Cna Shower Sheets Form
Outline
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Cna Shower Sheets Sample
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
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:
Yes 
No
DON Signature: ________________________________________________________ Date: ____________________
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&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.
Instructions on Utilizing Cna Shower Sheets
Completing the CNA Shower Sheets form is essential for documenting the skin assessment of a resident during a shower. This process ensures that any abnormalities are reported and addressed appropriately. Follow the steps below to accurately fill out the form.
- Start by entering the resident's name in the designated space labeled RESIDENT:.
- Fill in the date of the assessment next to DATE:.
- Conduct a visual assessment of the resident’s skin during the shower.
- Identify any abnormalities based on the list provided, including bruising, skin tears, rashes, swelling, and others.
- Use the body chart included in the form to mark the location of each identified abnormality by number.
- In the space provided for Other:, describe any abnormalities not listed.
- Sign the form in the section labeled CNA Signature: and date it.
- Indicate whether the resident needs their toenails cut by selecting Yes or No.
- Have the charge nurse sign the form in the Charge Nurse Signature: section and include the date.
- In the Charge Nurse Assessment: section, provide a brief summary of the nurse's observations and any additional notes.
- Outline any interventions taken in the Intervention: section.
- Indicate whether the information has been forwarded to the Director of Nursing (DON) by selecting Yes or No.
- Finally, the DON must sign the form in the DON Signature: section and include the date.
Misconceptions
- Misconception 1: The CNA Shower Sheets form is only for recording severe skin issues.
- Misconception 2: Only the charge nurse reviews the information on the form.
- Misconception 3: The CNA is responsible for treating skin abnormalities.
- Misconception 4: The body chart is optional and can be ignored.
- Misconception 5: The form is only necessary for residents with known skin issues.
- Misconception 6: Completing the form is a time-consuming task that delays care.
- Misconception 7: The CNA Shower Sheets form is only relevant during showers.
This form is designed to document all types of skin conditions, not just severe ones. It includes various categories like bruising, dryness, and rashes, which are important for overall skin health.
While the charge nurse plays a crucial role, the information is also forwarded to the Director of Nursing (DON) for further review. This ensures a comprehensive approach to skin monitoring.
The CNA's role is to observe and report. Treatment decisions and interventions are made by the charge nurse or DON based on the documented observations.
The body chart is a vital part of the form. It allows for precise documentation of the location and nature of skin abnormalities, which is essential for effective monitoring.
All residents should be assessed during showers, regardless of their previous skin conditions. Early detection of any changes can prevent more serious problems.
While it may seem like an extra step, completing the form is a quick process that enhances the quality of care. It ensures that important information is communicated effectively.
Although the form is used during showers, the information gathered can inform care outside of showering times. It contributes to a resident’s overall care plan.
Documents used along the form
In a healthcare setting, particularly in facilities where residents receive assistance with daily activities, several forms and documents accompany the CNA Shower Sheets. Each of these documents serves a specific purpose in ensuring the health and safety of residents while maintaining comprehensive records of their care. Below is a list of commonly used forms that complement the CNA Shower Sheets.
- Incident Report: This document is utilized to record any unexpected events or accidents that occur during a resident's care. It details what happened, when it happened, and the individuals involved. The goal is to identify patterns that may require further investigation or changes in procedures to prevent future incidents.
- Care Plan: A care plan outlines the specific needs and goals for each resident. It is developed by the healthcare team, including nurses and CNAs, and is regularly updated to reflect changes in the resident's condition. This document ensures that all staff members are aware of the resident's care requirements and the interventions needed to meet those needs.
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- Skin Assessment Form: This form is specifically designed for documenting detailed observations regarding a resident's skin condition. It includes sections for noting the location, size, and type of any skin issues. The information gathered here is crucial for monitoring changes over time and for planning appropriate interventions.
- Daily Log: The daily log serves as a chronological record of the care provided to residents throughout the day. It includes notes on activities, observations, and any changes in a resident's condition. This document helps ensure continuity of care and allows staff to communicate effectively about each resident's status.
These documents, when used alongside the CNA Shower Sheets, create a comprehensive picture of each resident's care. They help to ensure that all aspects of a resident's health and well-being are monitored and addressed, promoting a safe and supportive environment in healthcare facilities.