Instructional Video for Hand and Nail Care CNA Skill

[@4yourcna]

I needed to clarify that response for other students, to avoid confusion. It is very important that you always work within your scope of practice to limit your liability. I want to make sure you are not putting yourself at risk by doing something that may cause disciplinary action against your license! That being said, we would like to send our heartfelt congratulations on your licensing and wish you the best of luck in your new career!

[@4yourcna]

We are happy you found our videos helpful in preparing for the exam! I am sorry to hear that this job didn't live up to your expectations, but healthcare isn't for everyone! Good luck in your future career!

[@4yourcna]

Yes, manikins will be used for peri-care, catheter care, partial bedbath and dressing a resident with a weak arm. All other skills will be performed on a live "patient" which will actually be another testing candidate. You will be expected to be a patient for another testing candidate as well. Good luck!

[@Psychwriteify]

I can relate, I'm using this as a way to figure out of I want to go into the health care industry. BTW, anyone whose watching this, I have my testing in two hours. Wish me luck!

[@4yourcna]

Orange sticks are still used during the exam to clean under the patient's nails (checkpoint 6). You can see the current clinical skills checklist and each checkpoint by going to the bottom of our website page and clicking on the link for Prometric and clicking on their clinical skills checklist link. Hope this helps! Good luck!

[@badlilyella11]

hello!! i just wanted to say thank you!!! these videos were very helpful! !! Thanks to these videos, I passed my state exam on the first try with ease!!! i was very comfortable because i had watched the skills videos several times!! i really appreciate these videos! !

[@4yourcna]

Awesome! Congratulations! We are very happy that yoh found our resources helpful! Best of luck in your new career!

[@4yourcna]

We are glad you found a resource that you found helpful! Good luck in your new career!

[@4yourcna]

The orange stick is a long stick with a pointed end (to clean under short nails) and a slanted end (to clean under long nails). The emery board is used to file the rough edges (also called a nail file). There are no other supplies used to clean the nails.

[@4yourcna]

Congratulations!!! We are so proud of you! Great job! Best of luck in your new career!

[@4yourcna]

We hope your test went well! Best of luck!

[@souldiesoul]

I'm saying I failed my 1 St attempt at cna certification because I did not clip the nails. My second chance thereafter I failed was on July 11, so the reason I asked in what order I should provide nail care was because I feared that my tester would give me that same skill again. It turned out that my second go around I got different skills and I passed this time.

[@4yourcna]

Yes, the nails on all fingers and the thumb need to be cleaned with the orange stick and filed with the emery board. Good luck!

[@4yourcna]

I am not reaure what setting you are referring to, but to clarify for other students who may read this post, test evaluators and state surveyors are not the same thing. State surveyors are NOT involved in testing or determining pass or fail results. For all state CNA exams, you will be given a care plan that details what tasks are to be completed and what is expected for each of those tasks. Clipping nails is NOT a CNA function, in any setting. It is out of your scope of practice.

[@4yourcna]

Every state is different in deciding which skills they require their CNA applicants to demonstrate, but the actual performance of those skills will not vary much because they are based on best nursing practice which is universal. I am not familiar with Missouri's requirements so I cannot give you any specifics regarding testing in that state, but these instructions should assist you in preparing for the exam. Checking with your state Board of Nursing will give you more specifics. Good luck!

[@4yourcna]

Yes, you may sit when you perform this skill. It is not required for the exam, but it is allowed.

[@souldiesoul]

I actually failed my first time due to not clipping the nails. I walked in washed my hands introduced myself continued with nail care. The surveyor was hinting to me "is he a diabetic?" Well I ignored it because my supervisor told me before I started we do not clip nails at this facility. So after all was said and done I had failed, because I did not clip nails. She said "I'm a surveyor for the state not your facility and I needed to see you clip nails". This time I passed!

[@topherlv4265]

our teacher said they dont use the orange stick anymore, because it could injure the patient?? thank you for all your help

[@captainjean6087]

Thank you very much thanks to your video I wasn't at at clueless about the test,,because I haven't been going to my school to practice your video d did help me

[@annafehl9840]

don't you use a different paper towel to turn the water off? i was taught that you used a different paper towel to avoid contamination.

