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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.
The UAP is responsible for accepting the delegation, seeking clarification of and affirming expectations, performing the task correctly and timely communicating results to the nurse. Only the implementation of a task/activity may be delegated. Assessment, planning, evaluation and nursing judgment cannot be delegated.
The UAP is responsible for accepting only those delegated acts for which they are competent to perform. Only the implementation of a task/activity may be delegated. Assessment, planning, evaluation, and nursing judgment cannot be delegated.
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.
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
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The nurse may delegate the administration of small-volume and large-volume enemas to UAPs, as well as the administration of enemas until clear. Application of a fecal incontinence device may also be delegated to UAPs. Digital removal of stool is not delegated to unlicensed assistive personnel (UAP).
The 5 rights of delegation serve to guide appropriate transfer of responsibility for the performance of an activity or task to another person. These rights are defined as having the right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
Routine tasks, such as taking vital signs, supervising ambulation, bed making, assisting with hygiene, and activities of daily living, can be delegated to an experienced UAP. The charge nurse appropriately delegates the routine task of feeding to the UAP.

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