The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

A. An oncology nurse is a licensed nurse who is knowledgeable about blood transfusions and patient safety protocols. They are qualified to double-check the blood label against the client ID bracelet, as they understand the importance of this process in preventing transfusion reactions.
B. Assistive personnel (like nursing assistants or aides) typically do not have the training or authority to perform safety checks on blood products. They are generally involved in basic care tasks and do not have the necessary knowledge to verify blood transfusion details.
C. While phlebotomists are trained in drawing blood and may understand some aspects of blood work, they typically do not have the authority or training to verify blood products for transfusion. This task requires nursing judgment and knowledge of patient safety protocols.
D. A senior nursing student may have some knowledge of blood transfusion protocols, but they typically do not have the full licensure or experience of a registered nurse. While they may assist with many tasks, they should not be responsible for critical safety checks like verifying blood products for transfusion without supervision from a licensed nurse

A. While nurses can verify that a consent form is signed, they do not typically have the authority to ensure it is completed correctly or to explain the details of the procedure, which is the responsibility of the surgeon. The nurse's role is to ensure the client understands the procedure and has had the opportunity to ask questions, but they do not explain the surgery itself in detail.
B. This is a key responsibility of the nurse. Assessing the client's health status before surgery is critical for identifying any potential risks or issues that may affect the surgical outcome. This includes physical assessments and reviewing the client’s medical history.
C. This action is considered outside the nurse's responsibilities. The explanation of the operative procedure, risks, and benefits is typically the responsibility of the surgeon or the physician performing the surgery. Nurses may provide general information or support but are not the ones who explain the specifics of the surgical procedure.
D. Nurses are responsible for reviewing and interpreting preoperative laboratory results to ensure the client is medically ready for surgery. This review helps identify any abnormalities that may need to be addressed before proceeding with the surgical procedure.