The CNA Shower Sheets form is a vital tool used by Certified Nursing Assistants to document skin assessments during resident showers. This form enables CNAs to record any abnormalities observed, such as bruising or rashes, ensuring timely communication with nursing staff. Accurate documentation helps maintain resident health and provides a clear record for further evaluation by healthcare professionals.
The CNA Shower Sheets form is designed to help Certified Nursing Assistants (CNAs) document the condition of a resident's skin during shower time. This includes noting any abnormalities such as bruises, rashes, or lesions. Accurate documentation ensures that any issues are reported promptly to the charge nurse and addressed appropriately.
When a CNA observes any skin abnormalities during a shower, they should use the designated body chart on the form to mark the exact location of the issue. Each abnormality must be described in detail, allowing for clear communication with the charge nurse and the Director of Nursing (DON).
If a CNA identifies any abnormal skin conditions, they are required to report these findings to the charge nurse immediately. The charge nurse will then assess the situation and determine the necessary interventions. It's crucial to document all findings and actions taken on the form.
After the charge nurse reviews the form, they will provide their assessment and any recommended interventions. This information is also documented on the form. If further action is needed, the charge nurse may forward the information to the DON for additional review.
Yes, the form includes a question regarding whether the resident needs their toenails cut. This ensures that nail care is not overlooked during personal hygiene routines. The CNA must check 'Yes' or 'No' and document any necessary actions taken.
Understanding the CNA Shower Sheets form can be challenging due to various misconceptions. Here are ten common misunderstandings, along with clarifications to help you navigate this important document.
By addressing these misconceptions, you can better understand the importance of the CNA Shower Sheets form and its role in resident care.
Neglecting to complete resident information: Failing to fill in the resident’s name and date can lead to confusion and improper record-keeping.
Inadequate skin assessment: Skipping the visual assessment or not thoroughly checking for abnormalities can result in missed issues that require attention.
Improper documentation of abnormalities: Not using the body chart correctly or failing to describe the abnormalities accurately can hinder effective communication with the charge nurse.
Ignoring abnormal findings: Not reporting any abnormalities immediately to the charge nurse can delay necessary interventions.
Omitting toenail care information: Forgetting to indicate whether the resident needs toenail trimming can affect the resident’s comfort and hygiene.
Missing signatures: Not obtaining signatures from both the CNA and charge nurse can invalidate the documentation and create liability issues.
Failure to forward issues to the DON: Not marking whether the issues were forwarded to the Director of Nursing can lead to unresolved problems.
Not updating the form: Using outdated forms or failing to revise information can lead to misinformation and poor care.
Skin Monitoring: Comprehensive CNA Shower Review
Perform a visual assessment of a resident’s skin when giving the resident a shower. Report any abnormal looking skin (as described below) to the charge nurse immediately. Forward any problems to the DON for review. Use this form to show the exact location and description of the abnormality. Using the body chart below, describe and graph all abnormalities by number.
RESIDENT: _______________________________________________ DATE:_______________________
Visual Assessment
1. Bruising
2. Skin tears
3. Rashes
4. Swelling
5. Dryness
6. Soft heels
7. Lesions
8. Decubitus
9. Blisters
10. Scratches
11. Abnormal color
12. Abnormal skin
13. Abnormal skin temp (h-hot/c-cold)
14. Hardened skin (orange peel texture)
15. Other: _________________________
CNA Signature:_________________________________________________________ Date: ____________________
Does the resident need his/her toenails cut?
Yes No
Charge Nurse Signature: ________________________________________________ Date: ____________________
Charge Nurse Assessment:___________________________________________________________________________
_________________________________________________________________________________________________
Intervention: ______________________________________________________________________________________
Forwarded to DON:
DON Signature: ________________________________________________________ Date: ____________________
Document available at www.primaris.org
MO-06-42-PU June 2008 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare
&Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily relect CMS policy. Adapted from Ratlif Care Center.
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