A nurse has assigned an assistive personnel (AP) to perform a gastrostomy feeding for a client who has been receiving feedings at home. Which of the following actions should the nurse take to monitor the AP's performance of the task?
Explanation & Rationale
A. Instruct the AP to report back once the task is complete: Simply having the AP report completion does not verify whether the procedure was performed correctly or safely. Observation or demonstration is necessary to ensure competency and client safety. B. Request the AP to provide a return demonstration of the task: Having the AP perform a return demonstration allows the nurse to directly observe technique, adherence to infection control, and correct administration. This method ensures the AP can safely perform the gastrostomy feeding and allows immediate correction of errors. C. Tell the AP to list the steps of the task: Verbalizing the steps demonstrates knowledge but does not confirm the AP’s ability to safely perform the procedure. Skill proficiency requires hands-on demonstration rather than only theoretical recall. D. Ask the family if the AP performed the task correctly: Family feedback may be subjective and unreliable, especially if the family is not trained to recognize correct technique or safety issues. It does not replace direct observation by the nurse.