Wonderful Alfani! Best of luck to you in healthcare.

That is awesome!

Hello Clarissa, I thank you for letting me know about your success. I totally understand what you went through. Many of my students were in the same situation. The main thing is that you didn't give up and you completed the process. Congratulations again.

Great job!

Fantastic!

My pleasure Charlotte!

Hello Daniel, thank you.

My pleasure Cindy!

Thank you. I wish you the best with your exam. Remember Prometric is testing on the oral skills now.

Glad it helped!

Good Job Melissa. Welcome to healthcare.

My pleasure! Take care Nelly.

Happy to help! I wish you the best on your exams.

Great job!

Great job!

Hello Marlenne, I am glad they helped.

My pleasure!

Hello Jajaida, Help me understand which skill had a step for aligning the client. Prometric can ONLY grade you on what is listed under the skills checklist or under Indirect Care. I am eager to hear back from you. Thanks for your comments. Take care.

@@txcnaskills2599 this is what my teacher taught me 🤷🏾‍♀️ so whenever we finish a skill we have to align the pt from the pillow down to the toes ,lift the sheet up some over his toes for pressure sores and then we inform the pt that we are lowering the bed because we raised it in the beginning of our privacy 🤷🏾‍♀️, Dr Lee New York has us doing alot of extra stuff but it's cool bc I Kno I have to align during the state test I don't think it's Prometric however my teacher has the practor looking for how she taught us🤦🏾‍♀️🤷🏾‍♀️

@@txcnaskills2599 wish I could send you it but taking pictures isn't a option on here but yea when pt is in bed and in chairs

You are so welcome Hiwi.

Thanks 👍

Good luck!! Please let me know how well you did.

Excellent! Be Blessed also

@@txcnaskills2599 oo

@@txcnaskills2599 o

Thanks so much.

Thanks!

Glad to hear that

Way to go Marshsy. Congratulations.

Glad you think so! Luretta.

Thank You Leela.

Thank you so much.

Hello Jazzmin, All of my students receive their test results from Prometric within 24-48 hours. If you took the test on Feb 9th and haven't heard anything from them, you may want to call and see what is wrong. That is way too long. I taught the Pearson Vue skills until Texas went with Prometric in September 2020. You are correct, the skills are different. You will have to get Pearson Vue methods out of your head because things are different. Good luck. Don't forget to subscribe if you haven't already.

@@txcnaskills2599 wow I will call ASAP I’m anxious to get my results back but I know I passes it. A lot of the question where piggy backed off the the other and I had a duplicate question crazy but it was very easy I just ready to see my actual score. And can I login into my account and see my results??? I keep logging in but nothing is posted about my test score

@@txcnaskills2599 update: they did send my results it came the very next day. It ended up in my spam folder I don’t know why though 🤦🏾‍♀️ I’m glad I checked it this morning though I forget sometimes certain emails be in spam. I’m just so happy one test down and one to go🎉🎉🎉

Hello Helena, remember the skill is to empty and measure the urine output. Therefore, we are not graded on cleaning the drainage tube. When taking a state test, always follow the guidelines set by the state. Prometric doesn't tell us to use alcohol with this skill. Empty contents of resident’s urinary drainage bag, and measure and record urine output on an Intake and Output (I&O) form 4 Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan? 5 Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect drain (e.g., clamp and tuck drain into pocket) after emptying drainage bag? 6 Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate? 7 Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet? 8 Record output with clean hands? In a real environment I will clean the drainage bag tubing, BUT this is a testing environment with basic requirements. I hope this helps.

@@txcnaskills2599 this helps bcuz I was thinking the stay thing thanks... Pray for me im renewaling after so long

No need to do that. The use of an antibacterial spray is not a part of the skill.

Love ya back.

My advice is to follow 'Prometric guidelines and to not add thing into the skill.

Hello, The student doesn't have to physically go and wash their hands. The student can just "say, I wash my hands." The evaluator will only put enough food color water to fit into the cylinder.

