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