An ultrasound bladder scan can be performed by a certified nursing assistant (CNA), whereas catheterization requires a licensed practical nurse (LPN) or registered nurse (RN). Letter Regarding Delegable Duties in Indiana, Kansas Long-term care providers are harnessing the power of their CNA staff by providing special training for the following duties: Assisted living facilities are also training CNAs to provide a higher level of care for their independent residents. The RN must follow all rules for preparing, storing, and labeling insulin. Therefore, a CNA will not get trained to draw blood as part of a Certified Nurse Aide course. This website uses cookies to improve your experience while you navigate through the website. At my office, any other meds that need to be dispensed are done by the MD. D Depending on the facility, CNAs may assist in preparing a room for a new patient or resident or clearing a room after patient is discharged. RNs should make sure LPNs and CBRF staff members are trained to prepare or give insulin. Code DHS 89.23(4)(a)2): Can an RN prepare insulin and give it to residents? Code DHS 83.37(2)(e), N 6.04). only the nurse or Respiratory Therapist are responsible for starting , maintaining, and discontinuing oxygen therapy. Telehealth Policy. Medication errors are preventable, and knowledge is your best defense against making a medication error. Code DHS 89.23(4)(a)2, N 6.03). 0000002928 00000 n These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Programs teach students how to perform direct patient care, educate them about patient safety and documentation. Can CMAs Apply for Surgical Tech Positions? startxref However, an RN must assign these tasks to staff members. Q: Is it true, that if a Certified Nurse Aide (CNA) has had training in oral suctioning, that they can do this? Yes. CareteamRN70 155 Posts Aug 11, 2009 In general, CNAs should not do anything considered invasive, dangerous or neglectful. $A\ H.$EBc\)&&F&S0L|7-7xv100iw\H~b: ( 79x Physician Assistant (PA-C) Yes 63 P.S. Numerous states now allow CNAs to be specially trained and pass medications, perform finger sticks, collect lab specimens and insert urinary catheters. Can CNA give shots? performing anything outside their scope of practice. Can CBRF staff prepare insulin pen doses? Policy and Advocacy. A Certified Nursing Assistant (CNA) may be able to provide the following types of medication: 1. These cookies will be stored in your browser only with your consent. Oral, topical, suppository, eye drops, ear drops Immunizations given in a single dose, injected into the deltoid muscle; allergy testing with intradermal injections (Department of Veterans Affairs [DVA], 2013). Your State | For specific questions regarding your state, submit your query below. Only a physician or pharmacist can prepare more than one dose at a time (Wis. Admin. Yes, if the RN assigns this task to a staff member and trains them to use insulin pens. However, staff members cannot prepare the dose themselves. RHC Statute, Regulation, and Guidance. 0 The RN must use their own judgment to decide how much supervision is needed (Wis. Admin. Analytical cookies are used to understand how visitors interact with the website. Do NOT follow this link or you will be banned from the site! However, not all states allow this. I gave insulin injections as a CNA because I work for a private facility so state doesn't mandate what we can and can not do. www.comfortkeepers.com is using a security service for protection against online attacks. Code DHS 88.07(2)(c) and DHS 88.07(3)(d)). Oral or any other type of suctioning is a nursing function and can only be done by a nurse. These cookies ensure basic functionalities and security features of the website, anonymously. Give injections . Submits a letter to the training agency from the student's administrator or director of nursing recommending the student take the course or a letter from a previous long . Joy E Millar RN, Sight, hearing and even smell. Code N 6.03). Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Yes, if they will be administering medications. Yes, a CNA can collect a sputum sample after proper training. RNs may use their own judgment when deciding how much supervision is needed. Yes, a CNA can legally draw blood in some states if they complete and pass further phlebotomy training classes. Additionally, the BLS reports that the median salary for RNs is $71,730 annually. What is the definition of a Certified Nursing Assistant (CNA)? Advocacy Letters and Comments. All rights reserved. Since 1997, allnurses is trusted by nurses around the globe. The supervising qualified pharmacist must comply with any applicable requirements (or conditions of use) as set forth in the CDC's COVID-19 vaccination provider agreement and any other