You got this Sandra! I pray your Thanksgiving was a blessed day with family.

Binge-watching because mine is tomorrow!

@@dalilamasso5016 Did both of y’all passed?

​@@dalilamasso5016 lol mines is today right now

​@@chadrikajohnson5537did u pass

Glad it was helpful J Harriott!

You are welcome Luke.

Glad you liked it! Take care and please subscribe if you haven't.

Glad it was helpful!

Glad it was helpful Stacy!

Thank you Husseina. I appreciate the support.

Much appreciated

Best of luck!

Great to hear that Christina! I wish you all the best.

You are welcome Ani!

Great job Jartu! Congratulations

@@txcnaskills2599 Thank you and God blessed. Indeed it was a blessing coming across your KZfaq channel. And I like how you always say according to prometric guidelines and for all the newcomers like myself please listen to everything she’s saying and practice because it will help you stay focus on your exam. Good luck in advance.

WOW Laudz, Thanks for the compliment. Congratulations.

I appreciate that Jameelaaa. I appreciate the kind words. Be blessed.

hi I'm about to graduate and I'm about to get ready to take my test in a few days. Do they tell you what skills you are going to get , im finding hard to remember all these skill and I really don't want to pass. Can you give me some advice on how to be successful taking the skills test.

@@karenbell9517 So they do not tell you your skills until you are in the testing room about to test. They give you a paper called "Clinical skills test instruction card" and it has the three skills you will be tested under. But you DO NOT know what three skills those are going to be until you are in that testing room. Honestly just keep watching Dr Lee videos over and over. Break them up. Day One watch 4 over her videos day 2 watch the next 4 and so on. Also physically do them on a person like a family member and talk yourself through with it. To have a better visual of what you are doing that helps a lot! Lastly if you would like to see just an EXAMPLE of a skills card just google " Prometric Clinical Skills Test Instruction Card" and that will give you an idea of what the card will look like but that is NOT the one you will receive once again. I wish you nothing but the best you can do this believe in yourself!! God bless

You are welcome.

My pleasure Anyelis.

You are welcome

You are so welcome.

You are so welcome

You are so welcome

Glad it was helpful!

Thank you Gulshan

Hello Cheryl, That is a very good question. The privacy curtain and the call light has been a great source of confusion. Lets go back to the indirect care instructions. All of the instructions tell the student not to TOUCH the patient unless their hands are clean. So, with that in mind, Prometric will be looking for JUST that. For example: If a nurse is at the bedside and open the privacy curtain, then gives the patient the call light without TOUCHING the client, the nurse is in compliance. The key here is not touching the client with DIRTY hands. I hope this is clear. In the video: At the end of the video, you opened the curtain with clean hands and then gave the resident the call light and straightened out the sheets. If I didn't TOUCH the client with my dirty hands, I would pass that aspect. The evaluator can only mark me WRONG when I do something that the state has said "don't do" or that I should "do". When I am teaching my students, I tell them to wash their hands, give the person the call light, and finally close the privacy curtain. This behavior will ensure the student only touch the patient with clean hands. Take care.

Well done! Congratulations.

Hello Wendy, I live in Houston, TX. Yes, you can use a disposable linen bed protector for any of the skills that require a linen protector. As of June 24th, Prometric is not testing on oral skills in Texas.

Hello Steven, The rule is this: If you put on gloves and touch something dirty, You MUST remove the gloves and wash your hands before toughing something clean. Now to answer your question: If you put on your gloves and approach the bedside, raise the side rails, and then put the bedpan under the client you are safe? If you place the bedpan under the client and then try to raise the side rails, you MUST wash your hands before touching the side rails.

Hello Stacey, Prometric requires us to DRY the bedpan to be successful. I will paste the rules from the clinical skill checklist below. Pay attention to steps 10 and 11. IT SPECIFICALLY says to DRY the BEDPAN. 10 Wear gloves when removing bedpan and while emptying and cleaning bedpan? 11 Empty contents of bedpan into toilet, rinse bedpan pouring contents into toilet, and dry bedpan?

Hello Dimple, You don't have to put your gloves on until you are ready to place the bedpan under the client while supine in bed. Therefore, you can touch the bedpan with your bare hand when gathering your supplies.

Hello Eky, I speak the steps as I am doing the skills for two reasons. Number one, the person viewing the video will know what I am doing and be able to follow me from the skills checklist. Number two, I need to communicate with my patient as part of indirect care. You are not required to explain all of the skills steps during the state exam.

@@txcnaskills2599 Thank you Ma.

Hello, You can ask the patient to raise the hips.

All the best Jamelia. I am glad the videos are helping.

