It is the first day on the job for the newly hired unlicensed assistive personnel (UAP). Which of these illustrate appropriate delegation instructions for the registered nurse (RN) to give the UAP? Select all that apply.

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Directions to the unlicensed assistive personnel (UAP) should be for tasks (versus total client responsibility) with specific and explicit requirements versus those requiring analysis/judgment/evaluation (the nursing process). Elevate leg on 2 pillows is very specific and does not require specialized knowledge or skill (Option A). Report what the client eats at lunch is data collection only (Option D). The RN will analyze the data to see if the amount of food is adequate. (Option B) The UAP may apply compression stockings or devices, but the RN or LPN should measure the client to choose the appropriate size as this is beyond the UAP's scope of practice. (Option C) This involves an assessment that the RN should perform. The RN could ask for specific data, such as amount of urine or presence of blood clots. (Option E) This requires a judgment (is the restraint tight enough/too tight and causing impaired circulation?) that the RN should make. The UAP could be assigned a specific task, such as offering a drink to the client. Educational objective: Assign a new UAP specific tasks that do not require specialized knowledge or skills. The UAP can gather data but should not be asked to assess/analyze/evaluate or measure client for compression devices.

It Is the First Day on the Job for the Newly