federal requirements that apply to the administration of COVID-19 vaccine(s). Typically, the nurse will be there to assess any wound, then the CNA completes the dressing change. Can RCAC staff prepare and give insulin injections to residents? The administration of specific medications can be delegated to a CNA if the CNA has received training in medication administration, is competent to administer certain medications and has adequate supervision by an RN. The amount of supervision is up to the RN and their judgment. About|Contact|Downloads|Calendar Can an LPN prepare and give insulin injections to residents? Dismiss, Accepted CNA position but got an interview for another position in the same hospital, Next Generation NCLEX-RN: Three Immediate Strategies to Implement for Nursing Student Success, 10 Electrolyte Imbalance Nursing Diagnosis & Care Plans. hbbd``b`$5`$8Rs8["z A,cq]]Aa h{ bm~ !0$$ f +$D@zY@4 C[&F 20{ @ 0 endstream endobj startxref 0 %%EOF 132 0 obj <>stream 66 0 obj <>stream Although not all states have stepped up and designed extended training for higher achieving CNAs, many are currently enacting legislation and are expecting their . Yes. You need to ask yourself questions and then do problems to answer those questions. The certification class she took was for CNAs. Yes (Wis. Admin. An AFH staff member also can give a resident insulin without being assigned to do so by an RN. This study guide will help you focus your time on what's most important. However, an RN or physician must supervise the LPN (Wis. Admin. "https://secure.trust-provider.com/" : "http://www.trustlogo.com/"); This cookie is set by GDPR Cookie Consent plugin. What Is a CNA & What Does CNA Stand For? Locate programs on-line, through a community college or at a technical school. Feeding patients and documenting their food and liquid intake. Can an RN prepare insulin for CBRF staff to give to residents? The residents or the Nursing RJay25. document.write(unescape("%3Cscript src='" + tlJsHost + "trustlogo/javascript/trustlogo.js' type='text/javascript'%3E%3C/script%3E")); //stream Patient-care technicians also assist nurses, doctors, and other health-care professionals. hXrF}W%po2MT. 1|@!st~x{X|n!\[ A"XM,t]w!V6^'B|gsuVgVb=2qN3#f/ax7'gkeb@"}.0'H>VA(]D\d if your only a caregiver can you give injections ie for diabetes or MS i am told its ok cause we are live ins and it is measured and not illegal medicine. they are not legally qualified to do this, In NZ only those who have trained & registered as a Nurse CNAs should never be required to administer a high-alert medication. In my wound clinic CNAs can place wound vacs. MITs Alan , In 2020, as a response to the disruption caused by COVID-19, the College Board modified the AP exams so they were shorter, administered online, covered less material, and had a different format than previous tests. NO. AAMA CEO and Staff Legal Counsel Donald A. Balasa, JD, MBA, can inform you about the laws in your state governing medical assistants' scope of practice and other issues that you may be considering as you staff your office. Assistants, Donald Balasa, COVID-19 Vaccination in Maryland,, Board of Registration in Medicine 243 CMR 2.00: Licensing and the Practice of Medicine; FAQs on BORIM Regulation Chapter 2.00 "Licensing & The Practice of Medicine", Circular Letter DCP 16-12-664: Immunization Administration by Medical Assistants, Acts (2016) Chapter 234: An Act Increasing Access to Immunization, Public Health Code of Michigan: Act 368 of 1978, Section 333.16215 Delegation of acts, tasks, or functions to licensed or unlicensed individual; supervision; rules; immunity; third party reimbursement or worker's compensation benefits, Public Health Code of Michigan: Act 368 of 1978, Section 333.16109 Definitions; S to T, Donald Balasa, Permissible Delegation of Influenza Vaccination Administration in Michigan,, Letter Regarding Delegable Duties in Minnesota, Mississippi State Board of Medical Licensure Policies: 3.12 Medical Assistants, Letter Regarding Delegable Duties in Missouri, Montana Code Annotated, 37-3-104: Medical AssistantsGuidelines, Administrative Rules of Montana: 24.156.401 Medical AssistantDelegation and Supervision, Letter Regarding Delegable Duties in Nebraska, Nevada Statutory Language; Nevada Regulation Language of the Board of Medical Examiners, New Hampshire Board of Medicine: Boards Position on Supervision of Medical Assistants, New Jersey Board of Medical Examiners: 13:35-6.4, Letter Regarding Delegable Duties in New Jersey, Donald Balasa, COVID-19 Vaccination in New Jersey,, Practice Information: Utilization of Medical Assistants, Delegable Duties: Letter Regarding Section 90-18(c)(13) of the North Carolina Statutes, North Carolina Medical Board: Delegating Medical Tasks to Unlicensed Personnel, North