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