Hello Blessing, There is no way you should have failed for placing a barrier on the floor under the urine drainage. Placing the barrier on the floor is EXACTLY what Prometric calls for. Please see page 4 on the link below which lists the steps for emptying the urinary drainage bag. Look at step 4 for this skill. www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf

Hello, Using alcohol wipes is NOT a step for this skill when testing with Prometric. I don't teach my students to use alcohol wipes.

Hello Albert, You can place the time in AM/PM or military time on the measurement forms.

Thank you Dr. Lee

Hello J. M. Hernandez, Prometric does not care if we write cc or ml because they mean the same thing.

Hello Peace, Record the time when you are actually writing the measurement down.

Hello, The candidate MUST walk out of the room, knock on the door, enter the room, and start the skill

I am so sorry. I don't understand Spanish.

Thank you DivaSSS.

Hello Miyat, NO, NO, NO don't use alcohol.

I know there are plenty of videos to watch on the prometric skills but I WILL NOT watch any other videos but yours Dr. Lee!

Thanks Nancy, I wish you the best on your exam.

Thanks a lot

Hello, When taking the state exam, we follow Prometric guidelines as much as possible. Therefore, the skills checklist does not state the student should not put the towel on a counter. To answer your question, the floor is dirty. Once the dirty towel is placed on the counter, the counter becomes dirty. The student is NOT graded on cleaning the counter. Please remember that a student is timed to complete 5 skills. The student needs to follow the skills checklist. We can always add to the skill which can make the student run out of time during the exam.

Great news.

Hello Julie, You are speaking of a Pearson Vue Rule. These skills are using Prometric guidelines. So, if you are testing under Prometric there is NO mention of a designated dirty area. Prometric requires us to put it back in the bottom three drawer chest that we got it from. Remember Prometric skills are slightly different from Pearson Vue. In Texas, we started testing under Prometric guidelines in September 2020.

Hello Vinodini, If you raise the bed, you must lower it before leaving the bedside. I don't teach my students to raise the full bed, because many will get nervous and forget to lower the bed. This behavior is an automatic fail. Raising and lowering the full bed is NOT a requirement for any of the skills. I teach my students to leave the full bed alone for the 30-40 minutes of the skill exam. The student can raise the bed after they are certified. Let's not add extra steps that are not needed during the testing. This is how I teach my students.

@@txcnaskills2599 ok but just in case what were I to do in that scenario?

Hello Jazzmin, The graduated cylinder is considered clean before it is used. The linen is also clean before being used. I will post the guidelines from Prometric below. The wearing of gloves is required when we start emptying the urine: handling the urinary drainage bag, graduate, or any urine-filled container. Does the candidate: 1 Greet resident, address by name, and introduce self? (IC) 2 Provide explanations to resident about care before beginning and during care? (IC) 3 Wear gloves while handling the urinary drainage bag, graduate, or any urine-filled container, and remove gloves before documenting I&O?

@@txcnaskills2599 thank you for responding back I really appreciate you. Changing people lives. I have another question do we need to wash our hands before documenting on the I&o sheet and do we need to wash it again after we document on the I&O to end the skill.

Hello Tiffany, Yes, you ARE required to measure the urine output EXACTLY. Remember you are trying to match what the evaluator notes. You must be within 50 cc/mls of the evaluator. Please don't round up.

Thank you, very much! 🙏 I'll be sure to measure it exactly.

Can you please restate your question? I don't understand.

Hello, alcohol is not required as a step for this skill.

Hello Roselene, I have a video on the respiration skill.

Hello, You can leave the urine on the counter/bedside table until after you have documented it so that you don't forget the amount. I hope you passed the exam.

Hello Margie, Prometric guidelines states to set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan? Therefore the barrier can be anything. (towel, blanket, paper towel, etc...) At my school we use a towel. Our choice. Great question.

Hello Liya, If you review the Prometric skills guidelines for this skill, the mention of alcohol is NEVER listed. Is this something you read somewhere? Empty contents of resident’s urinary drainage bag, and measure and record urine output on an Intake and Output (I&O) form 4 Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan? 5 Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect drain (e.g., clamp and tuck drain into pocket) after emptying drainage bag? 6 Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate? 7 Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet? 8 Record output with clean hands?

