Prometric Skills Demo for changing the bed linen while the resident remains in bed

[@margaretfrancis7683]

Thank you so much Dr. Lee . after watching your Video , I passed first time , Most Holy God bless you all the time and give you prosperity 🙏👏🙏👏❤️

[@nakiaderrow10ify]

I passed my test on the first try after watching your videos 24 hours straight! Thank you so much Dr.Lee, you are really really appreciated!!!

[@txcnaskills2599]

Great job Nakia.

[@magalierobust8207]

Thank you so much Doctor Lee. I passed the state exam? Thanks again for your help and God bless you

[@PixelDot-ed2vk]

Thank you, Dr. Lee! I also passed my state's Prometric CNA exam after continuously watching your videos. Thank you for your service!

[@txcnaskills2599]

Great job!

[@sandraclarke977]

Thanks DR Lee I did my exams today and I passed because of you. Thanks in a billion from Washington State

[@txcnaskills2599]

WOW Sandra, Thank you. I didn't know my videos were traveling up North. WOW. That just made my day. Thanks again and great job passing the test.

[@user-fh6lo2vp7j]

Hi Dr. Lee, I have been watching your videos and just passed my skills test with 100 percent! Thank you for the amazing teaching job you do for all of us. By the way I am in Washington State😊

[@txcnaskills2599]

Excellent Denise! I am so happy for you. Thanks for letting me know you passed.

[@s0g1am0rous]

Thank you so much for your videos! I just got my CNA license this morning!

[@txcnaskills2599]

Great job!

[@dumaw9]

Thank you Dr. Lee Although I'm in MI I feel like your videos help me a lot. You break the skills down so well, and you speak so naturally to the patients.

[@txcnaskills2599]

Thank you John, I have been a nurse since 1974. Healthcare is my calling in life and I am very passionate about treating patients with dignity and respect. I am glad it is coming through in my videos. Take care and be safe.

[@kaylaventure]

Passed my exam today! Couldn’t be done without these videos honestly had a hard time with the fitted sheet but I beat it

[@txcnaskills2599]

Great job, Queen. Congratulations.

[@treinta3126]

Wow, just what I needed. First channel to upload the videos after the change to prometrics. Thank you!!!

[@txcnaskills2599]

Hello, Treinta you are so welcome. Good luck with your state exam.

[@rosemarybiju1493]

I took my cna skill test on Sunday .Your videos helped me a lot. Thankyou Mam.

[@txcnaskills2599]

Hello Rosemary, I am so glad they helped you. Stay blessed and congratulations.

[@mellisathomas9935]

Hi Dr Lee , thanks for taking the time out to do these videos . They are informative and I will pass my exam because of your videos. Thank you

[@txcnaskills2599]

You are very welcome

[@aybriannarose7819]

Hi Dr Lee. I have been binge watching your videos for the last 2 weeks and I was super scared about taking my skills state exam. I took it yesterday and I just found out today that I passed my written and my skills. My three skills were counting and measuring respirations, changing an occupied bed, and side-lying position . If I didn't watch your videos I know for certain that I would have failed. Thank you so for making these videos.

[@txcnaskills2599]

Excellent Aybrianna! I am so happy for you. Be Blessed.

[@aphrodites-cs1do]

This channel is so helpful for studying for the state exam. Thank you for your videos and help.

[@txcnaskills2599]

Glad to hear that!

[@TcEleoba]

I just tested today and I was given this skill. Thank you so much for this video I hope for the best for my results.

[@txcnaskills2599]

Best of luck!

[@TcEleoba]

@@txcnaskills2599 I finally made it. Thank you so much this videos helped.

[@beferlynttambah3106]

Thanks you so much Dr.Lee I passed my skills exam

[@txcnaskills2599]

Excellent Beferlyn!

[@mariecanal1962]

Thank you for your videos,Dr Lee

[@txcnaskills2599]

Glad you like them Marie!

[@lianathewolflover4516]

I’m taking my test on Friday. I’m really nervous but I’ve been studying like crazy. Wish me luck! I need it! Edit: they cancelled it and moved it to tomorrow Saturday February 6. Still very nervous

[@txcnaskills2599]

Good luck!!. I know you will do very well.

[@kekemichael9694]

I just want to say thank you Dr. Lee so much I just did my prometric state exam today and passed with your help and watching your videos even helped get me through the written exam because some of the things you said were actual questions I just want to say thanks again and god bless these videos help more than you know !

[@txcnaskills2599]

Fantastic KeKe! Kiesha is my daughter's name. Congratulations

[@thelmaharvey614]

I love ya videos they are prue motivation and are broken down so well I'm taking my skills exam this month and you have definitely helped me out I was nervous but know I have confidence and I'm ready for this exam every video is detailed explained and I needed this so much I'm from jasper tx and the videos are so much help

[@txcnaskills2599]

Hello Thelma, You got this! Go pass this exam. I love fishing in Jasper.