Hello Chinedu, The rule of thumb for gloves is this, if you are going to come into contact with an open area, rash, potential for body fluids, or the perineal area them GLOVES MUST be worn. For example, I would not wear gloves for ROM unless the client has open areas on the arms or legs. This can be confusing for students because we are taught to always wear gloves and to wash our hands. Prometric is testing the candidate on technique and infection control. The evaluator will screen each person testing to determine if the applicant has any open areas. If the applicant says yes, then some skills will NOT be performed on that applicant. Pay attention to the indirect care skills sheet. If gloves are required by Prometric the removal of the gloves will be listed on the Indirect Care Sheet. Foot care, positioning on the side, feeding, and making an occupied bed DO NOT require gloves. Bathing (you are near an opening at the nose, eyes), peri care (you are near the genitals), bedpan (contact with genitals and waste products), and measuring urine output (contact with waste products) ALL require gloves. So, when in doubt, check the Indirect Care Behaviors sheet. Now, if you put on gloves when they are not required, the evaluator WILL GRADE ON THE REMOVAL of the gloves properly. That is an added stress I tell my students they don't need for the 30 minutes they are testing. Just go according to the skill checklist and make your testing experience less stressful. I hope this helps.

@@txcnaskills2599 thank you so much De Lee. That was very helpful

Hello LaShane, Good question. Most students ask the same question. 1. We will give the person the toilet tissue and wipes to use 2. When we return to take the things away we will not touch the toilet tissue and wipes without gloves on because we are assuming it is dirty. 3. In reality, when a person goes to the bathroom, they don't through away the whole roll. 4. Now with that in mind, we will assume the used part is in the trash and we will place the un-used toilet tissue and wipes back into the patient's chest. I hope this makes sense.

Hello Eky, You can wear any clothing. Your Shoes MUST be closed toe or the person will be sent home.

Hello Melissa, You are not required to throw the toilet paper and wipes away. I have my students take the items from the bedside and place them on a counter until the bedpan is rinsed and dried. When the bedpan is dry the student will put all three items back in the drawer.

Hello Josefa, Let me congratulate you on watching the videos. This is a smart move since you were not trained in a formal setting. I know as a temporary nurse aide you only have a short time left to get certified. You are to put the wipes and toilet tissue back into the second drawer before ending the skill.

Dr Lee I have a question, whit paper towel and wipes you said they are going to the trash can? Because I didn't see that you dispose them in the same as the gloves. I leave in El Paso Texas and I have my skills test on next Monday. Thank you very much for your wonderful videos pray x me and my test.

Hello Destiny, No question is a dumb question. Your partner will not use the bathroom in the bedpan. Your partner will keep ALL of his or her clothes on and pretend to use the bedpan.

Hello Camarra, we will put the toilet tissue and wipes back into the their drawer.

Hello Janice, A privacy blanket is not required by Prometric in the skills checklist.

Hello Elisa, The privacy curtain is also dirty because a lot of people touch the curtain and we normally don't wash the curtains daily. The gloves are considered dirty the minute you empty touch the bedpan or tissue/wipes.

Hello V.C D.C, for Prometric and Pearson Vue, raising and lowering a bed are not necessary steps. Keep in mind that not all patients will have an electric bed. For example, a person working in a home health setting and caring for a private client may not have access to an electric bed or a bed with side rails. For these reasons, the raising and lowering of the bed is not a testable step for this skill. To answer your question: If you have removed a bedpan with your gloves on and would like to lower the bed without contaminating the bed control, you are thinking about safety measures. This is good. One option will be to place the bedpan on a protective barrier, remove your gloves, wash your hands, and lower the bed. After the bed is lowered, I would put on another pair of gloves and continue to empty the bedpan into the toilet, rinse the bedpan, and dry the bedpan.

I would give a slightly different answer: if the resident has an electric (hospital) bed, you would raise the head after positioning the resident on the bedpan, and lower the head before removing the bedpan. It’s easier to use a bedpan when the resident is sitting up, and easier to remove the bedpan when the resident is lying flat (supine).

@@Damndrrtyapes Hello, I think the question was related to the raising and lowering of the BED and not the head of the bed (HOB). Prometric and Pearson Vue both require the Head of the Bed to be raised after placing a person on a bedpan. Both companies require the HOB to be lowered before the removal of the bedpan. There is no mention of raising or lowering the entire bed for the bedpan skill.

Hello Julie, You do not have to say I am washing my hands for 20 seconds. The evaluator will have a stop clock and will be timing you when you start scrubbing your hands and wrists.

Hello Pamela, The videos I have on KZfaq follow the September 1, 2020 guidelines for Testing in Texas under Prometric. They are a little different from the Pearson Vue guidelines.

Hello Omawumi, It is acceptable to put on your gloves before touching the bedpan.

Hello Carmen, If you send me the number to your school I will call you and we can talk.

