Module A - Role of Nurse Aide on Health Care Team Flashcards
The Components of Delegation to a UAP
- Assessment and Implementation
- Communication
- Supervision and Monitoring
- Evaluation and Feedback
COMPONENT1:
Assessment and Implementation
Decision Tree For Delegation to UAP Questions
Is the Task
1. Within the scope of practice of the RN/LPN
2. Activity allowed by the Nursing Practice Act, board Rules, Statements
3. Is the RN/LPN competent to make the delegation decision
4. Meets the CRITERIA/ RULES for delegating to a UAP
5. UAP is properly Trainedand validated as competent
6. skills of UAP matches task
7. Rules are in place for the task
8. appropriate supervision available
CRITERIA FOR DELEGATING TASK TO A UAP (RULES FOR DELEGATION)
Tasks:
1. Frequently occurs in daily care
2. An established sequence of steps
3.No/little modification
4. Predictable outcome
5. No ongoing assessment/decision-making
6. Does not put the patient’s life at risk
DELEGATION
A process of decision-making, critical thinking, and nursing judgment
The decision to delegate is based on
the RN” ‘s assessment of the client’s nursing needs
UAP
Unlicensed /assistive personnel
* Friends and family are not UAP
NURSING CARE ACTIVITIES
ACTIVITIES delegated by An RN delegates.
PATIENT CARE ACTIVITES
Activities if health care needs are incidental to personal care
WHO DETERMINES WHAT ACTIVITIES ARE DELEGATED
the Board
UAP RESPONSIBILITIES
- Accepting the task
- Seeking clarification/ ask questions
- affirming expectation
- performing the task correctly
- timely reporting of results
Only part of the Nurse’s role that can be delegated
Implementation
What is not considered Delegation
- Assisting a nurse with a task
- Direct visual supervision
5 RIGHTS OF DELEGATION
- RIGHT TASK: Delegation criteria/rules met
- RIGHT CIRCUMSTANCE: delegation is appropriate to client and setting
- RIGHT PERSON:
- RIGHT COMMUNICATION
- RIGHT SUPERVISION
NURSE’S ROLE IN COMMUNICATION
UAP ROLE IN COMMUNICATION
DOCUMENTATION MUST BE
- TIMELY
- COMPLETE
- ACCURATE
COGNITION
How messages are collected from the 5 senses
stored in memory
recovered from memory
and later used to ask questions
ability to think logically and clearly
GROOMING
tasks to maintain someone’s appearance
HYGIENE
tasks that are done to keep bodies clean and healthy
North Carolina Board of Nursing Administrative Code
Defines range of function for nurse aides in NC
North of Carolina Board of Nursing
regulatory body that provides list of tasks that fall within the range
North Carolina Health Care Personnel Education and Credentialing Section
provides services to UAPs and their employers
. Maintains the registry
. Approves Nurse Aide Training Programs
OBRA
Omnibus Budget Reconciliation Act
. 1987
. to improve the quality of life of residents living in a nursing home environment
. Comprehensive review/ update of regulations
. effective November 28, 2016
. defines requirements for nurse aide training and competency evaluation, and the nurse registry
Registry Requirements
- Passing Nurse 1 Aide Assessment program (NNAAP)
- Computer-based testing ( make be taken 3 times)
- Demonstrate 5 skills
