The nurse is in charge on a medical-surgical floor. The assignment has a nursing assistant listed to transfer a client from the bed to the chair using a mechanical lift, a task within the nursing assistant's scope of practice and job description. When the nursing assistant sees the written assignment and says, 'I don’t know how to use our mechanical lift,' how should the nurse respond?
The nurse is in charge on a medical-surgical floor. The assignment has a nursing assistant listed to transfer a client from the bed to the chair using a mechanical lift, a task within the nursing assistant's scope of practice and job description. When the nursing assistant sees the written assignment and says, 'I don’t know how to use our mechanical lift,' how should the nurse respond?
A. “It is your responsibility to be able to use it. You have been taught about its proper and safe use; this is part of your job description.”
[1%]
B. “I have looked at your competency checklist and you were deemed competent to use mechanical lifts during your orientation.”
[2%]
C. “Thank you for letting me know. I will work with you as we transfer the client safely and properly with the mechanical lift.”
[95%]
D. “Oh, that is okay. I will assign the transfer of this client using a mechanical lift to another nursing assistant.”
[2%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Assignment/Delegation
Client Need
Test Plan
Safety & Infection Control
Related Topic
Safe Use of Equipment
Item Type
Item Type
Application
Explanation
Choice C is correct. The nurse should respond to the nursing assistant by saying, “Thank you for letting me know. I will work with you as we transfer the client safely and properly with the mechanical lift.” This statement allows the nurse to reeducate the nursing assistant about the use of a mechanical lift and determine the nursing assistant’s ability and competency to use it.
Choice A is incorrect. The nurse would not respond with a statement such as, “It is your responsibility to be able to use it. You have been taught about its proper and safe use; this is part of your job description.” This statement does not address the underlying learning need of the nursing assistant.
Choice B is incorrect. The nurse would not respond with a statement such as, “I have looked at your competency checklist, and you were deemed competent to use mechanical lifts during your orientation.” This statement does not address the underlying learning need for retraining and education about the use of a mechanical lift.
Choice D is incorrect. The nurse would not respond with a statement such as, “Oh, that is okay; I will assign the transfer of this client using a mechanical lift to another nursing assistant.” This statement does not address the underlying learning need for retraining and education about the use of a mechanical lift.
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Additional Info
✓ The nurse emphasizes a collaborative approach by saying, "I will work with you." This demonstrates teamwork and a commitment to helping the nursing assistant succeed in the task.
✓ If the nursing assistant requires additional training or feels uncomfortable using the mechanical lift, it's essential to provide ongoing education and support to enhance their skills and confidence.
✓ Before using the mechanical lift, the nurse and nursing assistant should check the equipment for proper functioning, cleanliness, and safety. Any issues with the lift should be reported and addressed promptly.