[@4yourcna]

Yes, you may wear gloves for this skill if you wish. You should wear gloves if you will be coming into contact with body fluids, private areas or non-intact skin. Since this patient does not have any body fluids or non-intact skin on her hands, the CNA does not need gloves. If you are unsure, you may opt to wear gloves. Good luck!

[@4yourcna]

For the test, the evaluator is "invisible". You are responsible for performing the assigned skills as if it were a normal day at work as a CNA. You should not direct comments to the evaluator. You should check for rough edges and file accordingly by running your finger along each nail edge. The evaluator will see you checking. Personally, I would file a nail or two anyway, to show you know the technique. Good luck.

[@4yourcna]

Thank you so much for your kind comment and we are very happy that these videos helped you achieve your goal! Best of luck in your new career! Like us on Facebook :-)

[@4yourcna]

Gloves are optional for this skill. If the patient has open areas on their hands (sores, rashes, cuts, etc) you need gloves. If their skin is intact, then you do not need gloves because you wash your hands before and after the skill. Good luck.

[@4yourcna]

CNAs are not permitted to clip nails under any circumstances! Nails should be filed routinely to prevent excessive length and the need for clipping. Nail care should be performed exactly as described in the video. Washing, rinsing and drying the hands, cleaning under the nails with an orange stick, filing the rough edges and applying lotion (wipe off the excess). Cuticle care will only be performed if ordered in the care plan and will only be performed exactly as directed by the RN. Good luck!

[@4yourcna]

No, using the same paper towel to turn the water on and off is fine. The paper towel does not touch anything else, so there is no additional contamination. Not sure why you were taught that, does not go along with infection control principles... but you could do that if you want. Nothing against it for the exam. Your facility may consider it wasteful (lots of extra $). Good luck!

[@dominique8514]

Very helpful do you know if these rukes apply for Missouri exam...I take mine in a week

[@4yourcna]

Ask your school if they have practice time set up in a skills lab that would allow you to practice at the school. Many schools offer skills practice labs. Regarding your hectic schedule, you may have to set some time aside to practice if you want to pass the exam. Many of these skills can be practiced using a doll, but others will require a human "patient". Ask friends, family, co-workers and neighbors to help you - there is probably someone who would be willing, but you have to ask! Good luck!

[@souldiesoul]

If clipping and cuticle care is needed to be performed which should I do first cuticles or clip the nails?

[@4yourcna]

We wish you the best of luck as you test today! Please let us know how you did!

[@4yourcna]

No, I do not know of any CNA schools in Houston. Call your local nursing homes and inquire about what CNA schools they hire students from. Good luck!

[@4yourcna]

The care plan will instruct you to wash one hand only. Always follow the care plan! Good luck!

[@danielt00d]

Should we clean the nails first then wash? Im taking my exam in Bradenton Fl next week and just want to make sure.

[@bobbyfaye2006]

This is I been looking for?

[@thumpaholden]

If there are no rough edges on the nails, should I simply tell the examiner that I've checked an that there are none?

[@4yourcna]

No, soak the hand first so that the debris under the nails has time to loosen before you clean the nails. Best of luck!

[@souldiesoul]

I'm guessing that in the state of Texas cna's are allowed to clip nails on residents as long as they are not diabetic. If they are diabetic the only one that can do nail care on the patient and or resident is the nurse.

[@janisquinn6294]

testing today...please wish me luck!

[@zyleah4594]

In my class we where told to use 1 washcloth to wash and rinse. Can it b done like that

[@IamDeborahjessica]

I know a mannequin doll won't be used for this skill during the exam, but will any of the skills use a mannequin for testing?? such as perineal care. I'm just curious incase that is one of the skills the ask me to preform.

[@janisquinn6294]

I passed!! yayayay!!!

[@kerryannjohn5671]

what is the name of the thing that u use to clean under the nails? not the orange stic the other one

[@rajulguillermo]

how come there's two towels needed? i know we need one for drying,what's the other one for?

[@4yourcna]

No. You cannot wash AND rinse with the same washcloth. The washing washcloth has soap, the rinsing washcloth must have clean water to rinse the soap away. If you are using the same cloth, you cannot remove the soap. Good luck!

