Approved DOT Procedures for Healthcare Assistants

To the right is a long list of DOTs that were approved as of 2006. Some may have been added to this list. I will include the instructions for a few of the DOTs so you have an understanding of the importance of the procedure. A nurse is the person who should be delegating the procedures to Health Care Assistants.

There are samples for most of the approved DOTs as of November 2006

DOT Procedures

Peritoneal Dialysis:

  • Emptying Peritoneal Dialysis Drainage Bag
  • Hanging Peritoneal Dialysis Solution

Gastrointestinal:

  • Administration of Tube Feeding
  • Assist to Flush the Feeding Tube
  • Digital Stimulation
  • Preparation of (Tube) Feeding Bag and Tubing

Genitourinary:

  • Cleaning of Urinary Drainage Bag and Tubing
  • Condom Drainage Application
  • Emptying the Urinary Drainage Bag
  • Urinary Leg Bag Application
  • Urinary Leg Bag Application, Emptying the Urinary Drainage Bag, and Cleaning of Urinary Drainage Bag and Tubing

Medications:

  • Administration of Fleet or Microlax Enema
  • Administration of Liquid Oral Medication (New)
  • Administration of Medications Via a Nebuliser System
  • Administration of Metered Dose Inhalers (MDI) via Spacer with Mouthpiece (New)
  • Administration of Mycocide Liquid/Drops
  • Administration of Oral Medications From Blister Pack
  • Administration of Prescription Shampoo (Revised)
  • Application of Prescription Ointment/Cream (Revised)
  • Application/Removal of a Medicated Transdermal Patch
  • Inhaled Medication via Diskus
  • Inhaled Medication via HandiHaler
  • Insertion of Rectal Ointment Cream
  • Insertion of Rectal Suppositories as Part of Bowel Routine
  • Insertion of Vaginal Medication
  • Instillation of Ear Drops
  • Instillation of Eye Drops (Revised)
  • Instillation of Eye Ointment (Revised)
  • Instillation of Nasal Spray (Revised)
  • Instillation of Nasal Spray Calcitonin

Ostomy:

  • Emptying, Cleaning and Reapplying Ostomy Pouch (Two Piece Open-Ended)
  • Emptying, Cleaning and Changing of Urostomy Appliance
  • Changing a One-Piece Closed-Ended Ostomy Appliance
  • Changing a One-Piece Open-Ended Ostomy Appliance
  • Changing a Two-Piece Closed-Ended Ostomy Appliance
  • Changing a Two-Piece Open-Ended Ostomy Appliance

Stockings:

  • Application of Antiembolism Stockings (TEDS)

Respiratory:

  • Administration of Pre-set Oxygen via Nasal Cannula
  • Changing and Cleaning of Tracheostomy Inner Cannula
  • Changing of Tracheostomy Tie
  • Cleaning Humidifier Bottle
  • Cleaning Medication Nebuliser
  • Cleaning of Concentrator Filter
  • Cleaning of Nasal Cannula (New)

Wound & Skin:

  • Application of Protective Dressing to Intact Skin
  • Application of Hot Packs
  • Changing Outer Dressing
  • Removal and Application of Non-Sterile Dressing Around Tube