The CNA Shower Sheets form is a vital tool used by certified nursing assistants (CNAs) to document skin assessments during resident showers. This form allows CNAs to identify and report any abnormalities in a resident's skin, ensuring timely communication with nursing staff for appropriate care. By accurately filling out this form, CNAs play a crucial role in maintaining residents' skin health and overall well-being.
The CNA Shower Sheets form is an essential tool in ensuring the well-being of residents during their bathing routines. This form facilitates a thorough visual assessment of a resident's skin while they receive a shower, allowing Certified Nursing Assistants (CNAs) to document any abnormalities they may observe. It emphasizes the importance of timely reporting, requiring CNAs to inform the charge nurse immediately about any concerning skin conditions, such as bruises, rashes, or lesions. The form includes a detailed body chart where CNAs can mark the exact locations of these abnormalities, ensuring accurate communication with nursing staff. Additionally, it prompts the CNA to assess the resident's toenails, determining if they need trimming. After the initial assessment, the charge nurse reviews the findings and provides their own assessment, which is also recorded on the form. This collaborative approach not only enhances the quality of care but also ensures that any issues are escalated to the Director of Nursing (DON) for further evaluation. By maintaining clear documentation, the CNA Shower Sheets form plays a vital role in promoting skin health and overall resident safety.
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.
When caring for residents, especially in a healthcare setting, it is crucial to maintain thorough documentation. Alongside the CNA Shower Sheets form, several other documents can enhance communication and ensure comprehensive care. Below are some commonly used forms that work in conjunction with the CNA Shower Sheets.
Utilizing these forms together with the CNA Shower Sheets creates a robust framework for monitoring and enhancing resident care. Proper documentation not only improves communication among staff but also ensures that residents receive the highest quality of care possible.
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When using the CNA Shower Sheets form, keep the following key points in mind:
By adhering to these guidelines, you ensure proper care and documentation for each resident.
The CNA Shower Sheets form is designed to help Certified Nursing Assistants (CNAs) document their observations during a resident's shower. This includes noting any abnormalities in the resident's skin, which can be crucial for maintaining their overall health and addressing potential issues promptly.
If you observe any abnormality, such as bruising or rashes, it is important to report it to the charge nurse immediately. The charge nurse will then assess the situation and determine the appropriate course of action. Make sure to document the specific details of the abnormality on the form.
The body chart is a visual aid that allows you to pinpoint the exact location of any skin abnormalities. You should describe and graph all abnormalities by number on the chart. This helps in creating a clear visual record that can be referenced later by healthcare professionals.
When conducting a visual assessment, you should look for a variety of skin conditions, including:
It's essential to be thorough and observant during this assessment.
You will need to provide the resident's name, the date of the assessment, and your signature as the CNA. Additionally, if the resident requires toenail trimming, this must also be noted on the form. The charge nurse will then add their signature and assessment details.
Once the form is completed, it should be forwarded to the Director of Nursing (DON) for review. The DON will evaluate the information provided and determine if further action is necessary. Make sure to check the box indicating whether the form has been forwarded.
Skin assessments should be performed during every shower or bath. Regular monitoring is vital for early detection of any skin issues, which can help prevent complications and promote better health outcomes for residents.
While the CNA Shower Sheets form is specifically intended for use during showers, any significant skin observations should be documented using appropriate forms or methods designated by your facility. Always follow your facility’s protocols for skin assessments.
Additional information about the CNA Shower Sheets form can be found at www.primaris.org. This resource provides guidelines and best practices for completing the form effectively and ensuring high-quality care for residents.
Misconceptions about the CNA Shower Sheets form can lead to misunderstandings regarding its purpose and usage. Here are some common misconceptions explained: