The nurse observing the unlicensed assistive personnel (UAP) ...

[roselinechinyere27m]

The nurse observing the unlicensed assistive personnel (UAP) using alcohol-based rubs for hand hygiene would recognize that further teaching is required when the UAP performs which act?
 
  1. Rubs palm against palm when washing hands.
  2. Applies a palmful of product into cupped hands.
  3. Interlaces fingers palm to palm.
  4. Dries hands with clean paper towel.

Question 2

The nurse delegates the measurement of vital signs on three clients to the unlicensed assistive personnel (UAP).
 
  The nurse evaluates the UAP's performance and notes that blood pressure is measured on a client by having the client hold the arm hanging over the side of the bed. Which is the priority action by the nurse?
  1. Commend the UAP for following the proper procedure.
  2. Inform the charge nurse that the UAP does not know how to measure blood pressures.
  3. Yell at the UAP and tell her she is incompetent.
  4. Instruct the UAP that blood pressure should be measured with the artery at or above the level of the heart, and demonstrate correct technique.

[coreycathey]

Answer to Question 1

Correct Answer: 4
When using an alcohol-based hand rub, the hands should not be dried. Rubbing of hands palm to palm and interlacing fingers are continued until the product dries, which takes about 20-30 seconds. A palmful of product is generally required to coat all surfaces.

Answer to Question 2

Correct Answer: 4

The nurse is responsible for teaching the UAP how to measure vital signs properly in a professional manner. Demonstrating proper technique is far more effective than just discussing it. The nurse would not commend the UAP for proper technique, because blood pressure measurement performed with the artery lower than the heart will give a false reading. Telling the charge nurse transfers the responsibility held by the nurse delegating the procedure to another team member, and would not be the best choice. Yelling at a team member is never correct, and would be highly unprofessional.