\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{sydthesquid666} \pdfinfo{ /Title (nursing-assistant-skills.pdf) /Creator (Cheatography) /Author (sydthesquid666) /Subject (Nursing Assistant Skills Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{A3A3A3} \definecolor{LightBackground}{HTML}{F3F3F3} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Nursing Assistant Skills Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{sydthesquid666} via \textcolor{DarkBackground}{\uline{cheatography.com/21215/cs/4009/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}sydthesquid666 \\ \uline{cheatography.com/sydthesquid666} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Published 28th April, 2015.\\ Updated 12th May, 2016.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Measures and Records Blood Pressure}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol \newline % Row Count 5 (+ 2) 3 Client's arm is positioned with palm up and upper arm is exposed \newline % Row Count 7 (+ 2) 4 Feels for brachial artery on inner aspect of arm, at bend of elbow \newline % Row Count 9 (+ 2) 5 Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site \newline % Row Count 12 (+ 3) 6 Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site \newline % Row Count 14 (+ 2) 7 Candidate inflates cuff between 160 mm Hg to 180 mm Hg. If beat heard immediately upon cuff deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg \newline % Row Count 18 (+ 4) 8 Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury) \newline % Row Count 22 (+ 4) 9 Removes cuff \newline % Row Count 23 (+ 1) 10 Signaling device is within reach \newline % Row Count 24 (+ 1) 11 Before recording, washes hands \newline % Row Count 25 (+ 1) 12 After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator's reading% Row Count 29 (+ 4) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Pulse found up from the pinky.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Transfer From Bed to Wheelchair with Transfer Belt}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before assisting to stand, wheelchair is positioned along side of bed, at head of bed facing foot or foot of bed facing head \newline % Row Count 8 (+ 3) 4 Before assisting to stand, footrests are folded up or removed \newline % Row Count 10 (+ 2) 5 Before assisting to stand, bed is at a safe level \newline % Row Count 12 (+ 2) 6 Before assisting to stand, locks wheels on wheelchair \newline % Row Count 14 (+ 2) 7 Before assisting to stand, checks and/or locks bed wheels \newline % Row Count 16 (+ 2) 8 Before assisting to stand, client is assisted to a sitting position with feet flat on the floor \newline % Row Count 18 (+ 2) 9 Before assisting to stand, client is wearing shoes \newline % Row Count 20 (+ 2) 10 Before assisting to stand, applies transfer belt securely at the waist over clothing/gown \newline % Row Count 22 (+ 2) 11 Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing \newline % Row Count 26 (+ 4) 12 Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing \newline % Row Count 30 (+ 4) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Transfer From Bed to Wheelchair with Transfer Belt (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{13 On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in upward position) and maintaining stability of client's legs \newline % Row Count 4 (+ 4) 14 Assists client to turn to stand in front of wheelchair with back of client's legs against wheelchair \newline % Row Count 7 (+ 3) 15 Lowers client into wheelchair \newline % Row Count 8 (+ 1) 16 Positions client with hips touching back of wheelchair and transfer belt is removed \newline % Row Count 10 (+ 2) 17 Positions feet on footrests \newline % Row Count 11 (+ 1) 18 Signaling device is within reach \newline % Row Count 12 (+ 1) 19 After completing skill, washes hands% Row Count 13 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Make sure patient has non-sliding shoes on and feet are flat on floor to prevent falls.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Peri-Care for Female}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water \newline % Row Count 8 (+ 3) 4 Puts on clean gloves before washing perineal area \newline % Row Count 10 (+ 2) 5 Places pad/ linen protector under perineal area before washing \newline % Row Count 12 (+ 2) 6 Exposes perineal area while avoiding overexposure of client \newline % Row Count 14 (+ 2) 7 Applies soap to wet washcloth \newline % Row Count 15 (+ 1) 8 Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke \newline % Row Count 18 (+ 3) 9 Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke \newline % Row Count 21 (+ 3) 10 Dries genital area moving from front to back with towel \newline % Row Count 23 (+ 2) 11 After washing genital area, turns to side, then washes and rinses rectal area moving from front to back using a clean area of washcloth for each stroke. Dries with towel \newline % Row Count 27 (+ 4) 12 Repositions client \newline % Row Count 28 (+ 1) 13 Empties, rinses, and dries basin \newline % Row Count 29 (+ 1) 14 After rinsing and drying basin, places basin in designated dirty supply area \newline % Row Count 31 (+ 2) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Peri-Care for Female (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{15 