In caring for the postoperative patient on the clinical unit after transfer from the postanesthesia care unit (PACU), which care can the nurse delegate to the unlicensed assistive personnel (UAP)?
The nurse can delegate several tasks to the unlicensed assistive personnel (UAP) in caring for the postoperative patient on the clinical unit after transfer from the postanesthesia care unit (PACU)
The nurse can delegate several tasks to the unlicensed assistive personnel (UAP) in caring for the postoperative patient on the clinical unit after transfer from the postanesthesia care unit (PACU). However, it’s important to note that delegation should be based on UAP’s scope of practice and competence, as well as the policies and regulations of the healthcare facility.
1. Vital signs monitoring: The UAP can regularly measure and record the patient’s vital signs, including temperature, blood pressure, heart rate, and respiratory rate. However, the nurse should communicate any specific parameters or concerns that require immediate attention.
2. Ambulation and mobility assistance: The UAP can assist the patient with activities such as getting out of bed, walking, and using the bathroom. This may include helping them with transfers, providing support during ambulation, and ensuring their safety.
3. Personal hygiene and grooming: The UAP can help the patient with basic personal care tasks like bathing, oral care, and hair grooming. They can also assist with changing the patient’s clothes, ensuring their comfort and promoting hygiene.
4. Feeding and nutrition: If the patient is unable to feed themselves or requires assistance, the UAP can provide help with meal preparation, feeding, and maintaining proper dietary intake. The UAP should follow any dietary restrictions or special instructions provided by the nurse.
5. Positioning and turning: The UAP can assist in moving and repositioning the patient to prevent pressure ulcers and maintain overall comfort. They can help turn the patient from side to side, use appropriate pillows or supports, and communicate any signs of discomfort or pressure points to the nurse.
6. Patient monitoring: The UAP can observe and report any changes in the patient’s condition or behavior, such as increased pain, signs of infection, or unusual symptoms. They should alert the nurse immediately if they notice anything concerning.
7. Assistance with elimination needs: The UAP can help the patient with toileting needs, such as using a bedpan, commode, or assisting them to the bathroom. Additionally, they can monitor and empty urinary catheter bags if applicable.
It is crucial for the nurse to provide clear instructions, monitor the UAP’s performance, and be readily available for any questions or clarifications. Effective communication and proper delegation ensure the safety and well-being of the patient while promoting teamwork and collaboration among healthcare professionals.
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