After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?
Explanation & Rationale
A. Monitoring an intravenous infusion rate involves the assessment of fluid delivery and the mechanical function of medical equipment. This task requires specialized knowledge of pharmacology and potential complications like infiltration or circulatory overload, which are outside the UAP's training. Only a licensed nurse can legally monitor and validate the accuracy of an IV pump schedule. Delegating this to unlicensed staff poses a significant risk for medication errors and fluid imbalances. B. Titrate oxygen to the prescribed parameters: Adjusting oxygen requires clinical judgment and assessment of respiratory status, including oxygen saturation and signs of hypoxia. This is a nursing responsibility and cannot be delegated to a UAP. C. Insert a urinary catheter for an uncomplicated client: Catheter insertion is a sterile procedure that requires nursing knowledge and skill. Delegation to a UAP is not permitted due to the risk of infection and need for proper technique. D. Procuring blood or platelet products from the blood bank is a standard administrative task that falls within the UAP scope of practice. This activity does not require clinical judgment, nursing assessment, or the performance of a sterile procedure. The nurse remains responsible for the final verification of the blood product at the bedside, but the physical transport is a safe delegation. It allows the nurse to remain on the unit for higher-priority clinical duties.