Question

Delegation Decision: Which nursing interventions could be delegated to unlicensed assistive personnel (UAP) (select all that apply)?

a. Assess the need for catheterization.
b. Use bladder scanner to estimate residual urine.
c. Teach patient pelvic floor muscle (Kegel) exercises.
d. Insert indwelling catheter for uncomplicated patient.
e. Assist incontinent patient to commode at regular intervals.
f. Provide perineal care with soap and water around a urinary catheter.

Answer 1

UAPs can assist incontinent patients to the commode and provide perineal care under direct supervision of a registered nurse. More complex tasks like assessment and catheterization are outside their scope.

Step-by-step explanation:

When considering which nursing interventions could be delegated to unlicensed assistive personnel (UAP), we have to ensure that the tasks do not require the professional judgment and advanced skills of a registered nurse. Under the direct supervision of a registered nurse, UAPs can perform certain duties.

• Assist incontinent patient to commode at regular intervals.
• Provide perineal care with soap and water around a urinary catheter.

These tasks are within the scope of practice for UAPs as they focus on basic patient care activities. Tasks such as the assessment for catheterization, use of a bladder scanner, teaching Kegel exercises, and inserting a catheter are more complex and require professional nursing competencies.

It is important for the nursing staff to ensure the UAPs are adequately trained and competent in the tasks being delegated, and that they have clear guidance and direct supervision, especially when providing dialysis treatments or in relation to elderly patients who might face physical challenges related to urinary functions.