Standard Steps
Coordinated Care
100

To decrease patient anxiety, establish rapport, and ensure the procedure is performed on the correct patient.

Why is it important to introduce yourself to the patient and identify them before beginning a nursing procedure?

100

These situations require the critical thinking and knowledge of a nurse due to their complexity and potential complications.

Why is it inappropriate to delegate the task of first-time catheterization or catheterization of patients with urethral trauma to unlicensed assistive personnel (UAP)?

200

Patient tolerance varies based on illness severity and disability, and it's necessary to provide opportunities for rest or comfort measures as needed.

 Why is it essential to determine the patient's tolerance of the procedure during its execution?

200

Urinary catheterization can typically be delegated to UAP in specific settings, but in most cases, it requires the critical thinking and knowledge of a nurse.

When can the task of urinary catheterization be delegated to unlicensed assistive personnel (UAP)?

300

Timely and accurate documentation is legally required, records patient progress, and promotes continuity of care.

Why is it crucial to document the patient's response to the procedure and any unexpected outcomes?

300

Performing catheter care, including perineal care and cleansing the catheter tubing.

 What aspect of urinary catheterization can usually be delegated to UAP in certain facilities?

400

 Perform hand hygiene after removing gloves and dispose of soiled supplies and equipment according to agency policy and guidelines.

 What is the final step after completing a nursing procedure to prevent the spread of microorganisms and maintain cleanliness?

400

Performing catheter care, including perineal care and cleansing the catheter tubing.

What aspect of urinary catheterization can usually be delegated to UAP in certain facilities?

500

Assist the patient to a position of comfort, ensure needed items are within reach, and make sure the patient has a means to call for help and knows how to use it.

What should a nurse do to promote comfort and safety for the patient immediately after completing a procedure?

500

 Catheter irrigation.

Which aspect of urinary catheterization requires the knowledge of a nurse and is inappropriate to delegate to UAP?

600

 Patient tolerance varies based on illness severity and disability, and it's necessary to provide opportunities for rest or comfort measures as needed.

 Why is it essential to determine the patient's tolerance of the procedure during its execution?

600

 It may be acceptable in some settings, but initial patient evaluation and coordination of repeated specimens require the knowledge of a nurse.

In what situations is it acceptable to delegate the task of obtaining urine specimens from a catheter to UAP?

700

Explain the procedure in terms the patient can understand, advise them of any unpleasantness, and give them time to ask questions.

 What action should a nurse take to promote patient cooperation and prepare them for a procedure?

700

 Caring for a newly established suprapubic catheter, as it requires the knowledge of a nurse.

  What is inappropriate to delegate to unlicensed assistive personnel (UAP) regarding newly established suprapubic catheters?

M
e
n
u