The labor and delivery charge nurse receives report on several clients. Which task is appropriate for the nurse to delegate to the unlicensed assistive personnel?

Question

The labor and delivery charge nurse receives report on several clients.  Which task is appropriate for the nurse to delegate to the unlicensed assistive personnel?

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11ecbb05_cc10_3f67_b433_35daff05199e_MD0009_00 Nurses must implement the five rights of delegation and understand the delegatee's scope of practice to ensure that tasks are appropriately delegated. Unlicensed assistive personnel (UAP) participate in client care by performing basic tasks (eg, hygiene, activities of daily living) for stable clients; tasks should have a predictable outcome and not require clinical judgment or assessment. five rights of delegation Repositioning an unmedicated, laboring client onto a birth ball is a low-risk, routine task that is appropriate to delegate to a UAP who has received proper training (Option D). In addition, the nurse should provide specific instructions to the UAP (eg, type of position, problems to report) and ensure appropriate completion of the task. (Option A) After a client gives birth with regional anesthesia (eg, epidural), the nurse must evaluate readiness for ambulation (eg, assess sensory and motor function) and observe early attempts to ambulate to ensure client safety. (Option B) The nurse is responsible for ongoing assessments of a client's health status in the triage setting. Therefore, the nurse should not delegate checking a perineal pad to the UAP if doing so may require assessment for leaking amniotic fluid. (Option C) Newborns require frequent monitoring (ie, vital signs) by nurses during the first several hours after birth, which is a vulnerable and potentially unstable time of transition to extrauterine life. Educational objective: Unlicensed assistive personnel may perform low-risk, routine tasks (eg, repositioning a stable, unmedicated client onto a birth ball) that have predictable outcomes and do not require clinical judgment or assessment.

The Labor and Delivery Charge Nurse Receives Report on Several