Disposes of used linen into soiled linen container and disposes of linen protector appropriately \newline % Row Count 2 (+ 2) 16 Avoids contact between candidate clothing and used linen \newline % Row Count 4 (+ 2) 17 After disposing of used linen, and placing used equipment in designated dirty supply area, removes and disposes of gloves(without contaminating self) into waste container and washes hands \newline % Row Count 8 (+ 4) 18 Signaling device is within reach and bed is in low position% Row Count 10 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{An embarrassing procedure for both parties, be sure to have understanding for this and provide as much privacy as possible} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Mouth Care}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before providing mouth care, client is in upright sitting position (75-90 degrees) \newline % Row Count 7 (+ 2) 4 Puts on clean gloves before cleaning mouth \newline % Row Count 8 (+ 1) 5 Places clothing protector across chest before providing mouth care \newline % Row Count 10 (+ 2) 6 Secures cup of water and moistens toothbrush \newline % Row Count 11 (+ 1) 7 Before cleaning mouth, applies toothpaste to moistened toothbrush \newline % Row Count 13 (+ 2) 8 Cleans mouth (including tongue and surfaces of teeth), using gentle motions \newline % Row Count 15 (+ 2) 9 Maintains clean technique with placement of toothbrush \newline % Row Count 17 (+ 2) 10 Candidate holds emesis basin to chin while client rinses mouth \newline % Row Count 19 (+ 2) 11 Candidate wipes mouth and removes clothing protector \newline % Row Count 21 (+ 2) 12 After rinsing toothbrush, empty, rinse and dry the basin and place used toothbrush in designated basin/container \newline % Row Count 24 (+ 3) 13 Places basin and toothbrush in designated dirty supply area \newline % Row Count 26 (+ 2) 14 Disposes of used linen into soiled linen container \newline % Row Count 28 (+ 2) 15 After placing basin and toothbrush in designated dirty supply area, and disposing of used linen, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 32 (+ 4) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Mouth Care (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{16 Signaling device is within reach and bed is in low position% Row Count 2 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Make sure to be gentle, sensitivity changes depending on the person} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Foot Care on One Foot}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water \newline % Row Count 8 (+ 3) 4 Basin is in a comfortable position for client and on protective barrier \newline % Row Count 10 (+ 2) 5 Puts on clean gloves before washing foot \newline % Row Count 11 (+ 1) 6 Client's bare foot is placed into the water \newline % Row Count 12 (+ 1) 7 Applies soap to wet washcloth \newline % Row Count 13 (+ 1) 8 Lifts foot from water and washes foot (including between the toes) \newline % Row Count 15 (+ 2) 9 Foot is rinsed (including between the toes) \newline % Row Count 16 (+ 1) 10 Dries foot (including between the toes) \newline % Row Count 17 (+ 1) 11 Applies lotion to top and bottom of foot, removing excess (if any) with a towel \newline % Row Count 19 (+ 2) 12 Supports foot and ankle during procedure \newline % Row Count 20 (+ 1) 13 Empties, rinses, and dries basin \newline % Row Count 21 (+ 1) 14 After rinsing and drying basin, places basin in designated dirty supply area \newline % Row Count 23 (+ 2) 15 Disposes of used linen into soiled linen container \newline % Row Count 25 (+ 2) 16 After cleaning foot and equipment, and disposing of used linen, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 29 (+ 4) 17 Signaling device is within reach% Row Count 30 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Catheter Care for Female}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water \newline % Row Count 8 (+ 3) 4 Puts on clean gloves before washing \newline % Row Count 9 (+ 1) 5 Places linen protector under perineal area before washing \newline % Row Count 11 (+ 2) 6 Exposes area surrounding catheter while avoiding overexposure of client \newline % Row Count 13 (+ 2) 7 Applies soap to wet washcloth \newline % Row Count 14 (+ 1) 8 While holding catheter at meatus without tugging, cleans at least four inches of catheter from meatus, moving in only one direction (i.e., away from meatus) using a clean area of the cloth for each stroke \newline % Row Count 19 (+ 5) 9 While holding catheter at meatus without tugging, rinses at least four inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of the cloth for each stroke \newline % Row Count 24 (+ 5) 10 While holding catheter at meatus without tugging, dries at least four inches of catheter moving away from meatus \newline % Row Count 27 (+ 3) 11 Empties, rinses, and dries basin \newline % Row Count 28 (+ 1) 12 After rinsing and drying basin, places basin in designated dirty supply area \newline % Row Count 30 (+ 2) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Catheter Care for Female (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{13 Disposes of used linen into soiled linen container and disposes of linen protector appropriately \newline % Row Count 2 (+ 2) 14 