Carolina Medical Board: Delegation Appropriateness Table, Letter Regarding Delegable Duties in North Dakota, Initial Medication Assistant III Application, North Dakota Administrative Code 54-07-15: Medication Administration by a Medical Assistant III, Ohio Administrative Code: 4731.053 Administrative Rules for Physician's Delegation of Medical Task, Ohio Administrative Code: 4731-23: Delegation of Medical Tasks, Ohio Administrative Code 4723-13-05: Criteria and standards for a licensed nurse delegating to an unlicensed person, Ohio Administrative Code 4723.48 Delegation of authority to administer certain drugs, Ohio Administrative Code 4723.489 Delegated authority to administer drugs, State Medical Board of Ohio: Letter Regarding Physician Delegation of IV Catheter, Ohio Administrative Code 4730.203 Delegation of administration of drug, Letter Regarding Delegable Duties in Oklahoma, Letter Regarding Delegable Duties in Oregon, Oregon Medical Board Statements of Philosophy: Use of Unlicensed Healthcare Personnel, Letter Regarding Delegable Duties in Pennsylvania, Subchapter G. Medical Doctor Delegation of Medical Services, Letter Regarding Delegable Duties in Rhode Island, Guidelines Regarding Scope of Practice, Supervision, and Minimum Expectations of Conduct of Medical Assistants, South Carolina General Assembly: Amendment to the Nurse Practice Act, Regulations of the South Dakota Board of Nursing (November 2022), Letter Regarding Delegable Duties in Tennessee, Tennessee Board of Medical Examiners Policy Statement: Delegation of Medical Services, Donald Balasa, Delegation of COVID-19 Vaccinations in Tennessee,, Scope of Practice for Medical Assistants under Texas Law, Letter Regarding Delegable Duties in Texas, Texas Occupations Code, Title 3, Chapter 157: Authority of Physician to Delegate Certain Medical Acts, Letter Regarding Delegable Duties in Utah, Utah Medical Practice Act, Part 1: General Provisions, General Rule of the Division of Occupational and Professional Licensing, Letter Regarding Delegable Duties in Vermont, Virginia Board of Medicine: Injections by Trained Individuals Now Allowed, Letter Regarding Delegable Duties in Virginia, Code of Virginia 54.1-3408. They can administer medication at chronic and convalescent nursing homes and rest homes with nursing supervision. You also have the option to opt-out of these cookies. 72 0 obj <> endobj 107 0 obj <>/Filter/FlateDecode/ID[<6BCDFB01F52F481686E7ECBA4B5035C0>]/Index[72 61]/Info 71 0 R/Length 145/Prev 130026/Root 73 0 R/Size 133/Type/XRef/W[1 2 1]>>stream is donald smith still alive; julie grant court tv cheerleader Code DHS 83.37(2)(e), N 6.03). According to A.R.S. However, because no other position statement of the NH Board of Medicine has been issued, this document provides some guidance on what physicians are permitted to delegate to unlicensed professionals such as medical assistants. Contact your state CNA registry to determine what you can or cannot do in your specific area. How to Renew My CNA Certification - Instructions This requires accurate nursing assessment skills that nurses are taught. 0000005041 00000 n Sr2>KLbL@ Medical Assisting|CMA (AAMA) Exam Medical assistants may not place the needle or start or disconnect the infusion tube of an IV. Canada)* Yes RCW 69.50.101(jj)(3) RCW 69.41.030* RCW/WAC . Yes. Yes, if they will be administering medications. (225 ILCS 65/50-5) (was 225 ILCS 65/5-5) (Section scheduled to be repealed on January 1, 2028) Sec. Letter Regarding Delegable Duties in Minnesota, Missouri Can AFH staff conduct finger-sticks and blood sugar checks with glucometers? An LPN under the supervision of an RN or physician. However, an RN must assign this task to an LPN (Wis. Admin. Less than half the states allow RNs to dispense drugs and most states permit APRNs to dispense medications or provide samples. Authority to Administer MMR. The mission of the American Association of Medical Assistants is to provide the medical assistant professional with education, certification, credential acknowledgment, networking opportunities, scope-of-practice protection, and advocacy for quality patient-centered health care. The answer I got to this today said that yes, that was part of the correct answer, but in the rational said that nursing assistance typically cannot do fingersticks. The phrase "administer medications" refers to the direct application of medication by simple injections, ingestion and inhalation, or pre-measured medications. Usually HH or hospice comes in to fill the syringes, however the client must be able to give themselves the injection. New Mexico Nursing Regulations: 16.12.2.12 Standards of Nursing Practice, Oklahama A CNA working in one state may be seen passing meds in assisted living environments, and CNAs working in another state