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Questions
Related to Certified Nursing Assistants
(CNA)
AED
At
its April 12-13, 2000 meeting, the
Board determined that it is not
appropriate to instruct certified
nursing assistants in the use of
the Automatic External Defibrillator
(AED). The Board stated that a certified
nursing assistant should contact
a nurse or a physician immediately
to assess any situation that would
necessitate life support interventions.
At
its February 14-15, 2001 meeting,
the Board revisited the issue based
on changes in national standards
and determined that certified nursing
assistants may receive instruction
in the use of the Automatic External
Defibrillator (AED) according to
the organization/facility's established
policies and procedures.
Dulcolax
The
Board determined at its April, 1992
meeting that a CNA may administer
a Dulcolax suppository to a patient
on a long standing bowel program.
CNA-M
in Congregate Facility
An
advisory ruling was requested regarding
the appropriateness of CNA-Ms administering
daily medications to clients in
a congregate care facility which
is physically attached to a nursing
home.
The
Board determined that a CNA-M may
be used in other than a nursing
home, under the following circumstances:
(a) The site is physically attached
to the nursing home and permits
immediate access to a licensed nurse
at all times.
(b) A licensed nurse must be on
site in the complex at all times.
April
5-6, 1995
CNA-M
in Other Sites Physically Attached
At
its December 13, 1995 meeting, the
Board determined that a certified
nursing assistant-medications (CNA-M)
may be utilized in other than a
nursing home if the site is physically
attached to a nursing home and permits
immediate access, at all times,
to an on-site licensed nurse.
CNA-M
- Nebulizers
At
its August 2-3, 2000 meeting, the
Board determined that nebulizer
treatments will not be included
in the Certified Nursing Assistant-Medication
(CNA-M) curriculum.
Preparation
H
At its February
7-8, 1996 meeting, the Board determined that a home health
aide may not insert " Preparation H " suppositories.
Reporting
Pain
At its June 4-5,
2003 meeting, the Board stated that a certified nursing assistant
(CNA), using a subjective scale, may ask a patient a pain
number/level and report it to a registered professional nurse
(RN). The RN is responsible for the patient assessment. CNAs
may document data on a CNA documentation tool. Institutional
policy must be clear about the differentiation between the
RN assessment and the collection of data as a task by a CNA
for the purpose of reporting to a RN. CNA documentation does
not equal a nursing assessment.
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