Avoids contact between candidate clothing and used linen \newline % Row Count 4 (+ 2) 15 After disposing of used linen and cleaning equipment, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 8 (+ 4) 16 Signaling device is within reach and bed is in low position% Row Count 10 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Careful with cleaning to not hurt the patient} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Positions On One Side}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1) Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2) Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3) Before turning, lowers head of bed \newline % Row Count 6 (+ 1) 4) Raises side rail on side to which body will be turned \newline % Row Count 8 (+ 2) 5) Slowly rolls onto side as one unit toward raised side rail \newline % Row Count 10 (+ 2) 6) Places or adjusts pillow under head for support \newline % Row Count 12 (+ 2) 7) Candidate positions client so that client is not lying on arm \newline % Row Count 14 (+ 2) 8) Supports top arm with supportive device \newline % Row Count 15 (+ 1) 9) Places supportive device behind client's back \newline % Row Count 17 (+ 2) 10) Places supportive device between legs with top knee flexed; knee and ankle supported \newline % Row Count 19 (+ 2) 11) Signaling device is within reach and bed is in low position \newline % Row Count 21 (+ 2) 12) After completing skill, washes hands% Row Count 22 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{PROM on One Shoulder}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1) Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2) Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3) Instructs client to inform candidate if pain experienced during exercise \newline % Row Count 7 (+ 2) 4) Supports client's upper and lower arm while performing range of motion for shoulder \newline % Row Count 9 (+ 2) 5) Raises client's straightened arm from side position upward toward head to ear level and returns arm down to side of body (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain \newline % Row Count 16 (+ 7) 6) Moves client's straightened arm away from the side of body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST 3 TIMES unless pain is verbalized). Supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain \newline % Row Count 23 (+ 7) 7) Signaling device is within reach and bed is in low position \newline % Row Count 25 (+ 2) 8) After completing skill, washes hands% Row Count 26 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Steps 5 and 6 are most important.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Preform Modified PROM For One Knee or Ankle}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1) Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2) Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3) Instructs client to inform candidate if pain is experienced during exercise \newline % Row Count 7 (+ 2) 4) Supports leg at knee and ankle while performing range of motion for knee \newline % Row Count 9 (+ 2) 5) Bends the knee and then returns leg to client's normal position (extension/flexion) (AT LEAST 3 TIMES unless pain is verbalized) \newline % Row Count 12 (+ 3) 6) Supports foot and ankle close to the bed while performing range of motion for ankle \newline % Row Count 14 (+ 2) 7) Pushes/pulls foot toward head (dorsiflexion), and pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized) \newline % Row Count 18 (+ 4) 8) While supporting the limb, moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain \newline % Row Count 21 (+ 3) 9) Signaling device is within reach and bed is in low position \newline % Row Count 23 (+ 2) 10) After completing skill, washes hands% Row Count 24 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Always ask if there is pain felt.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Meaures and Records Weight of Ambulatory Client}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1) Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2) Client has shoes on before walking to scale \newline % Row Count 4 (+ 1) 3) Before client steps on scale, candidate sets scale to zero \newline % Row Count 6 (+ 2) 4) While client steps onto scale, candidate stands next to scale and assists client, if needed, onto center of scale; then obtains client's weight \newline % Row Count 9 (+ 3) 5) While client steps off scale, candidate stands next to scale and assists client, if needed, off scale before recording weight \newline % Row Count 12 (+ 3) 6) Before recording, washes hands \newline % Row Count 13 (+ 1) 7) Records weight based on indicator on scale. Weight is within plus or minus 2 lbs of evaluator's reading (If weight recorded in kg weight is within plus or minus 0.9 kg of evaluator's reading)% Row Count 17 (+ 4) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Always set scale to zero first} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Measures and Records Urinary Input and Output}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1) Puts on clean gloves before handling bedpan \newline % Row Count 1 (+ 1) 2) Pours the contents of the bedpan into measuring container without spilling or splashing urine outside of container \newline % Row Count 4 (+ 3) 3) Measures the