may only be able to monitor or supervise capable patients as they take their own medications. As defined in A.R.S. RCW 18.360.060 (2) authorizes medical assistants to work under protocols that don't involve clinical judgment or the administration of medications. <]>> Yes (Wis. Admin. license of the RN, but this varies from state to state and facility Can Medical Assistants Give Injections or Shots? Medical assistants perform clinical functions under orders from their supervising healthcare practitioner (s). For example, an RN may ask an LPN to prepare insulin and a staff member to give the insulin (Wis. Admin. Letter Regarding Delegable Duties in Missouri, New Hampshire 0000000016 00000 n Yes, most assisted living facilities allow CNAs with the proper training to perform non-invasive and uncomplicated dressing changes under the supervision of an RN. CNA. As a medical a assistant you can give injections only when a physician is present per the orders. %PDF-1.4 % September 21, 2022 by Alexander. According to the American Public Health Association, professionals who will be able to administer the COVID-19 vaccine include: Nurses Nurse practitioners Doctors Students in health professions Physician assistants Pharmacy technicians Veterinarians (who routinely administer shots to animals) Dentists Medics EMTs are permitted by law to call themself a Nurse. , specialized medical assistants are paid higher. Assessments would be needed for non-routine straight cathing or for Foley caths, as they would be dependent upon certain criteria. But opting out of some of these cookies may affect your browsing experience. By clicking Accept, you consent to the use of ALL the cookies. A certified nursing assistant works under the supervision of an LPN, Vocational Nurse, or Registered Nurse depending on the facility or healthcare practice. An RN may assign an unlicensed ADCC staff member to give the injection (s. N 6.03 (3)). Most of the states allow the medical assistants to perform the following duties under the direct supervision of a physician, doctor, licensed practical nurses, or registered nurses: Measuring and recording vital signs. Code DHS 83.37(2)(e), N 6.03). States that allow extended duties and special training for CNAs include: As a CNA who passes medications, performs complex patient care and collects lab specimens, you may be licensed or certified in your state of practice. allows the CNA to do that are outside the scope of practice of a Yes. Collect specimens such as blood, urine, sputum, etc. slamming card on table meme; purple fashion magazine submissions; guinness vs other stouts; case study on crisis management in public relations; After completing his doctoral studies, he decided to start "ScienceOxygen" as a way to share his passion for science with others and to provide an accessible and engaging resource for those interested in learning about the latest scientific discoveries. The nurse aide will not perform any invasive procedures, including enemas and rectal temperatures, checking for and/or removing fecal impactions, instillation of any fluids, through any tubing, administering vaginal or rectal installations. The minimum degree requirement for most of these professionals is a four-year bachelor's degree in pre-medicine, biology or related science. 50 states grant prescriptive authority to NPs. Certified medical assistants taught to give injections. All prepared syringes must be labeled when stored. I dont think you can give the actual shot just remind the patient to do it . The practice of professional and practical nursing in the State of Illinois is hereby declared to affect the public health, safety, and welfare and to be subject to regulation and control in the public interest. For example, ZipRecruiter reports that the average annual salary for an aesthetic nurse lands around $90,142. However, a staff member cannot prepare the dose themselves. Giving injections: CNAs are not allowed to administer injections, including insulin. 0000002366 00000 n 52 Posts Mar 15, 2013. Note: Insulin prepared in the assisted living environment only can be stored for one hour. What is the highest paying state for CNA? If that isn't possible then they are sent to a skilled facility. How much supervision is needed when an RN assigns RCAC staff to prepare or give injections? 