Nursing Assistant Scope of Practice

Updated on: July 13, 2023

A nursing assistant, also known as a certified nursing assistant (CNA), plays a crucial role in providing patient care and assisting healthcare professionals.

CNAs have a defined scope of practice that outlines the tasks and responsibilities they are authorized to perform. It is important for CNAs to work within their scope to ensure patient safety and quality care.

The scope of practice for nursing assistants typically includes the following:

1. Daily Living Assistance: Nursing assistants help patients with activities of daily living (ADLs) such as bathing, grooming, dressing, and toileting. They provide assistance and support to ensure patients’ comfort and well-being.

2. Vital Sign Monitoring: CNAs are responsible for measuring and recording vital signs such as temperature, blood pressure, pulse rate, and respiratory rate. This information helps healthcare professionals assess patients’ overall health and identify any changes.

3. Mobility Support: Nursing assistants assist patients with mobility, including transferring them from bed to wheelchair, helping them with ambulation, and ensuring their safety during movement.

4. Observation: CNAs observe and report any changes in the patient’s condition, behaviors, or vital signs to the healthcare team. This information helps in identifying potential health issues and ensuring timely intervention.

5. Patient Communication: Nursing assistants provide emotional support and maintain open communication with patients, helping them feel comfortable and respected. They also relay patients’ concerns and questions to the nursing staff.

6. Basic Patient Care Procedures: CNAs can perform basic medical procedures such as applying dressings, assisting with feeding, and collecting specimens for laboratory testing under the supervision of a registered nurse or licensed healthcare professional.

7. Maintaining a Safe Environment: Nursing assistants contribute to creating a safe and clean environment for patients. They ensure that patient rooms are organized and stocked with the necessary supplies.

8. Documentation: Nursing assistants document the care they provide, including vital signs, patient observations, and any assistance given. Accurate documentation is important for maintaining patient records and facilitating communication between healthcare providers.

9. Basic Medical Procedures: CNAs may perform basic medical procedures under the supervision of registered nurses or licensed healthcare professionals. These procedures can include applying dressings, collecting specimens for laboratory testing, and administering certain medications.

Final Thought

The scope of practice for nursing assistants may vary by state or country, and specific tasks may be delegated or restricted based on regulations and facility policies. CNAs work as part of a healthcare team, collaborating with registered nurses and other professionals to ensure the well-being of patients.

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