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    I am a new CNA. it is a CNA job responsibility? because when I took CNA class I do not remember that my clinical instructor train their students to perform one. I did not know how to put one so I called the Practical Nurse to show it to me. it is very easy how to do it anyway and learning new thing is a good thing.

    Jun 3, 2014

    Yes, this is typically a CNA's responsibility. It's simple to do, as the LPN demonstrated.

    And learning is always a good thing :)

    Jun 4, 2014

    I always changed the bag but never the wafer/phalange. It is easy to do but many people don't get trained on how to do it when in clinicals.

    Jun 4, 2014

    As others have said it is part of the scoop of practice for the CNA. Definitly get someone to train you on taking care of a colostomy, and if you ever get the chance an urostomy. They are not difficult to take care of but the first time or two can be a little bit itimidating. Having your nurse or an experienced CNA that you are working with show you what to do. Replacing the wafer is not difficult the important thing is to make sure that the opening that goes over the stoma is cut correctly, too small you can run into issues, too large can create other problems. The other important thing is to make sure that you get a good seal between the skin and wafer, different products such as skin prep or paste can help with that. The other important piece of advice that I would mention is to make sure that you keep an eye on your colostomy bags, make sure that they are being emptied and burped as needed. It is much easier to take care of it early than to find that too much pressure built up and a leak has developed around the wafer or worse.

    Jun 4, 2014

    Barb-H, That is a good advice!... Thank you for the input.:)

    Thank you everyone

    Jun 5, 2014

    It depents of the state. In North Carolina, CNA 1 are not allowed to change the colostomy bag or clean the stoma (CNA 1 only empty the bag without removing it from the stoma). If the facility trained you and checked you off, then NC nursing board allows CNA 1 to deal with colostomy bags. Colostomy care is a CNA 2 resposability in NC and other states. Check with your state nursing board.

    Jun 5, 2014

    Thanks everyone

    Edited Jun 5, 2014 by mineSgold correction

    Jun 8, 2014

    I think it depends on the state and/or facility. The aides at my facility do not touch colostomy bags.

    Jun 8, 2014

    It depents of the state. In North Carolina, CNA 1 are not allowed to change the colostomy bag or clean the stoma (CNA 1 only empty the bag without removing it from the stoma). If the facility trained you and checked you off, then NC nursing board allows CNA 1 to deal with colostomy bags. Colostomy care is a CNA 2 resposability in NC and other states. Check with your state nursing board.

    Good point, but most BONs don't have anything to do with CNAs; they usually are under the State Health Department. Not always, but if you don't have a license that is controlled by the State BON, then you might need to check with your Health Dept instead.

    Jun 10, 2014

    You need to be nurse delegated to do this and yes it's your responsibility. ?

    Jun 14, 2014

    In my hospital, it is out of our scope to change a colostomy bag. Why? What if there is an issue with the stoma? Is it a patient whom is not familiar with a colostomy bag yet? Do they have questions for this type of wound care? That is why we have wound care NURSES. What if you have a bag that leaked all over the wafer that needs to be taken off, cleaned, and recut? Do you know the appropriate size to cut the wafer? Do you know how to measure the stoma in order to see what is the appropriate size for cutting? If it is done incorrectly this can cause a serious discomfort for a patient. A CNA is allowed to empty the contents of the colostomy bag as well as cleaning it at my hospital, we are just not allowed to perform a complete change of an entire bag or cut wafers. I am not discouraging you by any means to do this if this is approved by your facility, but where I work this is not allowed. I would check with your Nurse Manager directly if you have doubts and he/she will be able to tell you exactly what you are responsible for, and if they are not available the next best person to ask is your charge nurse.

    Jun 18, 2014

    I never learned during my CNA classes but I learned on the job when I had a resident who required this care.

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    Do CNAs change colostomy bags?
    Because some states recognize any kind of stoma as an open wound, regulations may not permit nursing assistants to change dressings, perform general wound care or even change stoma equipment. Alternatively, in other states, nursing assistants are allowed to perform all of these procedures. more
    Is it better to store bread in a paper bag or plastic bag?
    Because paper lets air into the bag, keeping the bread dry and the crust crisp and delicious. If you store bread in a plastic bag, the moisture from the bread gets trapped in the bag making the crust soft. Storing in plastic will keep the bread fresh longer, but you'll lose the crust. more
    How many times do you have to use a reusable bag to equal a plastic bag?
    A 2011 study conducted by the UK Environmental Agency found that reusable bags made from recycled plastic need to be used 11 times and cotton bags need to be used 131 times before they are environmentally preferable to a single-use plastic bag. more
    What is the difference between a stoma bag and a colostomy bag?
    A colostomy is an operation to divert 1 end of the colon (part of the bowel) through an opening in the tummy. The opening is called a stoma. A pouch can be placed over the stoma to collect your poo (stools). A colostomy can be permanent or temporary. more
    What's the difference between a freezer bag and a storage bag?
    Freezer bags are thicker than regular zip-top bags, which makes them tougher and more durable when it comes to storing food in the freezer. While they often look and feel pretty similar to other plastic storage bags, freezer bags are slightly thicker than regular zip-top bags. more
    Can I use a dry bag as a bear bag?
    To be completely safe, hang smell-proof and dry bags. The bag should be 12 feet off the ground and 4 feet away from the tree trunk. more
    Are CNAs happy?
    While emotionally demanding, working as a CNA is also an emotionally rewarding job. Nursing assistants help patients and residents feel as comfortable as possible and provide emotional support to those in need. more
    Can a dry bag be used as a bear bag?
    To be completely safe, hang smell-proof and dry bags. The bag should be 12 feet off the ground and 4 feet away from the tree trunk. more
    Can CNAs change colostomy bags?
    Adhering to Regulations Because some states recognize any kind of stoma as an open wound, regulations may not permit nursing assistants to change dressings, perform general wound care or even change stoma equipment. more
    Does a dry bag work as a bear bag?
    If used carefully, smell-proof bags should keep their contents undetectable to bears as well as mice. Consider using a smell-proof bag as a liner inside your bear canister or Ursack bag. Dry bags: From my experience on the AT, the most common food bag is a regular dry bag. more
    Can you use a dry bag as a bear bag?
    To be completely safe, hang smell-proof and dry bags. The bag should be 12 feet off the ground and 4 feet away from the tree trunk. more

    Source: allnurses.com

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