Hello Miguel, We stand behind the privacy curtain instead of leaving the room. I don't teach my students to raise the bed or side rails. Those are NOT requirements when testing through Prometric.

I falls on the test taker after the timer starts.

Hello Nerm210, Prometric allows the student to stand behind the curtain while providing privacy.

Hello Courtney, the only skill that REQUIRES the patient to be left on a clean linen protector is the peri-care skill.

Hello, The wipes and toilet paper will go back into the third drawer.

Hello Wendy, A bath blanket is not required for the bedpan skill.

Hello Raquel, I can only speak to the way I teach at my business. I don't want to go against another instructor. I follow Prometric guidelines. If you read the comments, students leave notes to me saying they passed their exam based upon the video I have posted. So, to answer your questions: 1. Yes, you can place the bedpan on top of a barrier on the bedside table. Why make two trips when you are being timed for the exam? 2. If you review the Indirect Care instruction from Prometric under Standard Precautions it read; " avoid placing bedpan directly on the overbed table " Therefore, placing a towel down first and then placing the bedpan on the towel meets this requirements. I hope this helps.

@@txcnaskills2599 , yes it does help just asking many questions because my training was different but I am following most of the videos you have posted but I have in my head what we were shown and yes I do get confused.....

Hello DB LM, The client NEVER actually uses the wipes. Therefore, we don't throw the wipes in the garbage. Where did you see someone throw wipes in the trash?

Hello Cassi, If you look at the clinical skills checklist from Prometric, it will say this skill is provided on the client, who will be your partner. No person will get undressed for the skills. We will pretend that the person has voided in the bedpan.

Hello Liz, all of the supplies should be stored in the proper place.

Hello Nerm210, Prometric states the toilet paper and hand wipes must be within reach. Prometric does not state the client needs to use the items. Therefore, when you return back to the bedside just collect the items and place them back in the drawer.

Hello Jennifer, You don't need to use a bath blanket is you keep the person covered with the top sheet.

Hello, I am not understanding the question and how a radio fits into the skill. Please re-word the question.

Hello Tere, Yes, Prometric requires the student to dry the bedpan. Pay attention to step 11 below from Prometric Skill Checklist. I hope you have the skills checklist. 9 Leave toilet paper within resident's reach before leaving resident to use bedpan? 10 Wear gloves when removing bedpan and while emptying and cleaning bedpan? 11 Empty contents of bedpan into toilet, rinse bedpan pouring contents into toilet, and dry bedpan?

@@txcnaskills2599 where can u get this skills check list? I am a nursing student that I will be taking the skills test soon.

Hello Alexis, 1. I reviewed Michigan skills at this site. www.prometric.com/nurseaide/mi 2. The skills are exactly the same as in Texas. The bedpan skill is listed on pages 2-3. 3. Steps 1-6 that you listed sound correct. In step 7 after putting away the supplies, you need to remove your glove and then wash your hands. After washing your hands, go back to the patient and make sure the call light is in reach and ask the patient if he/she needs anything. open the privacy curtain, wash your hands, and then tell the evaluator you have completed the skill. 4. NOWHERE does Prometric instruct you to place the bed in the lowest position. If you see it, please let me know. I have NEVER seen it as a requirement for passing the skill with Prometric.

@@txcnaskills2599 okay thats what I meant, my apologies. Thank you so much! Very helpful. And It's very possible that I was told to put the bed in the lowest position in real life and not during skills testing. My class was only two weeks long and I took it 3 months ago so my memory is a little foggy on certain things.

Hello Octavia, Are you speaking of lowering the head of the bed or the entire bed? When you view the skills checklist from Prometric, the lowering of the entire bed or checking the bed wheels is NOT a requirement. Please review the checklist and let me know what step from Prometric speaks to checking the bed wheels when assisting a resident with a bedpan. When students add extra steps in with a skill, they don't get credit for adding extra things in. But, they are graded if they do the extra thing wrong. So, to me, it is not a good idea to add things that the state is not testing you on.

@@txcnaskills2599 I just finished my CNA school but they didn’t give us Prometric videos to watch. We watched some other videos and I didn’t get a skills booklet for Prometric. I’m glad I found your videos. I want to pass on the first try. The school didn’t even have a proper place for us to study due to COVID-19, like an actual testing room. We just had on mannequin. All I see on the website is “Prometric Clinical Skills Administration Checklist” but it mostly talks about the equipment and supplies. I don’t see them giving step by step instructions on each skills. Because I know they have bold skills that you have to do and if you don’t then you’ll fail the whole skill.

@@txcnaskills2599 I found the List Thank-You So much ❤️

@@mscarter89 Thanks Octavia, Good luck with your test.

You should keep your gloves on while rinsing the bedpan. Yes, keep your gloves on.

