Unlicensed assistive personnel

Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals. UAPs care for patients in hospitals, residents of nursing facilities, clients in private homes, and others in need of their services due to old age or disability. By definition, UAPs do not hold a license or other mandatory professional requirements for practice, though many hold various certifications. They are collectively categorized under the group "personal care workers in health services" in the International Standard Classification of Occupations, 2008 revision. The responsibilities and duties of a UAP include: Observing, documenting and reporting clinical and treatment information, including patients' behavioral changes Assisting with motion exercises and other rehabilitative measures Taking and recording blood pressure, temperature, pulse, respiration, and body weight Assisting with ambulation and mobilization of patients Collecting specimens for required medical tests, Providing emotional and support services to patients, their families and other caregivers Assisting with personal hygiene: bathing, oral hygiene, nail care, and grooming Assisting with dressing, repositioning, feeding, and toileting Some states allow UAPs to administer medications after completing a course or showing they are competent in doing so Most UAPs, including nursing assistants, are not certified to change sterile dressings, distribute medications, insert or remove any tubing, or conduct tube feedings.

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Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions. In the health care system, a health professional who offers medical, nursing or other types of health care services is required to meet specific requisites put into effect by laws governing health care practices.

A health care provider is an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services including medication, surgery and medical devices. Health care providers often receive payments for their services rendered from health insurance providers. In the United States, the Department of Health and Human Services defines a health care provider as any "person or organization who furnishes, bills, or is paid for health care in the normal course of business.

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