Question

Which intervention related to restraint use is appropriate to delegate to nursing assistive personnel (NAP)? Select all that apply. One, some, or all responses may be correct.

1 Appropriate use of restraints
2 Determination of the need for restraints
3 Assessment of the client's behavior
4 Routine checks of the client while in restraints
5 Orientation of the client to the environment

Answer 1

Nursing assistive personnel (NAP) can be delegated tasks for monitoring and ensuring the safety of a client in restraints, such as performing routine checks and orienting the client to the environment. Advanced judgment tasks like assessing behavior or the need for restraints are not within NAPs' scope.

Step-by-step explanation:

When considering which interventions related to restraint use are appropriate to delegate to nursing assistive personnel (NAP), it is important to understand the scope of practice for both registered nurses (RNs) and NAPs. In general, tasks that require professional judgment, such as assessing the need for restraints and evaluating a patient's behavior, cannot be delegated to NAPs. However, there are specific tasks that can be delegated safely and appropriately.

These tasks are within the NAPs' scope of practice, as they involve observation and providing basic care and comfort, which do not require the advanced judgment that registered nurses or licensed practical nurses possess. It is crucial that any delegation of tasks related to restraints follows hospital policy and state regulations, and that NAPs are properly trained and competent in these tasks.