RescueAlarmContainExtinguish
Standard vs Transmission
Standard
- All residents
- Expected fluids
- Basic PPE
Transmission
- Specific pathogen
- Extra barriers
- Posted sign
Always plus extra
Skills Sequence
- Enter room→Knock privacy
- Before care→Hand hygiene
- Starting skill→Explain task
- Moving resident→Lock brakes
- Standing resident→Gait belt
- Dirty linen→Soiled hamper
- Measure output→Eye level
- End skill→Call light
Infection Control
- Hand hygiene
- Best preventionCore
- Standard
- Every resident
- Contact
- Gown + gloves
- Droplet
- Mask close care
- Airborne
- Special room
- PPE don
- Clean before dirty
- PPE doff
- Dirty before clean
- Linen
- Bag at source
PASS Extinguisher
Pull aim squeeze sweep.
PullAimSqueezeSweep
Safety Picker
- Fire smoke→RACE
- Small fire→PASS
- Spill hazard→Block area
- Oxygen room→No flames
- Weak transfer→Get help
- Soiled hands→Soap water
Vitals + Measurements
- Temperature
- Report fever
- Pulse
- Rate + rhythm
- Respirations
- Count quietly
- BP
- Systolic/diastolic
- Pain
- Resident report
- Weight
- Same scale/time
- I&O
- Measure all
- Urine
- Eye-level read
Skill Finish
Privacy safety call light hands.
PrivacySafetyCall lightHand hygiene
ADLs + Personal Care
- Bathing
- Expose one area
- Oral care
- Brush gums/tongue
- Perineal care
- Front to back
- Catheter care
- Away from meatus
- Toileting
- Offer privacy
- Dressing
- Weak side first
- Grooming
- Promote independence
- Partial bath
- Skills common
Mobility + Safety
- Fowler
- Head elevated
- Supine
- On back
- Lateral
- On side
- Transfer
- Lock brakes first
- Gait belt
- Transfer support
- ROM
- Move joints
- Fall risk
- Call light near
- Body mechanics
- Wide base lift
Skills Test
- Handwashing
- Always testedCritical
- Critical step
- Miss = fail skill
- Introduce self
- Before care
- Verify resident
- Check identity
- Privacy
- Curtain closed
- Call light
- Within reach
- Correction
- State and redo
- Peer pairing
- NY skills model
NY Hours
Thirty class; seventy clinical; one hundred total.
30 classroom70 clinical100 total
CNA vs Nurse
CNA
- Assist care
- Observe report
- Follow plan
Nurse
- Assess
- Delegate
- Change plan
Assist vs assess
Report Picker
- New pain→Notify nurse
- Skin breakdown→Notify nurse
- Suspected abuse→Report hotline(Mandated)
- Resident refuses→Report refusal
- Vital abnormal→Recheck report
- Fall occurs→Stay and call
- Elopement risk→Stay notify nurse
- Unclear task→Ask nurse
NY Exam Facts
- Prometric
- Testing vendorVendor
- NYSDOH
- State authority
- 70 questions
- 60 scored + 10
- 70% pass
- 42 of 60
- 5 skills
- Random selection
- 100 hrs
- NY training min
- 24 months
- Testing window
- $115
- Written + skills
Observe vs Diagnose
Observe
- Facts seen
- Data measured
- Resident says
Diagnose
- Clinical judgment
- Provider role
- Not CNA
Facts not labels
NY Rules
- 30 classroom
- Theory hours
- 70 clinical
- Supervised hours
- Fingerprints
- Background required
- Registry
- Auto after pass
- 24 mo work
- Stay active
- 7 paid hrs
- Employment min
- Retest fees
- $57/$68/$67
- Ombudsman
- Resident advocate
Written vs Skills
Written
- 70 questions
- 90 minutes
- 70% pass
Skills
- 5 tasks
- Critical steps
- 100% each
Know and show
Scope + Delegation
- CNA role
- Delegated care
- RN/LPN
- Supervises tasks
- Assessment
- Nurse only
- Diagnosis
- Never CNA
- Medication
- Not CNA
- Sterile wound
- Licensed task
- Care plan
- Follow exactly
- Report change
- Notify nurse
Report vs Document
Report
- Tell nurse
- Urgent changes
- Safety issues
Document
- Record facts
- After care
- Facility form
Speak first if urgent
Rights + Ethics
- Dignity
- Respect personhood
- Privacy
- Cover body
- Choice
- Honor preferences
- Refusal
- Report never force
- HIPAA
- Need-to-know only
- Abuse
- Report immediately
- Mandated
- Must report
- OBRA
- Federal rights law
Dementia vs Delirium
Dementia
- Slow decline
- Chronic
- Progressive
Delirium
- Sudden onset
- Acute
- Report fast
Chronic vs acute
Cognitive + Special
- Dementia
- Progressive decline
- Alzheimer
- Common dementia
- Sundowning
- Evening confusion
- Validation
- Accept feelings
- Redirection
- Shift attention
- Delirium
- Sudden confusion
- Hospice
- Comfort focus
- Culture
- Respect beliefs
Common Traps
Treat vs report
Nurse treats wounds ≠ CNA reports changes
Gloves vs hands
Gloves are barrier ≠ Hands still washed
Refusal vs forcing
Resident may refuse ≠ CNA never forces
Diagnosis vs observation
Report facts ≠ Do not diagnose
Critical vs minor
Miss critical fails ≠ Minor may correct
Medication vs CNA
Nurse gives meds ≠ CNA reports miss
Last Minute
- 1.Written pass = 70%
- 2.Skills: no critical misses
- 3.Handwashing always tested
- 4.NY training = 100 hours
- 5.24-month testing window
- 6.Report changes immediately
- 7.CNA follows care plan
- 8.Refusal: report never force
- 9.RACE before PASS
- 10.Prometric + NYSDOH registry
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