amount of urine at eye level with container on flat surface \newline % Row Count 6 (+ 2) 4) After measuring urine, empties contents of measuring container into toilet \newline % Row Count 8 (+ 2) 5) Rinses measuring container and pours rinse into toilet \newline % Row Count 10 (+ 2) 6) Rinses bedpan and pours rinse into toilet \newline % Row Count 11 (+ 1) 7) After rinsing equipment, and before recording output, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 15 (+ 4) 8) Records contents of container within plus or minus 25 ml/cc of evaluator's reading% Row Count 17 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Hand Hyiege}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Address client by name and introduces self to client by name \newline % Row Count 2 (+ 2) 2 Turns on water at sink \newline % Row Count 3 (+ 1) 3 Wets hands and wrists thoroughly \newline % Row Count 4 (+ 1) 4 Applies soap to hands \newline % Row Count 5 (+ 1) 5 Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 (twenty) seconds, keeping hands lower than the elbows and the fingertips down \newline % Row Count 9 (+ 4) 6 Cleans fingernails by rubbing fingertips against palms of the opposite hand \newline % Row Count 11 (+ 2) 7 Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the elbows and the fingertips down \newline % Row Count 14 (+ 3) 8 Uses clean, dry paper towel/towels to dry all surfaces of hands, wrists, and fingers then disposes of paper towel/towels into waste container \newline % Row Count 17 (+ 3) 9 Uses clean, dry paper towel/towels to turn off faucet then disposes of paper towel/towels into waste container or uses knee/foot control to turn off faucet \newline % Row Count 21 (+ 4) 10 Does not touch inside of sink at any time% Row Count 22 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Sing the Happy Birthday song out loud while practicing. \newline When wetting hands start with finger tips and end an inch or so above the wrists. \newline When rinsing start with wrists and end with finger tips. \newline Pat dry hands (fingertips to wrists)} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Gives Modified Bed Bath (face \& one arm)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Removes gown and places in soiled linen container, while avoiding overexposure of the client \newline % Row Count 7 (+ 2) 4 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water \newline % Row Count 10 (+ 3) 5 Puts on clean gloves before washing client \newline % Row Count 11 (+ 1) 6 Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each stroke, washing inner aspect to outer aspect then proceeds to wash face \newline % Row Count 15 (+ 4) 7 Dries face with towel \newline % Row Count 16 (+ 1) 8 Exposes one arm and places towel underneath arm \newline % Row Count 17 (+ 1) 9 Applies soap to wet washcloth \newline % Row Count 18 (+ 1) 10 Washes arm, hand, and underarm keeping rest of body covered \newline % Row Count 20 (+ 2) 11 Rinses and dries arm, hand, and underarm \newline % Row Count 21 (+ 1) 12 Moves body gently and naturally, avoiding force and over-extension of limbs and joints \newline % Row Count 23 (+ 2) 13 Puts clean gown on client \newline % Row Count 24 (+ 1) 14 Empties, rinses, and dries basin \newline % Row Count 25 (+ 1) 15 After rinsing and drying basin, places basin in designated dirty supply area \newline % Row Count 27 (+ 2) 16 Disposes of linen into soiled linen container \newline % Row Count 28 (+ 1) 17 Avoids contact between candidate clothing and used linens \newline % Row Count 30 (+ 2) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Gives Modified Bed Bath (face \& one arm) (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{18 After placing basin in designated dirty supply area, and disposing of used linen, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 4 (+ 4) 19 Signaling device is within reach and bed is in low position% Row Count 6 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Feed Client Who Cannot Feel Self}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure to client, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Before feeding, looks at name card on tray and asks client to state name \newline % Row Count 5 (+ 2) 3 Before feeding client, client is in an upright sitting position (75-90 degrees) \newline % Row Count 7 (+ 2) 4 Places tray where the food can be easily seen by client \newline % Row Count 9 (+ 2) 5 Candidate cleans client's hands with hand wipe before beginning feeding \newline % Row Count 11 (+ 2) 6 Candidate sits facing client during feeding \newline % Row Count 12 (+ 1) 7 Tells client what foods are on tray and asks what client would like to eat first \newline % Row Count 14 (+ 2) 8 Using spoon, offers client one bite of each type of food on tray, telling client the content of each spoonful \newline % Row Count 17 (+ 3) 9 Offers beverage at least once during meal \newline % Row Count 18 (+ 1) 10 Candidate asks client if they are ready for next bite of food or sip of beverage \newline % Row Count 20 (+ 2) 11 At end of meal, candidate cleans client's mouth and hands with wipes \newline % Row Count 22 (+ 2) 12 Removes food tray and places tray in designated dirty supply area \newline % Row Count 24 (+ 2) 13 Signaling device is within client's reach \newline % Row Count 25 (+ 1) 14 After completing skill, washes hands% Row Count 26 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Always make sure it's the right person due to food allergies. \newline 75-90 degrees to help prevent choking.