What is the appropriate action for a CNA regarding a chest tube?

What is the appropriate action for a CNA regarding a chest tube?

• A. CNA2 may record drainage but NEVER empty
• B. CNA2 is allowed to empty drainage as needed
• C. CNA2 must remove the chest tube
• D. CNA2 may clean the chest tube

Answer: (A)

The appropriate action for a Certified Nursing Assistant (CNA) regarding a chest tube is to record drainage but never empty it. This is crucial because managing a chest tube involves understanding the potential risks associated with the drainage system and the patient’s condition. Chest tubes are used to remove air, fluid, or pus from the pleural space, and any handling of the drainage system requires a trained healthcare professional to ensure proper protocols are followed to avoid complications. While a CNA can monitor and document the amount and character of the drainage to keep the healthcare team informed, emptying the drainage container is a procedure that could compromise the sterile environment and the proper functioning of the system. Additionally, removing a chest tube or cleaning it involves more specialized knowledge and skills that fall outside the scope of practice for a CNA. Such actions could put the patient's safety at risk if not done correctly. Therefore, it is essential for CNAs to adhere to their scope of practice and ensure that they perform tasks that align with their training and competencies, thereby promoting both patient safety and effective care.

The appropriate action for a Certified Nursing Assistant (CNA) regarding a chest tube is to record drainage but never empty it. This is crucial because managing a chest tube involves understanding the potential risks associated with the drainage system and the patient’s condition.

Chest tubes are used to remove air, fluid, or pus from the pleural space, and any handling of the drainage system requires a trained healthcare professional to ensure proper protocols are followed to avoid complications. While a CNA can monitor and document the amount and character of the drainage to keep the healthcare team informed, emptying the drainage container is a procedure that could compromise the sterile environment and the proper functioning of the system.

Additionally, removing a chest tube or cleaning it involves more specialized knowledge and skills that fall outside the scope of practice for a CNA. Such actions could put the patient's safety at risk if not done correctly. Therefore, it is essential for CNAs to adhere to their scope of practice and ensure that they perform tasks that align with their training and competencies, thereby promoting both patient safety and effective care.