Making an occupied bed: CNA skills test steps

Steps

KEYmarks 8 steps that candidate handbooks commonly treat as critical. Missing a critical step usually fails the skill.

1. 1Knock, introduce yourself by name and title, and greet the resident by name.
2. 2Identify the resident (for example, check the name band or ask the resident to state their name) per facility policy.
3. 3Explain the procedure in simple words and ask the resident to help as much as they are able.
4. 4Key step: Provide privacy: close the door and pull the curtain.KEY
5. 5Key step: Perform hand hygiene before touching the resident.KEY
6. 6Raise the bed to a comfortable working height, lock the wheels and lower the head of the bed flat if allowed.
7. 7Bring clean linen and place it on a clean surface in the order it will be used.
8. 8Key step: Keep the resident covered with a bath blanket throughout.KEY
9. 9Key step: Raise the side rail on the far side (if used) and turn the resident onto their side, facing away from you toward the rail.KEY
10. 10Loosen the soiled bottom linen on the working side and roll it toward the resident, tucking it slightly under them.
11. 11Place the clean bottom linen on the working side, tuck it in, and roll the remaining clean linen toward the resident.
12. 12Help the resident roll over the linens to the clean side, raising the rail on that side if used.
13. 13Key step: Remove the soiled linen, holding it away from your uniform, and place it in the laundry hamper. Never put it on the floor or shake it.KEY
14. 14Pull the clean bottom linen through, smooth it and tuck it in so there are no wrinkles.
15. 15Return the resident to their back, place the top sheet and blanket, and remove the bath blanket from underneath.
16. 16Change the pillowcase and place the pillow under the resident's head.
17. 17Key step: Return the bed to its lowest position and make sure the wheels are locked.KEY
18. 18Key step: Place the call light and personal items within the resident's reach.KEY
19. 19Key step: Open the privacy curtain, perform hand hygiene, and report anything unusual to the nurse.KEY