During CNA procedures, which safety step should be performed?

• A. Signaling device in reach
• B. Bed in high position
• C. Wash hands
• D. Return supplies to storage

Answer: (C)

Hand hygiene is the most important safety step in CNA procedures because it directly reduces the spread of germs between residents and staff. Washing hands before starting any care and after any contact with a resident or their environment minimizes the chance of transferring pathogens. Proper handwashing means wetting hands, applying soap, scrubbing all surfaces for about 20 seconds, rinsing, drying with a disposable towel, and using that towel to turn off the faucet. If hands aren’t visibly dirty, an alcohol-based hand sanitizer can be used, but soap and water are required when hands are visibly soiled or when working with certain infections.

Other steps may be part of good practice—for example, keeping the signaling device within reach supports timely help, lowering the bed to a safe height reduces fall risk during transfers, and returning supplies to storage keeps the area organized—but none address infection control as universally and reliably as hand hygiene during care.