When the nurse delegates measurement of vital signs to an unlicensed assistive personnel (UAP), which are the nurse's responsibilities? Select all that apply
1. Assessment of vital sign readings obtained by the unlicensed assistive personnel
2. Assessment of the UAP's skills in measuring vital signs
3. Determination that the vital signs were obtained correctly
4. Follow up on vital sign measurements that are abnormal or unexpected
5. Observe the UAP as she measures vital signs
Correct Answer: 1,2,3,4
Although the nurse can delegate the performance of tasks, the responsibility for those tasks is not delegated, and rests with the nurse. The nurse should review and assess all vital signs. The nurse should determine that the UAP is competent to perform any task delegated to her, and should assess the UAP's competence while performing the task. If the UAP reports an unusual reading, the nurse should recheck the vital sign to determine that it is accurate before treating or responding to the reading. The nurse does not need to follow the UAP around once she is judged to be competent, but the nurse should instruct the UAP regarding exactly what the nurse wants reported immediately and what would be outside the acceptable level.
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