[@thelmaharvey614]

Yess the fishing in jasper is great thank you Dr Lee you have really helped me I continue to watch ya videos everyday to get the practice and understanding so now I'm ready to ace this my props to you are a wonderful teacher

[@amywaldrom4577]

You are doing a great job with teaching skills. Well appreciated! Thanks!

[@txcnaskills2599]

I appreciate that!

[@ednaJF1028]

Please Dr Lee I'm just finished my class.I finds your video I need more help to learn the skills I'm praying that will pass

[@txcnaskills2599]

Hello Edna, You keep studying and you should do well

[@VickyVicky-rw9kh]

Hi everyone, I passed my written exam already. Tomorrow is my prometric skills exam here in TX, I'm feeling so tensed, confused 😕 and nervous 😓. Pls wish me success 🙌 🙏

[@txcnaskills2599]

You can do it!

[@romd7270]

Love your content. From a fellow instructor.

[@txcnaskills2599]

Great to hear that! It means a lot from a fellow instructor.

[@ronaldshaw8948]

Do you have to place the patient's outside ankle over the inside one when turning the patient over?

[@txcnaskills2599]

Hello, Moving the partner's ankle over the inside leg is NOT a step in this skill for passing.

[@MylesGmail]

U helped me a lot. Thank u

[@txcnaskills2599]

Glad to hear that

[@thepowerofangel2167]

You are great Teacher Nursing asistang

[@txcnaskills2599]

Wow, thank you.

[@ladynefertitibk]

Thank you😊

[@txcnaskills2599]

You're welcome 😊

[@weedormanyango7792]

After every skill, do you open or close the curtain. Thanks

[@txcnaskills2599]

Yes, please do that.

[@elizajimenez7729]

thanks for this great video.

[@txcnaskills2599]

Glad you liked it! Eliza.

[@YnKmafiaa4L]

I thought when you do the pleaded corners, it’s a restraint when the resident is in the bed??

[@txcnaskills2599]

Hello, It is considered a restraint when you tuck the sheet in along the sides.

[@lovelyneworld3495]

Thanks for posting Dr lee is it’s mandatory to put bed protecter under the patient? Also do we need gloves for this skills

[@txcnaskills2599]

Hello Lovelyne, a linen protector and gloves are NOT required for changing the bed during the Prometric state exam.

[@e.montelibano7641]

This I gotta practice doing lol. Great vid Dr. Lee. Thank you!

[@txcnaskills2599]

Hello E., Thanks for the comments.

[@fatumatakanneh8676]

Great ❤

[@txcnaskills2599]

Thanks

[@Cashmony666]

Gracias ❤

[@txcnaskills2599]

You are welcome.

[@christinesmikal7339]

I have 2 questions. Can you ask the client to move over in the bed or do you have to assist them? Second can you ask the client to hold hold the top of the sheet while pulling out the bath blanket? Thank you for making these video and sharing them.

[@txcnaskills2599]

Hello Christine, Thank you for asking these questions. 1. You can ask the client to move over in bed. We are not expected to lift the person when the client can do it for him/herself. 2. Yes, it is a very good idea to ask the client to hold the top sheet while removing the bath blanket. This will help to ensure the client stays covered which is graded under indirect care skills.

[@abbyjay8880]

Thank you Dr Lee but do we use gloves to make the bed

[@Christine-om1bt]

Yes use gloves because the patient may have linen protector soilled

[@txcnaskills2599]

Hello Abolanle, Gloves are NOt required when making an occupied bed during the state exam. During the state exam, you will be making a bed with your partner as the patient. The bed linen will be clean for the most part, therefore gloves are not needed. The evaluator will be grading you on keeping the patient safe, away from the edge of the bed, covered at all times, and making sure the client does not lie on the mattress.

[@yeseniabracamontes6994]

Hello Dr lee thank you for sharing all this videos it is really helpful so I have a question do we also get a pad to put under client? Are just pillow case privacy blanket fitting and flat sheet

[@txcnaskills2599]

Hello Yesenia, Prometric only requires the student to change three things ( top sheet, bottom sheet, and the pillowcase). You don't need a privacy blanket if you can keep the client covered with the top sheet. A pad under the client is not required and will not affect your score.

[@yeseniabracamontes6994]

@@txcnaskills2599 thank you Dr lee

[@yeseniabracamontes6994]

Hello Dr Lee I have another question about the bed do we have too lock the bed everytime before we start a skill ?

[@nerm210]

So we do not need to check that the wheels are locked? or say " lock, lock, lock, lock"?

[@txcnaskills2599]

Hello Nerm, The student MUST actually lock the wheels of the wheel chair.

