What is the correct opening sequence before performing a CNA skill?

What is the correct opening sequence before performing a CNA skill?

• A. Knock, Introduce, Wash Hands, Explain Procedure
• B. Wash Hands, Knock, Explain, Introduce
• C. Introduce, Knock, Explain, Wash Hands
• D. Explain Procedure, Wash Hands, Knock, Introduce

Answer: (A)

Starting with the opening steps focuses on respectful communication and safety: you must first knock to gain privacy and permission, then introduce yourself so the resident knows who you are and who will be caring for them. After establishing who you are, wash your hands to remove germs before any contact with the resident. Finally, explain the procedure so the resident understands what you will do, what they might feel, and to obtain informed consent before you begin. This sequence protects the resident’s rights and safety and sets up a calm, cooperative interaction. Washing hands before introducing or explaining is not appropriate, since you should greet and gain consent before starting care, and introducing and seeking consent should come before any substantive contact. Explaining the procedure after greeting but before starting ensures the resident is prepared and knows what to expect.

Starting with the opening steps focuses on respectful communication and safety: you must first knock to gain privacy and permission, then introduce yourself so the resident knows who you are and who will be caring for them. After establishing who you are, wash your hands to remove germs before any contact with the resident. Finally, explain the procedure so the resident understands what you will do, what they might feel, and to obtain informed consent before you begin. This sequence protects the resident’s rights and safety and sets up a calm, cooperative interaction.

Washing hands before introducing or explaining is not appropriate, since you should greet and gain consent before starting care, and introducing and seeking consent should come before any substantive contact. Explaining the procedure after greeting but before starting ensures the resident is prepared and knows what to expect.