Which task can be delegated to nursing assistive personnel (NAP) in caring for a patient with a pressure ulcer?

• A. Applying an elastic bandage
• B. Performing wound irrigation
• C. Implementing negative-pressure wound therapy
• D. Assessing the patient for the risk of additional pressure ulcers

Answer: (A)

When determining what nursing assistive personnel (NAP) can delegate in wound care, focus on tasks that are routine, noninvasive, and do not require clinical judgment. Applying an elastic bandage fits this well. It is a simple action used to secure a dressing or provide gentle support without needing sterile technique or specialized assessment. It can be performed after proper instruction and under supervision, making it appropriate for delegation.

In contrast, wound irrigation requires aseptic technique and clinical oversight to prevent infection, and implementing negative-pressure wound therapy is a specialized treatment that needs formal training and ongoing monitoring. Assessing a patient for the risk of additional pressure ulcers involves nursing assessment and decision-making that go beyond what NAP typically performs. When the elastic bandage is applied, monitor for signs of impaired circulation (such as color change, numbness, or swelling beyond the bandage) and notify the nurse if any issues arise.