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Soru

Zorluk: KolayAssignment, Delegation and Supervision

A charge nurse on a rehabilitation unit is organizing daily care tasks for the upcoming shift. Which specific task is most appropriate to delegate to an unlicensed assistive personnel (UAP)?

  1. Applying a routine moisture barrier ointment to the intact skin of an incontinent clientCevap
  2. B
    Instructing a newly admitted client on the proper use of a standard rolling walker
  3. C
    Evaluating a client's respiratory effort thirty minutes after a breathing treatment
  4. D
    Inspecting a healing surgical incision for the presence of abnormal redness or drainage

Cevap

Applying a routine moisture barrier ointment to the intact skin of an incontinent client
Applying a moisture barrier ointment to intact skin is a standard, routine skin care task that does not require nursing clinical judgment, assessment, or teaching. It is a predictable procedure with minimal risk, making it entirely appropriate for a UAP to perform under RN supervision.

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1
Identify the legal scope of practice and permissible duties for an unlicensed assistive personnel (UAP).
UAPs are permitted to perform standard, unchanging procedures, routine hygiene, and basic activities of daily living on stable clients.
Safe delegation requires matching the complexity of the clinical task with the caregiver's educational background and legal scope of practice.
2
Evaluate each proposed task against the principles of nursing delegation to identify any actions requiring clinical judgment.
Teaching the use of a walker, evaluating respiratory effort, and inspecting a surgical incision all require advanced nursing judgment.
The registered nurse retains accountability for the nursing process, which includes initial assessment, comprehensive health teaching, and evaluation of care.
3
Select the task that involves basic, routine care without the need for independent clinical decision-making.
Applying moisture barrier ointment to intact skin is selected as the only delegable task.
This task is a predictable, standard intervention that poses minimal risk to the client when performed correctly.

Anahtar Kavram

Delegation to Unlicensed Assistive Personnel (UAP)
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Konular

Assignment, Delegation and Supervision

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