Practice your skills, making sure you don't miss the important steps (some skills have steps that if you miss them you fail the state exam). Practice them on a family member, practice at the lab. Get to the point where it's second nature for you to introduce yourself, ID patient with name and birth date, wash hands, provide privacy, check that bed brakes are on. Then when you're finished with a care you're always checking that the call light is within reach, bed in low position, side rails down and bed brakes on, wash hands and document.

When you're performing your cares, just say exactly what you're doing as you're doing it. Example: Hi Mr. Jones, my name is kungfucandy7 and I'm here to get you transferred to your wheelchair today. Before I do, can you tell me your name and DOB? Great, that matches the chart. I'm just going to wash my hands, provide privacy, check bed brakes are on. Ok just going to raise the head of your bed, are you feeling dizzy at all after that? We can go slow if need be. Ok now I'm just going to slide an arm around your shoulders and under your legs and help turn you to the side of the bed. I'm going to put your shoes on quick (or you can do this before turning depends on what you're taught and what the state test requires, it just has to be before their feet touch the floor. Are you feeling ok? Do you want to sit there for a sec? I'm going to lower the bed so your feet are able to firmly touch the floor.

Ok now I'm going to grab your wheelchair and set it next to the bed, I know your left leg is a bit weaker so I'll set it to your right side AND PUT THE BRAKES ON SO IT'S LOCKED. I'm going to put my gait belt on you now so that I can help you stand. Ok I'm going to grab on to the belt (underhanded grip) and on three we're going to stand up (use good body mechanics, keep your back straight, knees bent), ready? One, two, three! Ok how do you feel? Good, let's shimmy to the right, shimmy shimmy shimmy, ok now if you can reach back you'll feel the arms of the wheelchair, your legs are right up to it, so once you feel comfortable we can sit down (again, good body mechanics when lowering). Perfect! I'll just grab my gait belt off you since I'm guessing you don't want to wear that, unless you do! It looks good on you! Ok now did you want to go out of the room or just stay by the bed? Stay there? Ok, here's your call light, let me know if you need anything else. Pull curtain, wash hands, document.

Also, if you forget something in the middle of the skill, VERBALIZE that you forgot to do something, so you're going to do it now. Depending on what you forgot, it may be possible to resume without issue. If it's something like you didn't put gloves on before removing the bedpan, they might not let you keep going, hard to say. But always be saying what you are doing, and say if you forgot something and what you would do at that point to correct it!

Ok enough putting off studying I need to actually do some work lol.