Healthcare Accountability and UCPs

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Questions and Answers

What do UCPs (unregulated care providers) refer to?

Both A and B (correct)

Paid care workers

Family members

Volunteers

Where can UCPs be found?

Hospitals

Long-term care facilities

Community care

All of the above (correct)

What is accountability in the context of UCPs?

Critical thinking to determine if actions were appropriate and giving an answer for what occurs.

Define responsibility in relation to UCPs.

Reliability, dependability, and obligation to accomplish work. Signup and view all the answers

What factors should be considered when deciding on activities performed by UCPs?

Client assessment, benefit and risk assessment, and environmental supports. Signup and view all the answers

What are the expectations for nurses who work with UCPs?

Teaching, delegating, assigning, and supervising. Signup and view all the answers

List the conditions under which a task can be delegated.

<ol> <li>Nurse has the knowledge, skills, and judgment to perform skill competently. 2. Nurse has ability to teach procedure. 3. Nurse accepts sole responsibility to teach and delegate procedure. 4. Nurse has determined that UCP has the needed skills to carry out procedure safely. 5. Teaching can be for more than one client but delegation is client specific. 6. Nurse evaluates ongoing competence of UCP.</li> </ol> Signup and view all the answers

How many rights of delegation exist?

5 Signup and view all the answers

List the rights of delegation.

<ol> <li>Right task 2. Right circumstance 3. Right person 4. With direction and communication 5. Right supervision</li> </ol> Signup and view all the answers

What is a delegator?

A person delegating the controlled act. Signup and view all the answers

What is a delegatee?

A person receiving the delegation. Signup and view all the answers

What are the three authorizing mechanisms?

Orders, initiation, delegation. Signup and view all the answers

What kind of authority is an order?

Authority to perform a controlled act from a physician, nurse practitioner, dentist, midwife, or chiropodist. Signup and view all the answers

Under what circumstances can a substance be administered by a family member without delegation?

When they are members of the household administering substances by injection or inhalation. Signup and view all the answers

When do requirements for delegation include knowledge of the delegatee?

Before a nurse can delegate a controlled act. Signup and view all the answers

What must be documented when delegating a controlled act?

Date of delegation, delegator's name, delegatee's name, and applicable conditions. Signup and view all the answers

Study Notes

Unregulated Care Providers (UCPs)

UCPs include paid care workers like personal support workers (PSW), health care aides, unit aides, and family members.
Found in various environments such as hospitals, long-term care facilities, community care agencies, and private employment settings.

Accountability and Responsibility

Accountability involves critical thinking to assess the appropriateness of actions and performing retrospective reviews.
Responsibility encompasses reliability and the obligation to meet acceptable performance levels aligned with education and training.

Decision-Making Factors for UCPs

Important factors when assigning activities involve thorough client assessments, evaluations of benefits vs. risks, and consideration of environmental supports.

Nurse Expectations with UCPs

Nurses are expected to teach, delegate tasks, assign responsibilities, and supervise UCPs to ensure quality care.

Exempted Acts and Delegation

Exempted acts require routine tasks, stable patient conditions, predictable outcomes, proper teaching by qualified personnel, and periodic monitoring.
Delegation is the process where a regulated healthcare provider grants authority to someone unlicensed for controlled acts.

Delegation Conditions and Rights

Six conditions for effective teaching and delegating include knowledge, teaching ability, responsibility acceptance, assessment of UCP's skills, specific client-focused delegation, and ongoing competence evaluation.
Five rights of delegation entail the right task, circumstance, person, direction/communication, and supervision.

Roles in Delegation

The delegator is the individual assigning the controlled act while the delegatee is the recipient of that delegation.

Authorizing Mechanisms

Three mechanisms to perform controlled acts: orders from licensed professionals, initiating actions independently, or through delegation.

Activities of Living

Routine activities of living are predictable and established over time, while activities like wound care below the dermis require delegation.
Family members are not required to delegate for administering substances, but paid providers must have delegation for similar tasks.

Requirements of Delegation

Effective delegation requires authority, competence, a nurse-client relationship, appropriateness, and documentation to ensure safety and effectiveness.

Dispensing and Documentation

Dispensing cannot be delegated, and each delegation requires documentation of specifics, including the date, names of the delegator and delegatee, and any applicable conditions.

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Description

This quiz delves into the roles and responsibilities of Unregulated Care Providers (UCPs) and the expectations of nurses in various healthcare settings. It also addresses decision-making factors and accountability in care provision. Test your knowledge on UCPs and the dynamics of healthcare support roles.