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The nurse is overloaded and a patient’s IV needs to be discharged. The nurse asks a nursing assistant to get rid of it. However, the nursing assistant knows this is against policy and it is outside of the nursing assistant’s certifications. What should the nursing assistant do?

A Inform the nurse this is outside of his or her scope of practice, but ask if there is anything else they can help with.

The nursing assistant should never carry out actions they are not certified to conduct. They need to inform the nurse (who may not be aware). They can offer to assist with something else to help reduce the nurse’s workload. Going over the nurse’s head to the change nurse is not essential and ignoring the issue will cause larger problems.