A nurse manager along with members of the nurse practice committee are conducting a skills day for assistive personnel (AP) in the medical- surgical unit to validate competency. Select the "3" skills demonstrated by the AP that require immediate follow-up.

A. AP 5-Following simulation, was unable to identify the locations of alarms on medical surgical unit. Understanding the physical location of fire pull stations is a core requirement of the "Alarm" component of the RACE protocol. Failure to locate these alarms during an emergency prevents the timely notification of the fire department and facility-wide alert systems. This knowledge deficit poses a significant risk to the safety of all staff and patients on the unit. B. AP 1-Quickly pulls fire alarm, then proceeds to remove the client from room. The RACE mnemonic mandates that the "Rescue" (Remove) action must occur before any other step in a fire emergency. By pulling the alarm first, the assistant delays the evacuation of the person in the most immediate danger from smoke and heat. Correct sequencing is critical to prioritize life-saving maneuvers for those closest to the source of the fire. C. AP 3-Raised bedrails of the bed for client who was reported not alert or oriented, and was sleeping. Raising side rails for a patient with altered mental status is an appropriate safety measure to prevent accidental falls during sleep. This action does not require follow-up as it adheres to standard fall prevention objectives for non-oriented patients. It demonstrates the assistant's ability to identify and mitigate environmental risks for vulnerable clients. D. AP 4-Successfully completed skills of simulation including emptying the client's trash can. Emptying waste containers is a routine task within the scope of unlicensed assistive personnel and supports a clean, safe environment. Completing the simulation successfully indicates that the staff member followed the expected procedural steps without errors. No corrective action is needed as the assistant met the defined performance criteria during the competency validation. E. AP 6-During simulation, which included assisting client into bed, there was no observed handwashing. Hand hygiene is the primary defense against the spread of multidrug-resistant organisms and healthcare-associated infections. Neglecting to wash hands before and after patient contact is a significant breach of standard infection control precautions. This failure requires immediate intervention and retraining to ensure the staff member adheres to essential hygiene standards. F. AP 7- While disinfecting portable vital sign monitor wore gloves and washed hand prior to leaving room. This staff member followed the correct infection control protocol by using personal protective equipment and performing hand hygiene after equipment disinfection. These actions demonstrate compliance with the objectives for disinfecting patient care equipment and maintaining standard precautions. This performance validates that the assistant is competent in preventing cross-contamination between patients. G. AP 2-Verifies with nurse the order in which protective equipment should be removed. Seeking clarification on the correct doffing sequence is a positive behavior that ensures the assistant does not inadvertently contaminate themselves. Confirming protocols before action shows a commitment to safety and an understanding of the complexities of personal protective equipment. This interaction does not require follow-up as it reflects a responsible approach to maintaining infection control standards.