If a CNA observes a change in a resident's condition, what is the appropriate action?

• A. Ignore the change if the resident appears stable.
• B. Delay reporting until you have more information from other staff.
• C. Document the change, monitor, and immediately notify the nurse.
• D. Modify the medication plan without supervisor approval.

Answer: (C)

When a resident’s condition changes, the most important step is to escalate the situation promptly through documentation and communication with the nurse. The CNA should record what is observed in clear, objective terms (what changed, when it started, any accompanying symptoms) so the nurse has accurate information to assess. Then the CNA must immediately notify the nurse so the resident can be evaluated and appropriate action taken.

Continue to monitor as directed, but do not interpret the change or alter treatment. Medications and care plans are changed only by the supervising nurse or physician after proper assessment. This approach helps catch potential problems early and keeps the resident safe. For example, if a resident becomes more short of breath, unusually pale, or has new pain, report it right away and document it so the nurse can respond promptly.