If anyone can clear it up for me..?

[BrklynNYgal]

Just a few questions. I am seeing different answers depending on the book..

1)Can a UAP do routine trach care?

2) Can a UAP do ulcer care?

3) Does phantom limb pain go away?

Thanks all so much!!:heartbeat

[plumpsters]

i dont believe UAP can do trach or ulcer care. Leave those for LVNs. Im not sure if phantom limb ever goes away (im sure some do, and some dont). I remember watching something on phantom limb pain years ago, and some ppl still experience it several years after the initial injury.

[BrklynNYgal]

Thanks, thats what I thought about the trach and ulcer care but i did 2 questions on the NCSBN and it says that you CAN delegate it and it goes against what I thought all these years. Thanks for the input:typing

[hypocaffeinemia, BSN, RN]

In Texas, according to our NPA you can delegate essentially any skill provided the person you are delegating to is competent in the skill, so whether or not specific skills can be delegated is often a matter of facility policy. I would imagine that places like LTACHS would have UAP that are competent to provide routine hygiene to a trach (and in the LTACH I did clinicals in, they did just that).

[suzanne4, RN]

Trach care can be delegated to an unlicensed person if that is something that they have been trained in and the facility has a policy for it.

Wound care needs very specific documentation so it needs to be observed by the RN daily; if you are there for the care, then not an issue.

Delegation can be done for anything that the person is trained to do and is covered by the facility to do. Administration of medication would be something that they could not do, education is another. Assessment is something also that cannot be delegated to the unlicensed person, and even to the LPN. An assessment by an RN is required for every shift.

[suzanne4, RN]

Phantom limb pain can exist years out, not just after the procedure for the amputation is done.

[BrklynNYgal]

Thanks.