Assisting with Feeding CNA skills checklist

Perform hand hygiene

Critical step

Address resident by name and explain you will be assisting with meal

Verify correct meal tray is for correct resident (check name)

Critical step

Check food temperature - hot foods should be warm, cold foods should be cool

Position resident upright (at least 45-90 degrees) to prevent aspiration

Critical step

Sit at resident's eye level to promote comfort and communication

Critical step

Protect clothing with napkin or clothing protector

Describe foods on tray and ask resident which food they would like first

Offer small bites using appropriate utensil (1/3 full)

Critical step

Allow resident adequate time to chew and swallow before offering next bite

Critical step

Offer fluids frequently throughout meal

Alternate between different foods per resident's preference

Wipe mouth as needed during meal

Encourage resident to eat but do not force

Observe for any signs of swallowing difficulty (coughing, choking, wet voice)

Critical step

Record percentage of meal eaten and fluid intake

Clean resident's mouth and hands after meal

Keep resident upright for at least 30 minutes after eating

Critical step

Remove tray and position resident comfortably with call light within reach

Perform hand hygiene

Critical step