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Dresses Patient With Weak Right Side}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Asks which shirt he/she would like to wear and dresses him/her in shirt of choice \newline % Row Count 7 (+ 2) 4 While avoiding overexposure of client, removes gown from the unaffected side first, then removes gown from the affected side and disposes of gown into soiled linen container \newline % Row Count 11 (+ 4) 5 Assists to put the right (affected/weak) arm through the right sleeve of the shirt before placing garment on left (unaffected) arm \newline % Row Count 14 (+ 3) 6 While putting on shirt, moves body gently and naturally, avoiding force and over-extension of limbs and joints \newline % Row Count 17 (+ 3) 7 Finishes with clothing in place \newline % Row Count 18 (+ 1) 8 Signaling device is within reach and bed is in low position \newline % Row Count 20 (+ 2) 9 After completing skill, washes hands% Row Count 21 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Always let the patient make the decision on what they want to wear. Allows them to feel that they are still independent. \newline Always start with the affected side first then the unaffected side.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Gowning}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Picks up gown and unfolds \newline % Row Count 1 (+ 1) 2 Facing the back opening of the gown places arms through each sleeve \newline % Row Count 3 (+ 2) 3 Fastens the neck opening \newline % Row Count 4 (+ 1) 4 Secures gown at waist making sure that back of clothing is covered by gown (as much as possible) \newline % Row Count 6 (+ 2) 5 Puts on gloves \newline % Row Count 7 (+ 1) 6 Cuffs of gloves overlap cuffs of gown \newline % Row Count 8 (+ 1) 7 Before removing gown, with one gloved hand, grasps the other glove at the palm, remove glove \newline % Row Count 10 (+ 2) 8 Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed \newline % Row Count 13 (+ 3) 9 Disposes of gloves into designated waste container without contaminating self \newline % Row Count 15 (+ 2) 10 After removing gloves, unfastens gown at neck and waist \newline % Row Count 17 (+ 2) 11 After removing gloves, removes gown without touching outside of gown \newline % Row Count 19 (+ 2) 12 While removing gown, holds gown away from body without touching the floor, turns gown inward and keeps it inside out \newline % Row Count 22 (+ 3) 13 Disposes of gown in designated container without contaminating self \newline % Row Count 24 (+ 2) 14 After completing skill, washes hands% Row Count 25 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Never touch outside of gown or outside of gloves!} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Counts and Records Respirations}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure (for testing purposes), speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Counts respirations for one full minute \newline % Row Count 4 (+ 1) 3 Signaling device is within reach \newline % Row Count 5 (+ 1) 4 Washes hands \newline % Row Count 6 (+ 1) 5 Records respiration rate within plus or minus 2 breaths of evaluator's reading% Row Count 8 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Do not let the person know that you are taking this, it will cause the patient to focus on their breathing. Making the reading inaccurate.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Counts and Records Radial Pulse}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Places fingertips on thumb side of client's wrist to locate radial pulse \newline % Row Count 5 (+ 2) 3 Count beats for one full minute \newline % Row Count 6 (+ 1) 4 Signaling device is within reach \newline % Row Count 7 (+ 1) 5 Before recording, washes hands \newline % Row Count 8 (+ 1) 6 After obtaining pulse by palpating in radial artery position, records pulse rate within plus or minus 4 beats of evaluator's reading% Row Count 11 (+ 3) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Never try and find pulse with thumb} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Cleans Upper and Lower Denture}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Puts on clean gloves before handling denture \newline % Row Count 1 (+ 1) 2 Bottom of sink is lined and/or sink is partially filled with water before denture is held over sink \newline % Row Count 4 (+ 3) 3 Rinses denture in moderate temperature running water before brushing them \newline % Row Count 6 (+ 2) 4 Applies toothpaste to toothbrush \newline % Row Count 7 (+ 1) 5 Brushes surfaces of denture \newline % Row Count 8 (+ 1) 6 Rinses surfaces of denture under moderate temperature running water \newline % Row Count 10 (+ 2) 7 Before placing denture into cup, rinses denture cup and lid \newline % Row Count 12 (+ 2) 8 Places denture in denture cup with moderate temperature water/solution and places lid on cup \newline % Row Count 14 (+ 2) 9 Rinses toothbrush and places in designated toothbrush basin/container \newline % Row Count 16 (+ 2) 10 Maintains clean technique with placement of toothbrush and denture \newline % Row Count 18 (+ 2) 11 Sink liner is removed and disposed of appropriately and/or sink is drained \newline % Row Count 20 (+ 2) 12 After rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contaminating self) into waste container and washes hands% Row Count 24 (+ 4) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Brush all of the denture, not just the teeth. \newline Sink liner helps prevent germs from spreading in the case that the dentures fall out of hands.