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Concept
Unlicensed assistive personnel
Summary
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.
Official source
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