A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP) on a medical-surgical unit. The RN walks into a client's room and observes the UAP using an unsafe technique to transfer a client with right-sided hemiparesis from the bed to a wheelchair. In what order should the RN take the following actions? Arrange the actions in the correct sequence from first to last.
- 1Intervene immediately and assist the UAP in completing the transfer safely.
- 2Assess the client for any injuries, pain, or distress resulting from the movement.
- 3Discuss the incorrect technique with the UAP in a private location outside the client's room.
- 4Review and demonstrate the proper transfer method for a client with hemiparesis.
- 5Evaluate the UAP's competency by observing a subsequent client transfer.
Answer
The correct sequence of actions prioritizes immediate client safety, followed by client assessment, private feedback, corrective education, and follow-up evaluation.
When supervising delegated tasks, the registered nurse must first ensure client safety by immediately intervening in unsafe situations. Once the client is physically secure, a nursing assessment is performed to rule out injuries. After client safety and stability are confirmed, the nurse addresses the staff member's performance privately to maintain professionalism. The nurse then provides corrective education and completes the supervision process by evaluating the staff member's future competency.
Step-by-Step Solution
Key Concept
Delegation and Supervision: Correcting Unsafe Practice