The nurse is practicing in an acute care facility, and provides care for a group of clients along with unlicensed assistive personnel (UAP) under the direction of the professional nurse. The nurse is responsible for delegating care to the UAP
One disadvantage of this type of nursing care delivery model might be which of the following? 1. The licensed professional has little time to supervise the UAP.
2. The UAP does not document any care given.
3. The acuity level of the clients might be too high to delegate to the UAP.
4. The fragmented care provided is unsafe.
3
Rationale 1: The trend in client care today is such that clients in the hospital are far sicker. Moderately ill clients are now treated at home, in skilled nursing facilities, or in outpatient settings. There might not be enough care that can be delegated to the UAP to make the position cost-effective. The licensed professional is responsible for supervising and evaluating care given by the UAP, and lack of time is an unacceptable excuse. The UAP generally documents vital signs and other tasks, such as intake and output. Facility policies are designed to maintain client safety, no matter what model of nursing care is used
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