422.2 When licensed as a medical doctor by the State Board of Medicine or as an osteopathic physician by the State Board of Osteopathic Medicine. Code. Medical professionals must take and pass a Botox certification course to perform this procedure. hb```b``nc`e` @16{8Zsu51X can a cna give injections in illinois; can a cna give injections in illinois. CMA Today| Employers|Volunteers|News, Subscribe to our e-Newsletter AAMA e-Update, Copyright American Association of Medical Assistants. The only issue I see with a CNA changing a leg bag is with sterility, since its super important to ensure the tubing for both bags stay as sterile as possible. Choosing a specialty can be a daunting task and we made it easier. Can an LPN prepare insulin for ADCC staff to give to residents? Yes. Code DHS 83.37(2)(e), N 6.03). Necessary cookies are absolutely essential for the website to function properly. Can an RN assign a staff member to give insulin injections to residents with sliding-scale orders? pYa(1s>q.jc]!,8z@FeS'8tLt6%h>xEGG`h(dPRIrX\\. Can a Medical Assistant Work in a Hospital? 234 0 obj <>/Filter/FlateDecode/ID[<63BE12B13322284C979839CC4FDFF671>]/Index[207 48]/Info 206 0 R/Length 125/Prev 183744/Root 208 0 R/Size 255/Type/XRef/W[1 3 1]>>stream 1) Be licensed as registered professional nurse or advance practice nurse in Illinois. Can a nursing assistant check a blood sugar level? Medical assistants are often asked to administer injections, e.g. Well, the residents stay in the nursing home and the care team Due to a successful CNA medication program at the Veterans Affairs Medical Centers throughout the country in 1999, many hospitals are following suit and training their CNAs for specialized programs. These include tasks such as bathing, feeding and dressing the patient and taking vital signs. TrustLogo("https://ssl.comodo.com/images/seals/sectigo_trust_seal_sm_2x.png", "SECDV", "none"); Copyright 2020 - All Rights Reserved - FindCNAClasses, Tips for CNAs: How to Handle Difficult Family Members on the Job, Pass and administer common medications that do not require special nursing assessment, Perform blood sugar finger sticks and may assist the patient to inject insulin, Apply topical medications to patients skin, Precept new CNAs in the program and on the nursing floor, Perform lab specimen collection and blood draws. Legislative purpose. An LPN can prepare insulin only if an RN has assigned an AFH staff member to give insulin injections. Can ADCC staff perform finger-sticks and blood sugar checks with glucometers? WHEN THEY CAN IMMUNIZE Physician (MD or DO) Yes 63 P.S. A health care employer must verify registry status of an individual applying for the above positions prior to employment. Yes. Skilled Nursing Facilities and Nursing Homes. However, the RN needs to provide supervision based on the resident's condition. Share sensitive information only on official, secure websites. CNAs are the backbone of nursing care and many are defining the new role of the nursing assistant. The laws provide the general framework or authority for regulating or prescribing a course of conduct. Depending on the state of your practice, states that provide special programs for CNAs require six months to one year of full-time work experience, a 45 to a 100-hour training program in medication administration, the completion of skills lab training and a strong passing grade on the state competency or state board examination. Yes. can a cna give injections in illinois bunker branding jobs oak orchard fishing report 2021 June 29, 2022 superior rentals marshalltown iowa 0 shady haven rv park payson, az An Illinois CNA must meet one of the following requirements: Have successfully completed an Illinois approved CNA training program. How much supervision is needed when an RN assigns AFH staff to give injections? 2) Possess two years of clinical registered professional nursing experience within the last five years, at least one of which shall preferably have been in developmental disabilities. See answer (1) Best Answer. However, the amount of supervision a staff member needs depends on the resident's condition. However, an RN or physician must provide supervision. This training program must include hands-on injection technique and the recognition and treatment of emergency reactions to vaccines . (6 Real Stories). In some states, MAs can perform procedures such as urinalysis, strep tests, blood pressure checks, weight checks, electrocardiograms, venipuncture and injections. The RN must make sure the RCAC staff member is trained and able to perform the task (Wis. Admin. These procedures are considered invasive, and therefore, not within the medical assistants scope of practice. Not as a CNA you can't. Healthcare professionals and students in Group 2 can administer vaccinations against COVID-19 pursuant to a non-patient specific order at PODs if they first receive training and are assessed as . endstream endobj startxref Medical assistants are not allowed to perform such invasive procedures as: placing the needle or starting and disconnecting the infusion tube of an IV. (ACPE). Medical assistants who have completed the minimum training prescribed by regulation may draw blood. NO. Given these risks, it's important to know: Check out