Module 9: Patient Care Procedures

Statement of Purpose: The purpose of this unit is to provide learning experiences that will prepare the Nurse Assistant to safely carry out procedures that support the patient/resident in meeting physical care needs that cannot be performed independently.

Module 9 Vocabulary Study Tool: https://claude.ai/public/artifacts/4c96bb58-2bd4-4a75-9798-52968be491c0

Performance Standards (Objectives): Define key terminology:

1. Admission

2. Anti-embolic stockings

3. Bandage

4. Binders

5. Clean catch

6. Defecate

7. Discharge

8. Draw sheet

9. Edema

10. Elastic bandage

11. Electric bed

12. Evacuation

13. Excoriated

14. Expectorate

15. Fanfold

16. Fluid

17. Gastrostomy tube

18. Hives

19. Intake

20. Integumentary system

21. Intravenous (IV)

22. Lesions

23. Manual bed

24. Mitered corner

25. Mucous

26. Nasogastric tube (NGT)

27. Non-prescription

28. Occupied bed

29. Ointment

30. Output

31. Percutaneous Endoscopic Gastrostomy (PEG)

32. Pruritus

33. Reflux

34. Reverse Trendelenburg

35. Scaly

36. Semi-Fowler’s position

37. Side rails

38. Specimen

39. Suppository

40. Transfer

41. Trendelenburg

42. Unoccupied bed

Patient, resident, and client are synonymous terms referring to the person receiving care

CNA Vocabulary Practice Sentences – Module 9: Patient Care Procedures

Vocabulary Sentences for Adult English Learners

1. The nurse completed the admission process when Mrs. Johnson entered the nursing home for long-term care.
2. The CNA applied anti-embolic stockings to the patient’s legs to prevent blood clots from forming during bed rest.
3. The nurse assistant used a sterile bandage to cover the wound on the resident’s arm after cleaning it.
4. The physical therapist used abdominal binders to provide extra support for the patient’s back injury.
5. The CNA collected a clean catch urine sample by having the patient urinate into a sterile container.
6. The resident needed assistance to defecate because of mobility problems and constipation.
7. The family celebrated when the doctor signed the discharge papers, allowing their father to return home.
8. The CNA used a draw sheet to help turn the patient in bed without causing skin damage.
9. The patient’s ankles showed edema, with visible swelling from excess fluid buildup.
10. The nurse wrapped an elastic bandage around the resident’s sprained wrist to provide support and reduce swelling.
11. The CNA raised the head of the electric bed by pressing a button to help the resident breathe more easily.
12. During the fire drill, staff practiced evacuation procedures to safely move all residents out of the building.
13. The patient’s skin became excoriated from lying in the same position too long without being turned.
14. The respiratory therapist taught the patient how to expectorate mucus effectively during breathing treatments.
15. The CNA used the fanfold method to fold the clean sheets for quick and neat bed making.
16. The doctor ordered the patient to increase fluid intake to prevent dehydration.
17. The resident received liquid nutrition through a gastrostomy tube because he could not swallow safely.
18. The patient developed hives on her arms after taking the new medication, indicating an allergic reaction.
19. The CNA recorded the patient’s daily intake by measuring all liquids consumed during meals and snacks.
20. The integumentary system includes the skin, hair, and nails, which protect the body from infection.
21. The patient received medications and fluids through an intravenous (IV) line in his arm.
22. The doctor examined the unusual lesions on the patient’s skin to determine if they needed treatment.
23. The CNA used the hand crank to adjust the manual bed to a more comfortable position for the resident.
24. The nursing student learned to make a mitered corner when changing bed sheets to keep them neat and secure.
25. The patient coughed up mucous from her lungs during the respiratory infection.
26. The doctor inserted a nasogastric tube (NGT) through the patient’s nose to provide nutrition directly to the stomach.
27. The resident could buy non-prescription pain relievers like aspirin without a doctor’s order.
28. The CNA carefully changed the linens on the occupied bed while the patient remained lying down.
29. The nurse applied antibiotic ointment to the small cut on the resident’s finger.
30. The CNA measured the patient’s output by recording the amount of urine collected in 24 hours.
31. The surgeon placed a Percutaneous Endoscopic Gastrostomy (PEG) tube for long-term feeding in the unconscious patient.
32. The resident complained of pruritus and kept scratching the itchy rash on his arms.
33. The patient experienced reflux when stomach acid came back up into the esophagus after eating.
34. The surgeon positioned the patient in reverse Trendelenburg with the feet elevated higher than the head during the procedure.
35. The elderly resident had scaly skin that was dry and flaking, requiring daily moisturizer application.
36. The CNA positioned the patient in Semi-Fowler’s position by raising the head of the bed to help with breathing.
37. The nurse raised the bed’s side rails to prevent the confused patient from falling out of bed.
38. The CNA collected a urine specimen in a sterile container for laboratory testing.
39. The nurse inserted a suppository into the patient’s rectum to help relieve constipation.
40. The ambulance crew prepared to transfer the patient from the hospital to the rehabilitation center.
41. The surgical team placed the patient in Trendelenburg position with the head lower than the feet during the operation.
42. The housekeeping staff cleaned and made the unoccupied bed with fresh linens for the next patient.

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Note for learners: These sentences use each vocabulary word in a practical healthcare context that you might encounter as a CNA. Practice reading these sentences aloud and try to use each bolded word in your own sentences.

