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Assignment: Unlicensed Assistive Personnel
NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Assignment: Unlicensed Assistive Personnel
What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?
Chapter 8 Unlicensed Assistive Personnel and the Registered Nurse
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Terminology
Unlicensed assistive personnel (UAP) includes
Nurse aides, nurse extenders
Health care aides
Technicians
Patient care technicians
Orderlies
Assistants or attendants
Nursing assistive personnel (NAP): replacement term by ANA in 2007
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Motivation to Use UAP
Arguments
Maximize human resources: free professional nurses from tasks and assignments not requiring independent thinking and professional judgment (nonnursing tasks and functions)
Cost savings: conflicting findings in research
Controversy
UAP are not supplements but replacements of professional RN staff
Variation in scope of practice and lack of minimum educational and training requirements
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Top Reasons for Being Pulled Away from Patient Care
Documenting information in multiple locations
Completing logs, checklists, and other unnecessary paperwork/data collection
Filling out regulatory documentation
Entering/reviewing orders
Walking to equipment/supply areas, utility rooms, etc.
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Educational Requirements
OBRA regulations for certified nurse’s aides
Minimum of 75 hours of state-approved theory and practice
Successful completion of competency exam in both areas
Most UAP training in employing facility with no formal certification
Formal training at vocational schools and community colleges; focus on long-term care; certification only to meet state requirements
Education for acute care settings facility-based; no required educational standards or guidelines
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