Which task is appropriate to delegate to a CNA?

Which task is appropriate to delegate to a CNA?

• A. Positioning
• B. IV insertion
• C. Blood draws
• D. Assessment of respiratory status

Answer: (A)

Delegation and scope of practice determine what a CNA can perform. Positioning a patient is appropriate because it’s a routine, nonclinical care activity CNAs commonly do to maintain comfort and prevent complications like pressure injuries. It does not require clinical judgment, sterile technique, or assessment of medical status. Insertion of an IV, blood draws, and formal assessment of respiratory status require higher levels of licensure and specialized training, so they are not within the CNA role; those tasks are handled by RNs or licensed practical nurses and other licensed professionals. CNAs can support these tasks by observation and reporting but should not perform them. So, the appropriate task to delegate to a CNA is positioning.

Delegation and scope of practice determine what a CNA can perform. Positioning a patient is appropriate because it’s a routine, nonclinical care activity CNAs commonly do to maintain comfort and prevent complications like pressure injuries. It does not require clinical judgment, sterile technique, or assessment of medical status. Insertion of an IV, blood draws, and formal assessment of respiratory status require higher levels of licensure and specialized training, so they are not within the CNA role; those tasks are handled by RNs or licensed practical nurses and other licensed professionals. CNAs can support these tasks by observation and reporting but should not perform them. So, the appropriate task to delegate to a CNA is positioning.