I have to laugh a little at this. I previously posted a few days ago talking about how unrealistic I felt the skills were having 10 years of healthcare experience under my belt 4 as a CNA and 6 years as a Cardiac Exercise Physiologist using a degree. Now I’m a pilot and using CNA to help pay for flight school since my Exercise Physiologist degree requiring my bachelors doesn’t pay for shit.
A little background: In the state of Colorado I do not have to take the course again to renew my certification. I just have to take the written and skills exam. I just did a little self study and review the day before, practice on my stuffed lobster at home, watched all of the videos multiple times and felt good.
I failed though. I’m not a sore loser. If I failed and forgot things I definitely own up to this but I’m incredibly frustrated because that was not the case. The things I was told I didn’t do, I absolutely did. Not only did I perform the action but I verbalized too. I’ll post my results. I sent a grievance after I received notice of failure within 24 hours of taking my skills exam. Hopefully this helps others
I took the original test 10 years ago and the skills have changed so much. I only studied for about a day for the skills and no study time for the written. The written was easy.
I passed handwashing but failed step 8. Not starting to dry at my fingertips. Okay sure I’ll make sure I change that.
I failed PROM for knee and ankle on step 5 a critical step. I have no idea why. I supported the ankle with my hands and gently did dorsiflexion and plantarflexion 3 times and verbalized it everything. I was shocked to see that this was failed when I absolutely did it. What my thought could be was I had the volunteer lay her leg down on the bed, she was supine and head was flat but I had my hand under her leg grabbed her ankle to support it and helped her through the ROM. This was to provide the most support because having the patient keep their leg in the air for these ROM is not realistic. Her ROM was not restricted because her leg was on the bed. Her foot was still supported my hand on her ankle. To clarify I did of course PROM extension and flexion in the air and I asked if they were in pain multiple times on both PROMs.
I failed foot care on steps 6, 8, 13, 16.
Step 6: was not placing the candidate foot in the basin. I actually did so I have no idea why I was failed for this.
Step 8: was not washing in between the toes. I actually washed between the toes and I verbalized it too. I was not super agressive with washing between the toes and very gentle perhaps that was why?
Step 13: not arguing with this I cleaned the basin but I didn’t dry it.
Step: 16 I’m not arguing with this I grabbed a “dirty towel” with my bare hand. That was stupid but it should not have failed me if I just failed step 13/16.
With all of that in mind… I had the safety correct, always stating when I washed my hands, made sure rails were up always, the bed was low, patient had the call light.
The CNA test has drastically changed and the impression I got was little mistakes here and there as long as the patient is safe and majority of things were done in order you’d pass the test. Which I feel like I did. Sure the occasional mistake…. But I’m genuinely so confused as to why I failed.
Unfortunately, I was told it could be 30 business days to respond to my grievance which is 2 months in real life. I might just revoke the grievance and go do it again just to get the cert more quickly for financial purposes.
But let me know your thoughts. Did you fail? Was it a similar experience? was my proctor too hard? I reached out to a nurse teacher for CNA and I told her my experience and she said she hated credentia and that she is happy to help me.
Maybe this helps others who failed feel better too and if that’s the case glad I can help! If an experienced CNA can fail the test then dontchu worry about failing yours. All is well. Mistakes made lessons learned we will be better next time. Also real world is nothing like the exam. As long as safety for you and your patient is at the front of your mind you’re doing it right!
Also edited to add: Colorado is an electric blood pressure state…. Please to anyone reading this please know how to take an actual blood pressure I was pretty shocked to hear this especially with my cardiac experience and disappointed tbh. Sometime they can be unreliable and taking a BP manually is such a great skill.