Hello Remi, That is correct.

Hello Jasmine, Prometric ONLY require that the toilet paper and wipes be within the patient's reach and that we tell them what to do with the items. So, no we don't have to place the wipe in the patient's hands.

@@txcnaskills2599 your such a great help Dr Lee thank you for always answering me back I truly appreciate you.

Hello Heather, Men and women use the bedpan for BMs.

@@txcnaskills2599 Thank you so much!

Hello Rony, I am going to tell you what I tell my students when I teach this skill. When we look at the Indirect Care Behaviors for the bedpan skill we will find the following: 1. close privacy curtain before providing care 2. leave resident covered with a top sheet while using the bedpan and at the end of the skill (arms do not need to be covered) Therefore, Prometric doesn't care if the patient is covered with a sheet or a blanket. To pass this skill, the student needs to make sure the patient is covered. Prometric does not require the top sheet stays clean. I hope this makes sense.

@@txcnaskills2599 yes that makes sense then. ALSO, I passed my cna clinical exam!!! I watched your videos the night before and they helped me so much thank you!!!!

@@ronyperez9517 I am happy to hear that. What state are you in? I am just curious if you are in Texas.

@@txcnaskills2599 I’m in Texas!

@@ronyperez9517 Thanks

Hello, It takes about three weeks to be in the state's system. Congratulations.

@@txcnaskills2599 thank you so much!! We are all so grateful for you!

Hello Merry, If I was taking care of a person in a real life setting, I would place the toilet tissue into the toilet and the hand wipes in the trash. Hopefully the facility has a biohazardous container for the wipes. I wouldn't put the wipes in the toilet because the wipes will probably stop up the toilet.

Hello Golden, Please see the link below. www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf

Are we supposed to do both hands when doing nail care ?

That is fine for this skill.

Hello Jared, Each candidate will have a certain amount of time to complete all 5 skills. Normally the time can be from 30 -40 minutes.

Yes the curtain is considered dirty.

Hello Taco, Prometric does not require a chuck. Patients in their homes may not have a chuck. Therefore a chuck is optional.

Hello Lady Bird, I thank you for your comments. We all make mistakes. 1. The tissues and wipes are place into the drawer when you put up the bedpan. 2. The bedpan is emptied into the toilet during the exam. Hopefully this is what I said. Take care.

I teach according to Prometric guidelines which is an agency that test nurse aide applicants in Texas and other states. I have not control over what another school teaches.

@@txcnaskills2599 Thank you so much I have done my skill test on 28th of Aug and passed .You video was very helpful,because I only attended school between March and April .so before the test I was only watching your videos...My skills were Catheter care,ROM on shoulder and urine output..Thank you so much DrLee

Hello Cherriesllol, Yes, each skill, you need to exit the room, and know on the door, introduce yourself, and tell the patient why you are there. This is a part is Indirect Care (IC) skills. See the document from Prometric below. www.prometric.com/sites/default/files/ClinicalSkillsInstructions.pdf Please look under the heading: Some additional rules for the Clinical Skills Test include the following: then look at the 6th bullet point. Each time you begin a new skill, treat the actor or mannequin as if he/she is a different resident

@@txcnaskills2599 I'm sorry, my question was not written very clearly. I know we should knock and whatnot in the beginning, I'm just wondering if the sink is considered to be in her room or not or if the area where we fill out the measurement information is considered in her room, as whether or not these things are in her room affects my perspective of how often I should knock or whether I'm being irresponsible if I don't perform a safety check before rinsing a basin etc.

Welcome Glendalyn!

Hello Ashley, I wish you all the best. Just keep studying.

Hello, Pay close attention to the video. I instruct the client on what to do with the hand wipes and toilet tissue. The student doesn't have to physically wipe the client's hands. The student must tell the client about the hand wipes. Look at step 12 of this skill. I hope this makes sense.

Hello John, Thank you for responding. I also washed my hands after touching the privacy curtain and before getting my supplies. View the video again.

Hello V.CD.C you don't have to physically state you are throwing those items away.

@@txcnaskills2599 am I able to put it back in the resident dresser with the bedpan?

@@v.cd.c5323 Prometric expects the candidate to put up ALL supplies up before ending your skill. With Prometric, there is not a designated dirty supply area. Therefore, we place the supplies back in the three drawer chest that will be by the bedside.

​@@txcnaskills2599 Oh wow. So we have to verbalize that is what we would be doing?

@@pamelafoy5188 Hello Pamela, You do not need to verbalize what you are doing. I speak through the skills so that who ever is watching will know what I am doing. Prometric expects you to talk to the client while performing care. This will be graded under Indirect Care (IC).

Hello, at the end of each skill, the student should say, I wash my hand, and I complete my skills.

Praying now