Final answer:
Statements (a) 'UAP can assess vital signs during the first 5 minutes of a blood transfusion' and (c) 'An LPN/LVN can administer continuously ordered dopamine' indicate a need for additional teaching as they fall outside the appropriate scope of practice for these roles.
Step-by-step explanation:
The statements by an RN that indicate a need for additional teaching are:
- Unlicensed assistive personnel (UAP) can assess vital signs during the first 5 minutes for a patient who is receiving a blood transfusion because a reaction at this time is unlikely.
- When dopamine is ordered continuously, the LPN/LVN can administer dopamine at a low dose for the purpose of increasing renal perfusion.
Regarding statement (a), the assessment of a patient receiving a blood transfusion, especially during the critical first minutes, should be done by a registered nurse (RN) or a similarly qualified health professional to promptly identify and respond to any adverse reactions. Statement (c) demonstrates a lack of understanding about the scope of practice since the administration of medications like dopamine, which require careful titration and monitoring, typically falls within the purview of an RN or higher-level provider due to the potential for serious complications.
Statement (b) is correct; an LPN/LVN can administer a PPD (tuberculin skin test) if there is no history of a positive PPD. Statement (d) is also correct, as UAPs can safely transfer patients if they have been properly trained and have shown competency. Statement (e) accurately reflects the principle of delegation, where responsibility can be assigned, but the original delegator maintains accountability for the overall care.