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Nursing Assistant Skills Evaluation Washington State **Required Step**

Required Supplies

1. gloves
2. emesis basin
3. tooth brush-wrapped
4. toothpaste
5. 1 hand towel
6. paper towel
7. 1 cup of water

Step 1

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible

Step 2

Privacy is provided with a curtain, screen, or door

Step 3

Before providing mouth care, client is in upright sitting position (75-90 degrees)

Step 4

Puts on clean gloves before cleaning mouth

Step 5

Places clothing protector across chest before providing mouth care

Step 6

Secures cup of water and moistens toothbrush

Step 7

Before cleaning mouth, applies toothpaste to moistened toothbrush

Step 8

*Cleans mouth (including tongue and surfaces of teeth), using gentle motions*

Step 9

Maintains clean technique with placement of toothbrush

Step 10

Candidate holds emesis basin to chin while client rinses mouth

Step 11

Candidate wipes mouth and removes clothing protector

Step 12

After rinsing toothbrush, empty, rinse and dry the basin and place used toothbrush in designated basin/container

Step 13

Places basin and toothbrush in designated dirty supply area

Step 14

Disposes of used linen into soiled linen container

Step 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

Step 16

Signaling device is within reach and bed is in low position

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