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

Supplies Required

1. gait belt
2. Wheelchair with foot rests

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 assisting to stand, wheelchair is positioned along side of bed, at head of bed facing foot or foot of bed facing head

Step 4

Before assisting to stand, footrests are folded up or removed

Step 5

Before assisting to stand, bed is at a safe level

Step 6

*Before assisting to stand, locks wheels on wheelchair*

Step 7

Before assisting to stand, checks and/or locks bed wheels

Step 8

*Before assisting to stand, client is assisted to a sitting position with feet flat on the floor*

Step 9

Before assisting to stand, client is wearing shoes

Step 10

Before assisting to stand, applies transfer belt securely at the waist over clothing/gown

Step 11

Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing

Step 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

Step 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

Step 14

Assists client to turn to stand in front of wheelchair with back of client's legs against wheelchair

Step 15

Lowers client into wheelchair

Step 16

Positions client with hips touching back of wheelchair and transfer belt is removed

Step 17

Positions feet on footrests

Step 18

Signaling device is within reach

Step 19

After completing skill, washes hands

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