Can CNA Give To Patient Enema Or Assist With Medication?


4 Answers

Anonymous Profile
Anonymous answered
The difference in a rectal temp and an enema is the enema is somewhat bigger, and you are pushing fluid into a vault that you can't see and it could be damaged, perforated, etc.  If a patient is constipated to the extreme that they need an enema (oral agents don't work) they should be assess by a nurse (if in an institution) or md if at home, to rule out adverse conditions.  If this is done and they warrant an enema that would be the time to administer one not leave it for a cna to do since it is an evasive procedure.  But, I must say that I don't feel a cna should do a rectal temp either d/t it is an evasive procedure also.
Deborah Wacker Profile
Deborah Wacker answered
No, a CNA cannot give enemas or medication. It has to be done by a nurse. With the enema your putting something inside the body that has to be monitored, and with medication CNA does not have the training to know everything about a certain drug.
thanked the writer.
Anonymous commented
A cna can to give an enema. What your saying makes no sense because when you do a rectal temp or even an oral temp, you are sticking something inside a person. So what you would be saying is a cna can't do that, which they can, and they can give an enema!
Anonymous commented
CNAs can give enemas but if they contain drugs we can not give them, the RN gives them
Anonymous commented
If the enema contains drugs us CNAs CANNOT give the enema
Anonymous Profile
Anonymous answered
In the home, if a patient codes during your shift ,CNA must initiate CPR unless there is a no code order?
Martin Haynes Profile
Martin Haynes answered




- Bathing (assist, bed bath, tub bath, - Side rails/ call rails

shower, sitz) - Mitts and restraints

- Mouth care - CPR/Heimlich Maneuver

- Skin care - Infection control

- Hair care Handwashing

- Nail care Isolation technique

- Bedmaking (modified) Standard precautions

- Dressing and undressing


- Turn and position - Vital signs

- Transfer – chair and stretcher Temp (oral, rectal,

- Use of lifts axillary)

- Assist with ambulation - Pulse (radial, apical)

- Range of motion exercises Respirations


III. NUTRITION - Height and weight (stand-up

- Prepare patients for meal time scales/bed scales)

- Feed patients - Application of heat/cold

- Intake and output - Prevent and care for decubitus

- Force and restrict fluids ulcers

+ - Surgical skin preps and scrubs

IV. ELIMINATION - Clean dressing changes

- Bedpan/urinal - Apply ace bandages, TEDs and

- Bowel/bladder retraining binders

- Collect/test specimens + - Apply and remove EKG monitor

- Perineal/catheter care leads

- Apply condom caths - Postmortem care

+ - Douches - Cough/deep breathing

- Enemas

+ - Insert rectal tubes/flatus bags

- Empty drainage devices from body


+ - Maintain gastric suction

Role of Nurse Aide I on Health Care Team*

*The licensed nurse maintains accountability and responsibility for the delivery of safe and competent care. Decisions regarding delegation of any of the above activities are made by the licensed nurse on a client-by-client basis. ALL of the following criteria must be met before delegation of any task may occur:

  1. task is performed frequently in the daily care of a client or group of clients;
  2. task is performed according to an established sequence of steps;
  3. task involves little to no modification from one client situation to another;
  4. task may be performed with a predictable outcome;
  5. task does not involve on-going assessment, interpretation or decision-making that cannot be logically separated from the task itself; and
  6. task does not endanger the client’s life or well-being.

As part of accountability, the registered nurse must validate the competencies of the NA I prior to delegating tasks. The licensed nurse (RN or LPN) must monitor the client’s status and response to care provided on an on-going basis.

* Core tasks which the North Carolina Board of Nursing has determined are appropriate for inclusion in basic NAI education programs.

+ Common tasks which are appropriate for delegation to NAI following appropriate education and competency validation by a registered nurse but are not required to be taught in the Division of Health Service Regulation approved 75 hour course.

The "Decision Tree for Delegation to UAP" ( – Position Statements) is an additional tool to assist the RN and LPN in making appropriate decisions related to delegation of tasks to UAP.

Revised: 10/

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