The school I went to said we had to idk🤷

@@stickyicky3122 Hello Liya, I can only say the state does not require the cleaning of the tube with alcohol, so I DON'T teach my students to do that while testing. I stick to the instructions from the state.

Hello Clancy, I will post the skills checklist below for this skill which is located on page 4. www.prometric.com/sites/default/files/NAClinicalSkillsChecklist.pdf No where in the 18 steps does Prometric state to use an alcohol wipe to clean the catheter. If you do that you will fail the skill.

thanks

Hello Nelly, Someone else told me that. Sorry about that. I am human.

I know. I just wanted to let you know just in case it wasn't mentioned. Oh, I passed. Thank you for your help. Peace and love.

Hello Nene, I don't live in Florida, therefore, I can't answer your question.

Hello, Prometric does not require the use of an alcohol pad for this skill.

Hello, you posted good questions. You should NOT ask the evaluator to look at the measuring container. Remember, the evaluator put the urine into the drainage bag. Therefore, the evaluator already knows the amount of urine in the drainage bag. Secondly, you DON'T have to wash your hands before giving the evaluator the documentation sheet.

I practice because I love caring for people.

Hello Meghan, You only need one pair of gloves for this procedure.

Hello Chinonye, We are not graded on the placement of the protective barrier for this skill. The student must make sure they read the container on a barrier that is on a flat surface. This will be the pass or fail point for the student. Take care.

@@txcnaskills2599 Thank you so much for your explanation Dr. Lee. I watch your videos often for my upcoming exams.

Hello Maureen, I teach Prometric guidelines. There are different agencies that states hire to administer their state exam. In Texas, we follow Prometric guidelines and not The Red Cross. Are you under Prometric now?

The state guidelines for testing DOES NOT require that step. Where have you seen it as a requirement? I have NEVER seen it as a step for Prometric and Pearson Vue. Please send me the link.

Hello Kenyetta, The state evaluator will tell you how much time you have to complete your 5 skills what you are taken into the exam room.

Hello, I get this comment a lot. Prometric has NEVER put cleaning the drainage port with alcohol as a step for this skill.

Hello Tayyaba, The urine measurement container will be placed in the third drawer.

@@txcnaskills2599 thanks a lot 🙏 You are really wonderful

Hello Deborah, Prometric is not testing on feeding now due to COVID.

@@txcnaskills2599 I would like to test at your center for my skills exam is there anyway I can get your location to schedule my exam at your center. please reply thank you

Yes, you will FAIL if you forget to document the output measurement.

Hello Glynis, Prometric does NOT require the use of alcohol to clean the port of the urinary drainage bag. Using alcohol is NO WHERE listed for this skill by the state.

I live in New York and we have to use a alcohol pad to wipe the tube after urine has come out! That's one of our supplies for this skill! So each state is different 🤷🏾‍♀️

Hello

Hello Martha, Remember we have rinsed the container and dried it before placing it in bedside area. Putting the supplies up is a requirement from Prometric when testing. This is listed in the Prometric Clinical Skills Checklist. Please review this document because not putting the container will count against you when testing.

Hello, The instructions never said to use military time.

Hello Tina. What are you needing a picture of?

Hell Hannah, No, you don't need to tell the evaluator what supplies you are gathering. I state the supplies because it helps the student know what I am doing when demonstrating the skill.

Hello, Using an alcohol wipe is NOT a step for Prometric. Please tell me where you saw using an alcohol wipe as a requirement for this skill under Prometric guidelines.

Yes only our teachers tell us this.... but I guess for the test no need to

Hello Raquel, Yes you can remove the drainage bag from the bed frame to drain it. Be sure the bag does not touch the floor and the drainage tube does not touch the measurement container. Prometric does not care if we squat or bend over to complete this skill.

Hello Nancy, You can register to take the exam the next day.

Thank you

My bad. Thanks.