Which task can the nurse delegate to UAP during a blood transfusion?

In the context of blood transfusion protocols, the task that can be delegated to a UAP (Unlicensed Assistive Personnel) is measuring vital signs before starting the transfusion. This is appropriate because obtaining baseline vital signs is a routine procedure that does not require the critical assessment skills of a registered nurse. UAPs are trained to accurately take and record vital signs, making it safe for them to perform this task as long as they understand the importance of reporting any abnormalities to a nurse.

On the other hand, tasks such as checking client identification and measuring vital signs during or after the transfusion involve critical thinking and clinical judgment that are essential for ensuring patient safety and managing potential complications. These responsibilities should remain with a registered nurse, who can interpret the data and respond appropriately to any changes in the patient’s condition. Similarly, picking up blood from the blood bank also involves checking for the right blood type and matching it with the patient, which requires nursing judgment and is not within the scope of practice for UAPs.