[@samone4mbama]

So as of today 2022 with Prometric I can change an occupied bed without gloves on right? In the state of Florida

[@txcnaskills2599]

Hello, Prometric does not require gloves for the occupied bed skill. Just an FYI, Prometric will start testing oral skills in December 2022.

[@MariaGomez-dz7rr]

Dr. Lee would I get point off if I remove the top sheet first and keep the patient covered with the privacy blanket while I change the bottom sheet and then I put the new top sheet?

[@txcnaskills2599]

Hello Maria, You will be just fine removing the top sheet and covering the patient with a blanket. The main thing here is to keep the patient covered for privacy.

[@brendasmartinez7338]

Hiii Dr lee sorry for this question so im not gonna used gloves any time for this skill? Blessings 🌹

[@txcnaskills2599]

Hello Nicholas, The use of gloves is not required for the changing bed skill with Prometric.

[@Shikor68]

Hi thank you for the practice. I believe you forgot to loosen up the top sheet by client’s feet so they don’t feet tight?

[@txcnaskills2599]

Thanks Selli Cito, I didn't remind the student to make sure the linen is not tight on the resident's feet. Thank you for the correction. Have a great day.

[@user-mo2ln5ii7s]

is it ok to remove the top sheet after putting on the bath blanket before doing the fitted sheet?

[@txcnaskills2599]

yes you can. The main thing here is to keep the patient covered.

[@chezmackers5483]

Hi Dr. Lee I just like to ask about feeding and oral care since it’s 2021 and in this skill I didn’t see u put any drawsheets, do we need to put a draw sheet or not ? Thank U 😊

[@txcnaskills2599]

Hello Aiko, You do not need to place a drawsheet on the bed. Prometric is very clear with stating what they want you to change for this skill. Only do what the STATE is asking you to do. A drawsheet is never mentioned.

[@thepowerofangel2167]

Waow excelente video

[@txcnaskills2599]

Thanks so much.

[@marymayo804]

I want to try by my self.

[@txcnaskills2599]

The best to you.

[@daryannamontoya4546]

Dr.Lee is it okay if we turn the patient away from us when doing this skill? I was told we could not have the patient facing away from us and we would get points deducted if we did

[@txcnaskills2599]

Hello Daryanna, You can turn the patient towards any side for this skill and you will NOT get points deducted. Prometric does not tell us what side to turn the patient to. See the instructions below. Pay close attention to steps 4-8. 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 Keep resident positioned a safe distance from the edge of the bed at all times? 4 Remove and replace bottom sheet on one side of the bed, before turning resident to remove and replace sheet on the other side of the bed? 5 Keep resident positioned on a bottom sheet throughout procedure? 6 Secure bottom sheet to mattress (e.g., for fitted sheet secure over all four corners of the mattress; for flat sheet, tuck at head of bed and on sides and extend toward bottom of mattress so that resident’s heels are not against any exposed mattress)? 7 Leave bottom sheet free of creases or folds? 8 Turn or position resident to remove or replace sheet(s) without pulling sheets in a manner that creates friction and risks skin shearing? 9 Replace the top sheet over resident with a clean sheet? 10 Tuck top sheet under foot of mattress leaving sheet placed loosely, avoiding pressure against toes and allowing for foot movement? 11 Leave top sheet placed on top of resident to cover body up to shoulder level, without tucking in along sides? 12 Keep pillow positioned under resident’s head throughout and at the end of the procedure, except when removed briefly to replace pillowcase?

[@daryannamontoya4546]

Thank you so much !!!!!!!

[@Ninastarr]

What worries me is that there are different guidelines for different states.so i don't know if what is recommended here,is the guidelines for my state

[@txcnaskills2599]

Hello Poppy, what state are you in? If your state uses Prometric the skills should be the same.

[@Ninastarr]

@@txcnaskills2599 New York

[@Hayhey2133]

Hi Dr.Lee, do you know if they are still doing oral skills (ie. mouth care, feeding, denture care) in Texas as of 12/1/22?

[@txcnaskills2599]

Hello Hayhey, Prometric in Texas has started testing on the oral skill as of 12/1/2022.

[@chezmackers5483]

Hi dr. Lee about touching the dirty linens doesn’t need to wash hands before touching the new sheets and pillow case ? Hope u notice me 😊, I will have my exam March soon thank u.

[@txcnaskills2599]

Hello Aiko, The clean linen will touch the dirty linen when making an occupied bed. The patient CAN NOT touch the bare mattress. No, you don't have to leave the patient in the middle of making the bed to wash your hands because you will always have both (dirty and clean) linens on the bed until the end. Does this make sense?

[@chezmackers5483]

@@txcnaskills2599 dr. Lee thank u so much for informative vedio🥰 and for patience of answering our concern ❤️

[@jaredheedum2169]

Do you to put the blanket on top of patient before changing bottom sheet?

