Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP) provided the delegatee has had experience and training?
a. Evaluate the ability of a patient to swallow ice after a gastroscopy.
b. Assist a patient who is postoperative hip replacement to ambulate with a walker for the first time.
c. Change the disposable tracheotomy cannula for a new postoperative tracheotomy patient if secretions are thick and tenacious.
d. Obtain a sterile urine sample from a patient with a Foley catheter that is connected to a closed drainage system.
ANS: D
Correct: Obtaining a sterile urine sample from a patient with a Foley catheter that is connected to a closed drainage system is not an invasive procedure, and risk to the patient is minimal, making the task appropriate for delegation.
Incorrect:
a. Evaluation requires the expertise of the RN; assessing the gag response may prevent aspiration after surgery and is not within the scope of practice for UAP.
b. Assisting a patient who is ambulating after surgery is not an appropriate task to delegate. An RN will have to assess the patient's tolerance and coordinate care on the basis of this assessment.
c. Changing the tracheotomy cannula is a skill that requires critical thinking and carries a high risk for injury, making the task inappropriate for delegation.
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