Scope of practice for HHAs--JP drains?

Specialties Home Health

Published

I am in the state of Indiana. State regulations state that HHAs are not to do anything "invasive." Would this include emptying JP drains? My director has asked me to teach the HHA how to provide JP drain care and put it in her careplan. I don't really have a problem with that as JP drains are pretty common sense, but I want to make sure it is okay. I will be visiting the patient weekly to monitor the surgical wound and drain sites. This is a Medicaid-only case.

Opinions?

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Specializes in ER, Med-surg.

Is your aid allowed to empty colostomy bags? I didn't think HHA's were even allowed to bathe patients (there was an issue with one of my old agencies hiring HHA's) If they're allowed to empty colostomy bags then I would think it's ok for them to empty JP drains. I would check with the state.

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I checked with a local accrediting agency. HHAs are certified like CNAs in my state and can empty foleys, JP drains, and perform simple dressing changes as long as there is documented training with each aide and new patient by an RN. I can't believe they can't even give a bath in other areas... that is their main job! Wow. Maybe you are referring to uncertified personal care assistants/companions?

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