Question about skin creams and CNA applications

[BackfromRetirement]

Request update on CNA's and skin creams....the laws. At one time, over-the-counter skin protectants were ok for CNA's to apply. Some places say no to CNA's using anything cream on a resident in LTC. Previously no therapeutic creams could be applied by non-licensed folks. There is a southern term called "gaulding" for red, raised skin irritation in the groin from moisture and heat. What is allowed by state law in TN for non-licensed personnel?

[grandmawrinkle]

Personal rule of thumb (although I can't speak to the TN BON, etc.) is that if you have to sign it off on the MAR or TAR, a UAP can't do it.

[Forever Sunshine, ASN, RN]

In the TAR we write below those creams.. CNA may apply. It is usually kept in the residents nightstand in their room with their care supplies so they don't have to hunt me down to get it from the treatment cart.

[stelon]

It's been my experience that the nurses will try and pass off creams and topical things like nystatin to the CNAs, though it's definitely not legal. Drives me insane. The generic skin protectants off the normal supply cart are one thing, but anything off the MAR should be a definite no no.

[CapeCodMermaid, RN]

In Massachusetts, CNAs may apply over the counter creams but not prescription items. I never sign off a cream in the TAR unless I applied it myself. If it's a treatment, there should be documentation oh and let's not forget assessment. I check some of the TARs in my building.....the nurses were signing off "X cream to affected area til healed" for 3 years. Honey, if the spot hasn't healed in # years, I'm thinking it's way past time to change the treatment!