Final answer:
The nurse should demonstrate the appropriate skin care needed to the new unlicensed assistive personnel (UAP) and then delegate the task, ensuring effective and competent care is delivered to the incontinent client. This approach provides direct supervision and reinforces proper procedure and documentation.
Step-by-step explanation:
The nurse should plan to improve the effectiveness of the care given to an incontinent client by demonstrating the appropriate care needed first, and then delegate the task to the new unlicensed assistive personnel (UAP) for the remainder of the shift. This involves the nurse applying direct supervision initially and ensuring that the UAP understands and is competent to perform the skin care procedures correctly. By demonstrating the procedure, the nurse ensures the UAP is aware of proper techniques and the importance of maintaining sterility where necessary, as well as how to monitor and report the patient's vital signs if required.
It is important for the nurse to review items aloud with the team, including that all procedure elements are completed and correctly documented. This includes ensuring that the needle, sponge, and instrument counts are complete (or not applicable), that any specimen is correctly labeled with the patient's name, and if there are any issues with equipment to be addressed. Furthermore, the surgeon, nurse, and anesthesia professional should review aloud the key concerns for the recovery and care of the patient, laying the groundwork for any necessary instructions that need to be passed on to the UAP.