The CNA Shower Sheets form is a crucial tool used by certified nursing assistants to document skin assessments during resident showers. This form helps ensure that any skin abnormalities are reported promptly to the charge nurse and subsequently reviewed by the Director of Nursing. By filling out this form, you contribute to the overall care and safety of residents.
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When using the CNA Shower Sheets form, it’s essential to keep a few key points in mind to ensure proper documentation and care for residents. Here are some important takeaways:
When working with the CNA Shower Sheets form, several other documents can enhance the care and monitoring of residents. These forms help ensure that all aspects of a resident's health are documented and addressed appropriately. Here are five commonly used forms that accompany the CNA Shower Sheets:
Using these documents alongside the CNA Shower Sheets form helps create a comprehensive approach to resident care. Each form plays a vital role in ensuring that residents receive safe and effective treatment while allowing caregivers to communicate important information clearly.
The CNA Shower Sheets form is an essential tool for documenting skin assessments during resident showers. Several other documents serve similar purposes in healthcare settings, focusing on patient assessment, monitoring, and care. Here are eight documents that share similarities with the CNA Shower Sheets:
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Incomplete Resident Information: Failing to fill in the resident's name and date can lead to confusion. Each form must clearly identify the individual to whom it pertains.
Neglecting Visual Assessment Details: Omitting specific observations about the resident's skin condition is a critical error. Each abnormality should be documented accurately and thoroughly.
Incorrect Use of Body Chart: Mislabeling or not using the body chart can result in unclear communication. Each abnormality must be marked precisely to ensure effective follow-up.
Failure to Report Abnormalities: Not notifying the charge nurse about any skin issues immediately is a serious mistake. Timely reporting is essential for the resident's care.
Missing CNA Signature: Forgetting to sign the form can lead to accountability issues. The CNA must sign and date the form to validate their assessment.
Ignoring Toenail Care Question: Overlooking whether the resident needs toenail care can affect their overall hygiene. This question should always be addressed.
Not Forwarding to DON: Failing to check the box indicating whether the issues were forwarded to the Director of Nursing can hinder proper follow-up. This step is crucial for ongoing care management.
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.