Texas Prometric Skills Guidelines Demo for Handwashing 

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There are skills that we normally do with a live person during the state exam such as taking a pulse, respiration, and providing foot care.

Hello Kendryl, that is not correct if you are testing under Prometric. The student is permitted to use the same paper towel for both hands if he/she wants to do so.

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Not yet

Hello Marse29, 1. I never remove my jewlery. It is to easy to loose your belongings that way. It is not a requirement by Pearson Vue or Prometric to remove your jewelry. I know many people who have lost things by doing that. It is a BAD practice. 2. YES, you can rub your hands together to get rid of the excess water. You can't shake your hands and spread water all over the countertops.

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Hello Patricia, The 20 seconds is the lathering part of the hands and wrist. The cuticle and nail beds are NOT included with the 20 seconds.

Hello Keyla, I am going to post the Indirect Care Behaviors from Prometric below. www.prometric.com/sites/default/files/IndirectCareBehaviors.pdf Prometric does not require the student to introduce self or greet the client for this skill. For ALL other skills the introduction and giving of the call light is required because you have client contact. The hand washing is what we do as healthcare workers before touching the client. Some nurses use hand sanitizer outside of the patient's door. Others wash their hands in the patient's rooms. The state is observing your technique with the first skill before having direct patient contact. Now, if you decide to greet the client, and tell the client that you are there to wash your hands, that is perfectly fine. BUT, remember ALL skills MUST end with clean hands therefore after washing your hands I personally would not go back to the client. I would end my handwashing skill at that point. You only have 30-41 minutes to complete your five skills. Extra steps are not necessary during the state exam. I teach my students to wash their hands per Prometric guidelines and to start with the patient during skill #2. I hope this helps.

Thank you so much. I was told prometric is still testing eating, denture, and mouth care is that true'

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The times for completing the skills can be anywhere from 30 -41 minutes.

The cuticle cleaning and the rubbing of the fingernails against the palms ARE NOT counted in the 20 seconds. They are both done after the 20 seconds of hand and wrist washing.

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Hello Lisa, You can't wear electronic devices during the exam. So, no Apple watch. Sorry

Hello Lala, You Do Not have to tell the evaluator every of the skill. I state what I am doing so that you all can follow me as I demonstrate the skill.

I wear my jewelry when washing my hands. Wearing a watch is acceptable.

Hello Cherriesllol, To me, Prometric is not clear on this skill. So, I teach my students to use friction on the hand and wrist for 20 seconds and then to clean the nails and cuticles. This is just to be on the safe side. I haven't found anything clear about this on Prometric's site.

@@txcnaskills2599 Thank you for the clarification!

@@txcnaskills2599 I have another question about hand washing. During our first skill, I know we should properly wash our hands at the beginning, but do we need to wash our hands again at the end of the skill? Or should we expect to only wash our hands once?

Hello Kimberly, No time limit to wash around the cuticles.

Hello Julie, Yes, the hand needs to remain lower than the elbow so that water with germs does not roll down from the hands to the elbows.

No, the removal of jewelry is not necessary. A lot of students have left watches and rings at my business. I personally leave my rings on when washing my hands. Prometric does not require the candidate to remove ANY jewelry.

Hello Tess, Prometric requires the candidate to walk the patient who will take TEN steps with the ambulation skill.

@@txcnaskills2599 I’m referring to the hand washing because you didn’t do it in the video

What do you mean by flicking the fingers? Shanking the water off?

Yeah I heard we can’t shake them off ?

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CDC does not suggest a person remove his or her jewelry during handwashing. Therefore, I do not remove my jewelry. I never want to lose my wedding rings during handwashing. Most nurses will perform handwashing multiple times a day. I will keep my rings and watch on.

@@txcnaskills2599 Ok, and my other question was, is it ok to rub hands together to get the excess water off? What I heard is that you should not shake or flick or anything, just let it drip. What do you mean?

@@aran-uq8ik Hello, Shaking the water from your hands is a No-no because it can cause germs to spread. Tapping the fingers together while pointed downward is acceptable. Rubbing the hands together facing downward is also acceptable because it is not shaking water/germs around.

@@txcnaskills2599 Ok thanks, and is it acceptable to do a quick flick in the sink? Or is that a no as well? Because I have the habit to flick my hands a little bit after washing, and that is a hard habit to break.😂 Do you have that habit as well?

@@aran-uq8ik Hello Aran, If you are flicking water in any way that would not be acceptable.

Hello Eky, I teach my student to: 1. Knock on the patient's door and introduce yourself 2. Tell the client you are going to wash your hand and will be right back. 3. Proceed to the handwashing skill

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Pearson Vue and Prometric are about the same.

@@txcnaskills2599 😒😂

@@lifeperfect6016 Did you have a question about a particular skill that each agency test on?

@@txcnaskills2599 No. But in Texas I heard some instructors are rude and I heard one instructor throw bags to students when they are angry. So I am nervous about their behaviors😣

@@lifeperfect6016 Every student should be treated with dignity and respect during the state exam and while taking the course. You can always report abusive behaviors to the state. I wish you the best with your exam.

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Thank you for the comments. I am glad the demonstration made this skill easy for you.

Hello Alobwede, What requirement says a person can't wear a watch while washing their hands? Don't you think people will loose their jewelry if they take it off every time they wash their hands? Someone has misinformed you about this requirement. If you have proof that this is a Prometric requirement, please post it.

No germs for the patient

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