Module 9: 5 CNA English Learning Dialogues

Dialogue 1: New Patient Admission

Setting: Hospital room during patient admission

Nurse Sarah: Good morning! I’m Sarah, your CNA today. We’re going to help with your admission process.

Patient Mr. Johnson: Hello, Sarah. I’m a bit nervous about being here.

Nurse Sarah: That’s completely normal. First, let me help you get comfortable in this electric bed. I can adjust the height and position easily with these controls.

Patient Mr. Johnson: Oh, that’s much better. What are these rails on the sides?

Nurse Sarah: Those are side rails for your safety. They prevent falls while you’re sleeping. Now, I need to help you put on these anti-embolic stockings to improve your circulation.

Patient Mr. Johnson: They look like tight socks.

Nurse Sarah: Exactly! They help prevent blood clots in your legs. I’ll also need to monitor your intake and output – that means tracking how much fluid you drink and how much urine you produce.

Patient Mr. Johnson: I understand. Thank you for explaining everything.

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Dialogue 2: Bed Making and Patient Positioning

Setting: Patient room during daily care

CNA Maria: Good morning, Mrs. Chen! Time to change your bed linens. Can you sit in the chair while I make your occupied bed?

Patient Mrs. Chen: I’m feeling weak today. Can you help me?

CNA Maria: Of course! Let me raise the bed to Semi-Fowler’s position first – that’s sitting up at about 45 degrees. It’ll be easier for you to breathe and more comfortable.

Patient Mrs. Chen: Yes, that feels better.

CNA Maria: Now I’ll use this draw sheet to help move you safely. It goes under your body and makes transfers easier. I’ll need to create mitered corners on your sheets – that’s the proper hospital way to tuck them in.

Patient Mrs. Chen: You’re very skilled at this.

CNA Maria: Thank you! I learned that proper bed making prevents wrinkles that could cause pressure sores on your skin.

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Dialogue 3: Medication and Wound Care

Setting: Patient room during wound care

CNA David: Hi, Mr. Rodriguez. I’m here to help you with your wound care and check your gastrostomy tube.

Patient Mr. Rodriguez: The area around my feeding tube is looking red and irritated.

CNA David: Let me take a look. I see some lesions and the skin appears excoriated – that means it’s scraped and irritated. This ointment should help heal the area.

Patient Mr. Rodriguez: Will you need to apply a bandage?

CNA David: Yes, I’ll use an elastic bandage to secure the dressing. It will provide gentle pressure and protection. I also notice some edema – swelling – in your legs.

Patient Mr. Rodriguez: Is that serious?

CNA David: It’s something we need to monitor. The doctor may prescribe medication to help reduce the swelling. I’ll also check if you need any non-prescription items like skin lotion.

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Dialogue 4: Sample Collection and Hygiene

Setting: Patient room during routine care

CNA Jennifer: Hello, Ms. Park. I need to collect a urine specimen for your lab tests today.

Patient Ms. Park: How do I do that correctly?

CNA Jennifer: I’ll teach you the clean catch method. First, you’ll clean the area, then start urinating, stop, then collect the middle portion in this sterile cup.

Patient Ms. Park: I understand. I’ve been having trouble with pruritus – itching – on my arms.

CNA Jennifer: I see some hives on your skin. That could be an allergic reaction. I’ll apply some soothing lotion and report this to your nurse. Also, the skin looks a bit scaly and dry.

Patient Ms. Park: I’ve also been coughing up mucous.

CNA Jennifer: When you need to expectorate – cough up phlegm – please use these tissues. I’ll make sure to report your symptoms to the medical team.

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Dialogue 5: Preparing for Discharge

Setting: Patient room on discharge day

CNA Robert: Good morning, Mrs. Wilson! Today is your discharge day. Are you excited to go home?

Patient Mrs. Wilson: Yes, but I’m worried about managing my PEG tube at home.

CNA Robert: That’s your Percutaneous Endoscopic Gastrostomy tube for feeding. We’ve prepared detailed instructions for you. Remember to clean around it daily to prevent infection.

Patient Mrs. Wilson: What about these compression socks I’ve been wearing?

CNA Robert: Continue wearing your anti-embolic stockings during the day, especially if you’ll be sitting for long periods. They help prevent reflux of blood in your legs.

Patient Mrs. Wilson: I need to use a suppository for constipation. Is that okay?

CNA Robert: Yes, but follow the instructions carefully. If you can’t defecate naturally for more than three days, contact your doctor. Your integumentary system – your skin – looks healthy now, so keep it clean and dry.

Patient Mrs. Wilson: Thank you for all your help during my stay.

CNA Robert: You’re welcome! Take care, and don’t hesitate to call if you have questions.

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Vocabulary Review

Key terms used in these dialogues:

• Admission, discharge, transfer
• Electric bed, manual bed, occupied bed, unoccupied bed
• Semi-Fowler’s position, Trendelenburg, side rails
• Anti-embolic stockings, elastic bandage, binders
• Gastrostomy tube, PEG, nasogastric tube (NGT)
• Intake, output, specimen, clean catch
• Lesions, excoriated, scaly, pruritus, hives
• Edema, mucous, expectorate, defecate
• Draw sheet, mitered corner, fanfold
• Integumentary system, ointment, suppository
• Intravenous (IV), non-prescription, reflux