the FAQs (frequently asked questions) below to learn about injection rules at assisted living facilities. After many, many years, you will have some intuition for the physics you studied. Yes. Delaware Yes 1932 Limited Lay Administration of Medications. If they cannot, then home health or hospice comes in to give the injection. Although not all states have stepped up and designed extended training for higher achieving CNAs, many are currently enacting legislation and are expecting their board of nursing to comply with state-approved programs and certification examinations. Can an RN assign RCAC staff to give insulin injections to residents with sliding-scale orders? The certification must be in good standing and free from any findings of patient abuse or neglect. Code DHS 89.23(4)(a)2, N 6.03). Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Occupational Analysis of Medical Assistants, Letter Regarding Delegable Duties in Alabama, Alabama BON Administrative Code, Chapter 610-x-6: Standards of Nursing Practice, Alaska State Medical Board: Standards for Delegation of Routine Duties, Amending Sections 32-1456, 32-1559, 32-1803, and 32-1853.01, Arizona Revised Statutes, Content Requirements for CAAHEP Accredited Medical Assisting Programs, Medical Assistants Frequently Asked Questions (FAQs), Act 472: An Act to Authorize Physicians and Podiatrists to Delegate the Performance of Some, Simple Procedures to Employees; and for Other Purposes, Regulation 31: Physician Delegation Regulation, Medical Board of California: Physicians and SurgeonsMedical Assistants, Medical Board of California: Frequently Asked QuestionsMedical Assistants, Letter Regarding Delegable Duties in Colorado, Rules Regarding the Delegation and Supervision of Medical Services to Unlicensed health Care Providers, Connecticut Bill Amendments to Section 47, Delaware Board of Nursing Regulation: APRN Delegation to Medical Assistants of Medication Administration, Letter Regarding Delegable Duties in Delaware, Letter Regarding Delegable Duties in the District of Columbia, Donald Balasa, COVID-19 Vaccination in the District of Columbia,, 2019 Florida Statutes: 458.3485 Medical Assistant, Florida Board of Medicine: Ruling on Delegation of IV Infusion Therapy, Letter Regarding Delegable Duties in Hawaii, Letter Regarding Delegable Duties in Idaho, Administrative Code, Section 1285.335 Physician Delegation of Authority, Letter Regarding Delegable Duties in Indiana, Letter Regarding Delegable Duties in Iowa, Donald Balasa,"Clinical Task Delegation in Iowa,", Letter Regarding Delegable Duties in Kansas, Letter Regarding Delegable Duties in Kentucky, Memo Regarding "Use of Medical Assistants in the Prescription Refill Process - Kentucky Law", Letter Regarding Delegable Duties in Louisiana, Louisiana Administrative Code Professional and Occupational Standards: Delegation of Medication, Administration to Unlicensed Assistive Personnel in Outpatient Clinic Settings, Maine Revised Statutes: 3270-A. The cookie is used to store the user consent for the cookies in the category "Performance". Even if taught in a basic education program, when the activity requires a significant level of skill and knowledge, such as administering medications or injections, it is advised that employers/nurse leaders regard these procedures as being del-egated and validate competency. CNA specialists are usually titled as certified medication assistant, licensed medication assistant or certified medication technician. But most patients who routinely cath do it according to a schedule, not according to s/s. In light of the licensed nursing shortage, many states are adopting unique CNA programs to train certified nursing assistants or CNAs to perform sophisticated medical duties and take on highly complex responsibilities in patient care. Following a bachelor's degree, any additional . In an AFH, an RN can prepare only one dose at a time. An RN (registered nurse) or an LPN (licensed practical nurse) can give injections at an ADCC. An LPN can give insulin to residents if they are supervised by an RN or physician. Menu. In order to do this, they must be fully trained, competent, directly supervised and it must be permitted by state law. Letter Regarding Delegable Duties in Wyoming. Wittenberg is a nationally ranked liberal arts institution with a particular strength in the sciences. Letter Regarding Delegable Duties in Oklahoma, Wisconsin CNAs can only read patients charts if they need to know some information, and their facilities allow them to read charts. Yes, some assisted living facilities allow CNAs to get patient blood sugar readings and perform blood glucose machine checks to ensure accuracy. Can an RN prepare and give insulin injections to residents? 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