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Assist With Use Of Bedpan}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Before placing bedpan, lowers head of bed \newline % Row Count 6 (+ 1) 4 Puts on clean gloves before handling bedpan \newline % Row Count 7 (+ 1) 5 Places bedpan correctly under client's buttocks \newline % Row Count 9 (+ 2) 6 Removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 11 (+ 2) 7 After positioning client on bedpan and removing gloves, raises head of bed \newline % Row Count 13 (+ 2) 8 Toilet tissue is within reach \newline % Row Count 14 (+ 1) 9 Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished \newline % Row Count 16 (+ 2) 10 Signaling device within reach and client is asked to signal when finished \newline % Row Count 18 (+ 2) 11 Puts on clean gloves before removing bedpan \newline % Row Count 19 (+ 1) 12 Head of bed is lowered before bedpan is removed \newline % Row Count 21 (+ 2) 13 Avoids overexposure of client \newline % Row Count 22 (+ 1) 14 Empties and rinses bedpan and pours rinse into toilet \newline % Row Count 24 (+ 2) 15 After rinsing bedpan, places bedpan in designated dirty supply area \newline % Row Count 26 (+ 2) 16 After placing bedpan in designated dirty supply area, removes and disposes of gloves (without contaminating self) into waste container and washes hands \newline % Row Count 30 (+ 4) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Assist With Use Of Bedpan (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{17 Signaling device is within reach and bed is in low position% Row Count 2 (+ 2) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Wash hands before and after procedure. \newline Provide GOOD privacy (this is embarrassing for both parties). \newline Make 100\% sure that bedpan is placed correctly (provides comfort).} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Assists To Ambulate Using Transfer Belt}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Before assisting to stand, client is wearing shoes \newline % Row Count 5 (+ 2) 3 Before assisting to stand, bed is at a safe level \newline % Row Count 7 (+ 2) 4 Before assisting to stand, checks and/or locks bed wheels \newline % Row Count 9 (+ 2) 5 Before assisting to stand, client is assisted to sitting position with feet flat on the floor \newline % Row Count 11 (+ 2) 6 Before assisting to stand, applies transfer belt securely at the waist over clothing/gown \newline % Row Count 13 (+ 2) 7 Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing \newline % Row Count 17 (+ 4) 8 Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing \newline % Row Count 21 (+ 4) 9 On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate's hands are in upward position), and maintaining stability of client's legs \newline % Row Count 25 (+ 4) 10 Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt \newline % Row Count 28 (+ 3) 11 After ambulation, assists client to bed and removes transfer belt \newline % Row Count 30 (+ 2) } \tn \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Assists To Ambulate Using Transfer Belt (cont)}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{12 Signaling device is within reach and bed is in low position \newline % Row Count 2 (+ 2) 13 After completing skill, wash hands% Row Count 3 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{When using transfer belt grab it with fingers under, close to body and the thumb on the outside of the belt to have good control.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Apply Knee-High Elastic Stocking}} \tn \SetRowColor{white} \mymulticolumn{1}{x{17.67cm}}{1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible \newline % Row Count 3 (+ 3) 2 Privacy is provided with a curtain, screen, or door \newline % Row Count 5 (+ 2) 3 Client is in supine position (lying down in bed) while stocking is applied \newline % Row Count 7 (+ 2) 4 Turns stocking inside-out, at least to the heel \newline % Row Count 8 (+ 1) 5 Places foot of stocking over toes, foot, and heel \newline % Row Count 10 (+ 2) 6 Pulls top of stocking over foot, heel, and leg \newline % Row Count 11 (+ 1) 7 Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints \newline % Row Count 13 (+ 2) 8 Finishes procedure with no twists or wrinkles and heel of stocking, if present, is over heel and opening in toe area (if present) is either over or under toe area \newline % Row Count 17 (+ 4) 9 Signaling device is within reach and bed is in low position \newline % Row Count 19 (+ 2) 10 After completing skill, wash hands% Row Count 20 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Line up green square to the bottom of the heel. \newline CANNOT HAVE WRINKLES OR TWISTS.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \end{document}