A nurse delegates a task to the unlicensed assistive personnel (UAP). The UAP states, "I can't do that." Which is the best initial response for the nurse to make?

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Just as in clinical situations, the nurse should first assess in management situations. The UAP may not have the skills or abilities to do the task or the availability if doing something else. The nurse may need to reprioritize the tasks that the UAP has been delegated or provide additional instructions/education. However, finding out the reason for the response is the first step. (Option B) This does not solve the issue. The RN does not have the time to do everything, which is the reason for delegating. Speaking to the manager is an appropriate response if there is a pattern of insubordination or refusals, such as when the UAP is capable, not busy, and yet does not respond to the nurse's encouragement to help out. (Option C) It is important to find out the reason for the response to ensure client safety and completion of the task. A repeat request would be more appropriate if the UAP did not indicate a response (maybe the UAP didn't hear or understand) or gave an inappropriate response (eg, not my team). (Option D) This response is more appropriate if the UAP has the ability and availability but is citing something else for the refusal, such as the task not belonging to the UAP's assigned team. Assessment for the reason should be first. Educational objective: In managing the team, first find out (assess) the reason for a refusal to do a task.

A Nurse Delegates a Task to the Unlicensed Assistive Personnel