Communication & CultureQuestion 39 of 200
When end-of-shift report is given, the CNA should include:
a.The CNA's personal opinions about which residents were cooperative and which were difficult, so that the oncoming shift knows what to expect from each of them
b.Only the positive observations, so the oncoming shift starts the day well
c.Comments about which coworkers arrived late or left their work unfinished
d.Vital signs trends, intake/output, ADL completion, refusals, changes in condition, falls/incidents, and any concerns raised by resident or family
Explanation
End-of-shift report must convey complete, accurate, objective information to the oncoming team to maintain continuity of care: vitals, I&O, ADL status, refusals, condition changes, incidents, and resident/family concerns. Omitting negatives (b) endangers safety; opinions (a) and gossip (c) are unprofessional and create liability. Per 42 CFR §483.20(g), reports and documentation must be factual and contemporaneous.
Law Reference: 42 CFR §483.20(g); accurate reportingThis topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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