Legal & EthicalQuestion 167 of 200

Which of the following is OUTSIDE a California CNA's scope of practice?

a.Assisting with bathing, toileting, ambulation, and feeding
b.Administering an injectable medication or performing initial nursing assessment
c.Measuring and recording vital signs
d.Reporting changes in resident condition to the licensed nurse

Explanation

Under HSC §1337-1338 and Title 22 CCR §71835, a California CNA performs basic nursing services under the supervision of a licensed nurse: ADLs, vital signs, intake/output, ambulation, observation, and reporting. CNAs DO NOT administer injectable or oral medications (a Certified Medication Aide/CMA is a separate credential), do not perform sterile procedures, do not insert/remove catheters except as specifically delegated, do not perform initial admission nursing assessments, and do not give telephone/verbal orders. Working outside scope is grounds for CDPH discipline, civil liability, and possibly criminal practice without a license.

Law Reference: HSC §1337; HSC §1338; Title 22 CCR §71835

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