The nurse is working on a unit that is shorthanded due to another nurse's illness. The manager was unable to replace the nurse, so the extra clients were assigned to the remaining nurses
The manager was able to get the help of unlicensed assistive personnel (UAP) from the house pool to help on the unit. In order for effective care to be given to the clients, the nurses would: 1. Delegate tasks to the UAP.
2. Explain to the manager that care may be compromised if another nurse does not work the shift.
3. Tell the clients their care will be sparse.
4. Tell the manager what tasks the UAP should undertake.
1. Delegate tasks to the UAP.
Rationale:
The nurses would delegate to the UAP tasks such as taking and recording vital signs, performing a.m. care, and ambulating clients to ensure that all clients receive appropriate care. The goal for the unit is to meet the needs of the clients; complaining to the manager will not accomplish this. UAPs can be very helpful because they are trained to complete tasks that the nurses would not have time to complete, thus accomplishing the goal of care for all clients on the unit. To alleviate clients' anxiety, the nurse may tell them that extra help is coming for the shift. Nurses delegate tasks directly to the UAPs rather than telling the manager what needs to be done.
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