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 flooroor**
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