The CNA Shower Sheets form is a vital tool used by Certified Nursing Assistants to document skin assessments during resident showers. This form facilitates the identification and reporting of any abnormalities, ensuring that appropriate care is provided promptly. By utilizing this form, CNAs can effectively communicate important findings to charge nurses and the Director of Nursing, promoting better overall resident care.
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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.
The CNA Shower Sheets form is an essential tool for documenting the skin health of residents during showers. Alongside this form, several other documents are commonly used to ensure comprehensive care and accurate record-keeping. Here are four important forms that often accompany the CNA Shower Sheets.
Using these forms in conjunction with the CNA Shower Sheets helps create a thorough and accurate record of a resident's skin health and overall well-being. This practice not only enhances care quality but also supports effective communication among healthcare providers.