Which aspect of intravenous therapy could the nurse safely delegate to the unlicensed assistive personnel (UAP)?
1. Watching the IV insertion site of the client who complained of pain at the site
2. Changing the IV site dressing on the client's left hand
3. Reporting client's complaints of pain or leakage from the IV site when bathing the client
4. Replacing client's IV solution when bag runs dry if it is only D5W, without medications added
3
Rationale 1: The UAP is not responsible for assessing the site.
Rationale 2: The IV dressing should be changed using sterile technique, and should not be delegated to the UAP.
Rationale 3: The UAP can safely be taught to report complaints of pain or leakage from an IV site if it is noted during routine care.
Rationale 4: UAP. Whether medications are added to the IV fluid or not, only the nurse can change the bag, because sterile technique is required, and even a plain solution is considered a medication.
Global Rationale: The UAP can safely be taught to report complaints of pain or leakage from an IV site if it is noted during routine care, but the UAP is not responsible for assessing the site, because the nurse is responsible for all assessments. The IV dressing should be changed using sterile technique, and should not be delegated to the UAP. Whether medications are added to the IV fluid or not, only the nurse can change the bag, because sterile technique is required, and even a plain solution is considered a medication.
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