UAP Skills Checklist for Nurse Delegation 2026

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  1. Click ‘Get Form’ to open the UAP Skills Checklist in our editor.
  2. Begin by entering the Agency Name, UAP name, and Date at the top of the form. This information is essential for proper documentation.
  3. In the 'Nurse' section, fill in the Nurse's name and phone number to ensure clear communication.
  4. For the 'Delegation Skill Review', check either 'Evaluation of new UAP' or 'Renewal evaluation for UAP' based on your needs.
  5. Proceed to fill out the 'Basic Medication Information and Medical Terminology' section. Here, you will state common medical abbreviations, dosage forms, and rights related to medication assistance.
  6. Demonstrate appropriate techniques for obtaining vital signs such as Blood Pressure and Pulse by checking off each skill as it is validated.
  7. In the 'Assistance with Medications' section, check all types of medications for which competency has been demonstrated.
  8. Complete any additional nursing tasks validated and ensure all documentation fields are filled accurately before saving your work.

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Tasks RNs can delegate to unlicensed assistive personnel (UAP) Assisting clients with ADLs (eating, bathing, toileting, ambulating) Obtaining routine vital signs. Monitoring and recording intake/output (food, drink, )
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated. But if the patient is morbidly obese, recovering from surgery, or frail, work closely with the UAP or perform the care yourself.
The tasks that may be delegated to the NAP can be divided into two categories―a basic and a secondary skill set. The basic skills consist of those tasks that support a patients activities of daily living, hygiene, and nutrition as well as those tasks that support professional nursing assessments.
Taking the vital signs is within the scope of practice of an unlicensed assistive personnel (UAP). While UAPs cannot handle medications, they can transport blood products. A UAP cannot be tasked with identity verification. Also, assessment and evaluation of the effect of interventions on care cannot be delegated.
UAPs (Unlicensed Assistive Personnel) Assist patients with activities of daily living (ADLs), including: Eating. Bathing. Toileting. Perform routine procedures that do not require clinical assessment or critical thinking, such as: Phlebotomy (except for arterial punctures) Take vital signs.

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