Do your CNAs do bowel programs?

  1. I always thought bowel programs were an RN thing - since you have to check for impaction and do dig stim, but I have found out that several CNAs have been doing them where I work. Isn't that outside of their scope of practice?
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    About thesundowner

    Joined: Apr '12; Posts: 46; Likes: 147
    RN; from US
    Specialty: 2 year(s) of experience in Rehab, Neuro, geriatrics


  3. by   merlee
    Be certain what you mean when you say 'bowel program'. Are you sure that the CNA's are actually doing all that? Seems like doing anything invasive is waaaay out of their scope of practice.

    Check with your facility's policy and procedure manual.

  4. by   Melissa0181
    it appears to be common practice for pca's to do dig stim in the facility i work in. that was a surprise to me. perhaps they are specially trained (i'm unsure). i would guess/hope/imagine that rns would provide bowel training to patients that tend to be more sensitive to developing autonomic dysreflexia.
  5. by   river_song
    Our pcts do most of our bladder and bowel programs.
  6. by   TraumaORnurse
    Depends on your facilities policies. When I did rehab, our nurses gave the supppsitories (on patients that required one) then, if it was that person's shower night, the tech would get the patient up, do the bowl program then the shower. On non-shower nights, it was the nurse's responsibility.

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