CNA Skill: Change of Position | Step-by-Step Guide for the Florida Exam

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This skill involves repositioning a resident from lying on their back to a supported side-lying position. Proper positioning prevents pressure sores, maintains alignment, and requires the use of positioning devices (pillows, padding) to support the resident's body.

Equipment and Supplies Needed

• 3 pillows (what the test site typically provides)
• Positioning devices or foam wedges (on the exam you will usually work with pillows)
• Bath blanket (for privacy and warmth)

Step-by-Step Procedure

Here is an abbreviated overview of how to perform Change of Position during the Florida CNA clinical skills exam. The evaluator will score you on specific checkpoints, and every step matters.

1. Knock, enter, greet resident, introduce yourself, explain the procedure.
2. Provide privacy, wash hands, check ID.
3. Assist the resident with turning onto their side (use proper body mechanics).
4. Keep the resident positioned a safe distance from the edge of the bed at all times.
5. Place positioning devices behind the resident's back to maintain the side-lying position.
6. Position the resident on their side with the upper knee bent in front of the lower leg.
7. Place a pillow between the legs to separate bony prominences (knees and ankles).
8. Ensure bony prominences of the knees and ankles are not pressing against each other.
9. Position the resident's lower arm comfortably: not lying on the shoulder.
10. Support the upper arm with a pillow.
11. Place a pillow under the head to support the neck and maintain alignment.
12. Place a device behind the resident's upper arm to support both the shoulder and arm.
13. Ensure the resident is comfortable and safe.
14. Provide call light, maintain privacy.

Common Mistakes on the Prometric Test

Based on our experience preparing thousands of students for Florida's CNA state exam, here are the most common mistakes candidates make on this skill:

• Not separating bony prominences: Knees and ankles pressing together without a pillow between them creates pressure that can lead to sores.
• Lying on the shoulder: Position the resident slightly forward so they're not putting full weight directly on the shoulder joint.
• Too close to bed edge: Keep the resident safely toward the center of the bed to prevent falls.

Test Day Tips for Change of Position

• Think about every pillow placement: between knees, behind back, under head, supporting upper arm.
• Check that no bony areas are pressing against each other or the mattress without cushioning.
• The evaluator checks 16 specific points for this skill: pillow placement matters.
• Position each joint pair fully on its pillow: knee and ankle on the leg pillow, elbow and wrist on the arm pillow.
• Bring the bottom arm forward so it is not trapped under the resident's body.
• Raise the bed to about the height of your pelvis while you work; it protects your back and is the body mechanics evaluators expect. Lower it again when you finish.

Frequently Asked Questions

How many pillows do you need for the change of position skill?

The test site typically provides 3 pillows, in addition to the pillow already under the resident's head: one goes behind the back, one between the knees, and one supports the upper arm. The goal is to maintain alignment and prevent pressure on bony prominences.

Master This Skill with Video Demonstrations

Reading the steps is a great start, but watching the skill performed correctly makes a huge difference on test day. Our online CNA course includes:

• HD video demonstration of Change of Position performed exactly as Prometric expects
• Detailed narration explaining each checkpoint the evaluator looks for
• Practice scenarios and tips from experienced CNA instructors
• All 22 clinical skills plus written exam preparation

Start with a free course preview. See the quality of our video instruction before you commit.

All 22 CNA Clinical Skills

See the full CNA clinical skills guide, or jump to any skill: Handwashing · Mouth Care (Brushing Teeth) · Hand and Nail Care · Denture Care · Feeding a Resident · Taking a Pulse · Measuring Respirations · Changing an Occupied Bed · Dressing with One-Sided Weakness · Female Catheter Care · Bedpan Assistance · Emptying Urinary Drainage Bag · Female Perineal Care · Range of Motion (Lower Body) · Range of Motion (Elbow and Wrist) · Range of Motion (Shoulder) · Partial Bed Bath · Wheelchair Transfer · Foot Care · Ambulation with Gait Belt · Indirect Care.