Foley Catheter Removal by CNAs: Legal Rights & Scope of Practice

In the U.S., the scope of practice for Certified Nursing Assistants (CNAs) varies by state. Generally, CNAs provide basic care (bathing, dressing, feeding). Some states allow CNAs to perform additional tasks like Foley catheter removal only if they have received specific training and the state's regulations permit it.

Key Considerations

• State Regulations: Check the specific state's nurse practice act and administrative rules.
• Training & Competency: The CNA must have documented, hands-on training and competency verification.
• Supervision: Typically, a registered nurse (RN) or physician should perform or directly supervise catheter removal.
• Emergency Exception: In rare emergencies, a trained CNA might be authorized to remove a catheter.

Best Practice: Foley catheter removal is generally recommended to be performed by an RN or physician due to potential complications (trauma, infection, bleeding). CNAs should only do so where legally permitted, properly trained, and adequately supervised.