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What can a RN delegate to a CNA?




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Apr 25, 2006 12:38 AM

What can a RN delegate to a CNA?


So, what can a RN delegate to a CNA?

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35 Comments:

No. 1
Old Apr 25, 2006, 08:43 PM

Default Re: What can a RN delegate to a CNA?
Well check your agencies policies and procedures. But generally.......vital signs, accuchecks, bed baths, changing linens, etc. Nothing that involves assessing or teaching.
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No. 2
from Tweety Staff
Old Apr 25, 2006, 08:46 PM

Default Re: What can a RN delegate to a CNA?
Things within their job description and that which they have proven competency in.

If you're looking for actual duties it varies from place to place, state to state.

Here, I delegate inserting and d/cing foleys, d/cing IVs, accu checks, vs, baths, etc. etc.

It is up to the RN to know what the CNA is competent in.
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No. 3
from lvn2bsoon
Old May 05, 2006, 11:36 AM

Default Re: What can a RN delegate to a CNA?
Originally Posted by Tweety
Things within their job description and that which they have proven competency in.

If you're looking for actual duties it varies from place to place, state to state.

Here, I delegate inserting and d/cing foleys, d/cing IVs, accu checks, vs, baths, etc. etc.

It is up to the RN to know what the CNA is competent in.
Wow tweety! I want to work where you are. The CNA's here can't even do fingersticks!
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No. 4
Old May 17, 2006, 11:20 AM

Default Re: What can a RN delegate to a CNA?
From a CNA stand point I would say that you need to make sure that you know what a CNA's skills are. Whatever the skills are in your state for CNA's is what you need to delegate. Please remember to be a team player. Good Luck!
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No. 5
from Beary-nice Premium Member
Old May 17, 2006, 11:42 AM

Default Re: What can a RN delegate to a CNA?
As others have said, check your facility's policy on their scope of practice because it is your responsibility to be aware. At ours CNAs can:

Do vitals, baths, ambulate pts, feed pts, do accuchecks, order supplies, answer call lights, help with admits like getting the wt, v/s, settling the pt in bed, help with dismissals and escort pt out, there are lots of things they can do. Two biggies they can't do in our place is give meds of any kind or do anything with IVs that includes dc'ing them. But, I have worked places where CNAs did dc IVs like if the pt was going home and only if it was a peripheral line.

It varies. Good luck!
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No. 6
from brsharky
Old May 17, 2006, 10:09 PM

Nurse Re: What can a RN delegate to a CNA?
The NA scope varies between states and facilities. In many cases the state may allow certain tasks that a facility policy requires a licensed personnel to do. As a general rule, basic patient care such as hygeine activities, transferring, lifting, toileting are in their scope. Medication administration and other skilled nursing procedures (wound care, IVs, etc.) generally are not. However, this varies depending on where you work. For example, we train some of our NAs to become Health Technicians. HTs can perform urinary caths, blood draws, EKGs and a few other tasks in addition to the basic NA tasks. I would say check your facility's policy and/or clarify with your supervisor.
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No. 7
from Bala Shark
Old May 17, 2006, 10:45 PM

Default Re: What can a RN delegate to a CNA?
As a graduating nursing student in one more week, i think it is hard to delegate things to the CNA..First of all, some have an attitude and dont want to do any type of work..Maybe, I always ended up with bad CNAs but that is from my experience.
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No. 8
from bethin Premium Member
Old May 18, 2006, 12:50 AM

Default Re: What can a RN delegate to a CNA?
Originally Posted by Bala Shark
As a graduating nursing student in one more week, i think it is hard to delegate things to the CNA..First of all, some have an attitude and dont want to do any type of work..Maybe, I always ended up with bad CNAs but that is from my experience.
I think you have ended up with CNA's with bad attitudes. I'm a CNA and I jump at the chance to do things other than bed baths.

In my state, we do vs, accu checks, d/c foley's and IV's, do SSE and fleets enemas (so much fun). Definitely check with your state and hospital policy concerning what CNA's can and cannot do.
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No. 9
from mommy2BCD
Old May 18, 2006, 01:08 AM

Default Re: What can a RN delegate to a CNA?
Here, I delegate inserting and d/cing foleys


You allow a CNA to insert a Foley ???
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