Category 3 Tasks – Not to be performed by adult social care staff in any circumstances

19.     Category 3 Tasks – Not to be performed by adult social care staff in any circumstances

19.1    Generally any task which is invasive or requires a member of care staff to make a judgement without the guidance of a health professional is unacceptable.

19.2    Unacceptable Tasks List

• The management of supra-pubic catheters, other than changing the bag and cleaning the site
• Intermittent catheterisation
• Bladder compression
• Management and treatment of pressure ulcers, other than planned interventions such as positioning the person
• Manual evacuation of the bowel
• Administration of rectal enemas
• Administration of microlax enemas
• Insertion of prescribed vaginal pessaries
• Taking of venous blood samples
• Taking pulse or blood pressure readings
• The administration of medicines through a nebuliser for acute or emergency conditions
• Giving any medicines via injection (except insulin in residential care)
• Flushing to unblock any feeding tube or line. Help should be summoned from the district nursing team to assist with this
• Assisting with the cleaning and replacement of tracheostomy tubes
• Assisting with the dialysis process
• Assisting with syringe driver pain relief systems
• Fitting of prescribed supports for the control of hernias
• Aspiration of naso-gastric tube
• Naso-gastric tube feeding
• Oral suction, other than oral aspiration of excess saliva from the front of the mouth with suction equipment
• Suction through tracheostomy tube
• The administration of pre-measured doses of medicine via a naso-gastric tube