[@Jade-fu8zx]

I am not sure if the people running this channel still respond to questions, but I was wondering if you just say to the evaluator "I would soak the hand for (however long)" like with foot care? Or do you actually soak the hand for that amount of time. If so, how long do you soak the hand, it was mentioned in the foot care video but not this one :/ Thanks in advance!

[@4yourcna]

There is no specified amount of time to soak the hand or foot. Simply submerging the extremity in water is sufficient. Please refer to our newest video for a more updated version of this skill found here: kzbin.info/www/bejne/n5CzXolpqbZjZ8U

[@Avonyce]

4yourCNA f

[@artisticaloha2502]

3-5min

[@4yourcna]

You only need to change the water if it becomes soapy or cold. Since the soaking, washing and rinsing takes less than 3 minutes, the water won't get cold. And you don't put soapy washcloths back in the basin so the water only gets soapy during the RINSE and the water isn't used after that, so no need to change water. If for some reason the skill is taking a very long time and the water gets cold, then change it. Good luck!

[@sweet1995toto]

so no need to change the water?

[@marciespirtas424]

Hello! I just finished my PCT class 3 weeks ago and have my exam next week. I have been out of class for so long im having trouble remembering each step! I live by my self and have no one to practice on ... do you suggest anything I can do with out anyone to practice with? My schedule is crazy and the only time I have to study is when no one else can help in my class. HELP... is there a way i can do this on my own?

[@83fattygurl]

So you don't put on gloves?

[@trilongtran1338]

is it look like the lady was forgot to wear gloves during provide hand care for patient?

[@shannonbrown9669]

During the test you only wash one hand correct?

[@brandydawson777]

don't you suppose to wipe was on the stick on the barrier towel?

[@4yourcna]

+Brandy Dawson I'm sorry but I don't understand your question. Please rephrase your question. Thank you.

[@brandydawson777]

Whatever is on the stick do you supposed to wipe it on the burial

[@4yourcna]

+Brandy Dawson The Clinical Skills Checklist simply provides the following standard regarding this step: "Use flat edge of orangewood stick to remove residue under tips of each fingernail, and remove residue from edge of orangewood stick, if present, before using again to clean under another fingernail". It does not specify whether the stick needs to be wiped on the towel or the barrier, so either would be considered appropriate. Good luck!

[@912ronan]

do you guys know where is the C N A school in houston tx

[@berthavasquez7609]

El video. es muy interesante aprende mucho se educa mas pero cuando dare el exsamen

[@lauraguerra2592]

Laura Guerra joining in from little rock arkansas it's a 103 degree in little rock,

[@souldiesoul]

...videos! I got peri care,ptr and making an occupied bed.

[@aundrearisk3962]

And ask if they want lotion, cause they may not want it.

[@ortizcathy44]

Wash hands before reach of resident

[@4yourcna]

Please refer to our newest videos for updated skills performance. This is an old video. However, I am not entirely sure what you mean "before reach of resident". You must perform your opening and close the curtain before you wash your hands (you must get consent) because the curtain is not considered clean. Our lesson on the opening covers this in detail in our FREE online CNA Test Prep course on courses.4YourCNA.com. This course presents much more material than just skills videos and helps explain all the little steps that are important. Check it out...it's FREE!

[@aundrearisk3962]

Suppose to wear gloves

[@bencochrane267]

in response to the comments you are not supposed to wear gloves cleaning someone's hand.... why would you wear gloves cleaning someone's hand with a cloth? you wear gloves cleaning teeth ..bedpan..Peri care..anything that can put you at risk at coming into contact with infectious secretions.

[@4yourcna]

+Ben Cochrane For the exam, you are not required to wear gloves for hand and nail care. You may do so if you wish, but it is not required. Gloves are required if you are expecting contact with body fluids (urine, feces, wound drainage, blood, saliva, etc.) therefore they are required for mouth care, denture care, bedpan, catheter care, peri care, partial bedbath, emptying a urinary drainage bag, etc. But as long as the patient's skin is intact, they are not REQUIRED for hand care. Remember, any surface contaminants that you may come into contact with will be washed off when you wash your hands at the end of the skill. Good luck!

[@captainjean6087]

Thank you very much thanks to your video I wasn't at at clueless about the test,,because I haven't been going to my school to practice your video d did help me