1. GlucometerNo pricking fingers.

2. Insulin PumpsNo keying in results of glucometer for visually impaired.

3. Insulin InjectionsNo assisting injections or drawing syringes.

4. Ostomy BagsPCOK to empty bags.

(Colostomy, Ileostomy)No reattaching bags.

5. Feeding TubesRequires RN Assessment Always.

Depends on what kind of feeding tube.

RN will determine if appropriate.

No cleaning around the feeding tube.

6. CathsPCNo inserting caths for either men or women. Assist only.

Can empty catheter bags.

7. TracheotomyRequires RN Assessment Always.

STNA required if RN approves.

8. Breathing TreatmentNot PCYes

9. Nail TrimmingNo. Nurse Practitioner or MD Only.

10. SoresNo – Open sores. (Bed sores, etc.)

We will not be applying a dressing or managing any type of open wound care. If someone has an open wound they should have a skilled nursing consult, and a nurse referral so we can direct the caregivers accordingly.

Yes – Vaginal creams. (External only)

11. Communicable Viruses & Bacterial Infections

STNA Required for MRSA, HIV, C-Diff, VRE, Staph.

12. EnemasNo – Assist only.

13. Ointments & LotionsNot PCYes. Over the counter topical medications can be applied to intact skin for the improvement of skin condition or providing a barrier. (OAC 4723-13).

14. Universal Precautions

Caregivers should really wear gloves when applying lotions or doing any type of personal care that requires touching the other person's body (dental care, toileting, perineal care, touching any soiled linens potentially contaminated with urine or feces). Wash hands with soap and water, good friction for at least 30 sec. Alcohol based hand sanitizers are ok, but do not kill spores of certain bacteria, ie c diff.

15. Massage : No. “Massage” means any method of exerting pressure on, stroking, kneading, rubbing, tapping, pounding, vibrating or stimulating the external soft tissue of the body with the hands, or with the aid of any mechanical or electrical apparatus or appliances. (OAC 503.40) The Ohio Revised Code makes provision for the licensed practice of “non-therapeutic massage.” These “recreational massages” must be provided in a licensed establishment or by a licensed person.

16. Back Rub: Yes by STNA. Backrub forthe purpose of refreshing and relaxing the resident. Stimulates circulation. Allows for skin observation. May be given as part of a bath, at bedtime, or when you change a residents’position. (Ohio Department of Health, Nurse Aide Training Curriculum. Standard VIII.3Additional Personal Care Skills)