[@txcnaskills2599]

Hello Jared, When making an occupied bed you can use the client's top sheet to keep the person covered or bring a blanket over to the patient. If you bring a blanket to the client, I would suggest placing the blanket before you start changing the bottom sheet.

[@diferanmajeste5001]

I think you have to use gloves , we can not touch the dutty linen after touch the clean linen

[@txcnaskills2599]

Hello, Please read the Prometric directions. Gloves are not required to change the bed. What step did you see gloves as a requirement? If the state wants us to use gloves, it will be listed as a step. See the steps for skills with perineal care and catheter care. Gloves are not mentioned for this skill. Recheck the requirements.

[@reiaunahickman3101]

What are the main skills I should be studying ? I take my test on the 23rd

[@txcnaskills2599]

Hello Relauna, I would study all of the skills except the oral ones because they are not being tested due to COVID 19. Handwashing and indirect care are skills that everyone testing will get. You will not know the skills you will have until the evaluator tells you in the testing rom.

[@juliehernandez80]

Do we need to check that bed wheels are locked?

[@txcnaskills2599]

Hello Julie, Prometric does not REQUIRE us to check the bed wheels when performing this skill. The bed will already be low and the wheels are already locked before your partner get into the bed.

[@cherriesllol]

Hi Dr. Lee! I'm struggling a bit with this skill. I keep going over the time limit because I find it hard to shift the person from one fitted sheet to another. I move them like you suggest in the video, but a lot of the sheet material ends up stuck under them and I feel like I have to really yank to pull the fitted sheet to the other side. Is it bad if I yank? I hold the resident to help them balance and keep them centered in the bed. Do you have any tips you can offer? I really appreciate all you do!! I'm testing on 6/30/21 and you and Nurse JAR are really seeing me through this!

[@cherriesllol]

Hi Dr. Lee, I see that me yanking probably risks skin shearing and friction, so again, I'd really appreciate any advice you have!

[@cherriesllol]

Do you know if I'm allowed the ask them to sit up or raise their hips to help maneuver the fitted sheet?

[@txcnaskills2599]

Hello Cherriesllol, When changing the bed linen, place the dirty sheet next to the person's back while they are lying lateral. Then, when you get the clean sheet, tuck it under the dirty sheet that is next to the person's back. You can also ask the person to tilt a little so that you can tuck the sheet under the person good. When you ask the client to turn to the opposite side you should she the clean sheet and not have have problems pulling it out. Practice at home making your bed with an adult and see if it will work. take care.

[@txcnaskills2599]

Shearing the skin is not good. Read my note above.

[@txcnaskills2599]

The person can move their hips as long as they don't get near the edge of the bed.

[@Obyokoli]

Dr. Lee, please can you do a video on feeding a sitting client, providing mouth care to a patient with dentures and teeth.

[@txcnaskills2599]

Hello Obianuju, I plan on doing the oral care skills soon. The reason I haven't done them so far is that Prometric will not test on these skill during the COVID 19 epidemic. Everyone will be required to keep their mask on during the state exam. Things may change in 2021 after more people have received the vaccine for COVID 19 and Governor Abbott gives an update on our status in Texas.

[@hyacinthgrant5976]

Can the dirty sheet touch the clean sheet?

[@txcnaskills2599]

Hello Hyacinth, Yes the dirty sheet can touch the clean sheet. The important things here are the patient stays covered, away from the edge of the bed, and never lays on the mattress.

[@LynnNgaBisaya]

Dr. Lee, is it necessary that the curtain has to be close to do this skill or no?

[@txcnaskills2599]

Hello Melanie, I am glad you answered your own question. The closing of the bedside curtain is part of the indirect skill grade.

[@reinaream5837]

@melanie, did U take the test already? I’m gonna take mine this 28th

[@txcnaskills2599]

@@reinaream5837 Let me know how you do on Monday. I wish you the best.

[@reinaream5837]

@@txcnaskills2599 I passed! :)) ty ty ty :)

[@txcnaskills2599]

@@reinaream5837 Good New Reina. Happy New Year

[@courtneyvasquez7785]

are we allowed to leave the mannequin on the bed with no pillow?

[@txcnaskills2599]

Yes, why not when changing the pillow case?

[@alphacuremom1603]

hello Dr Lee I will take my test this Friday I need to know is necessary to use a blanket in this skill?

[@txcnaskills2599]

Hello , The only requirement is that the patient stays covered while you are making the bed. Some people use the top sheet and others use a blanket. Here are the guidelines under patient rights in the Indirect Care Document for this skill. close privacy curtain before providing care refrain from leaving resident completely uncovered while top sheet being replaced

[@LynnNgaBisaya]

Never mind i just answered my own question it was on the beginning of your video.. my bad.

[@txcnaskills2599]

Glad you figured it out, Melanie.