Which procedure can the nurse safely delegate to the certified nursing assistant who is knowledgeable and experienced in the procedure?
a. Suctioning the newly placed tracheostomy tube
b. Suctioning the endotracheal tube
c. Suctioning the laryngopharynx
d. Suctioning the oropharynx
D
Suctioning a new tracheostomy requires sterile technique, which cannot be delegated to a certified nursing assistant (CNA). Suctioning an endotracheal tube requires sterile technique, which cannot be delegated to a CNA. Deep (laryngopharyngeal) suctioning requires a nurse, owing to the risk of the procedure and complexity of care. The CNA would be capable of performing oral suctioning or assisting a patient to suction his own mouth.
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