Which of the following actions can a UAP not perform in the skilled nursing unit?

In a skilled nursing unit, the responsibilities of a Unlicensed Assistive Personnel (UAP) are clearly defined, particularly to ensure that tasks requiring professional judgment and clinical assessment are performed by licensed personnel. Changing a soiled colostomy bag falls into the category of procedures that necessitate a higher level of knowledge and skill concerning aseptic technique, wound care, and potential complications associated with stoma care. This task requires a licensed nurse, as they can assess the condition of the skin around the stoma, identify any signs of infection or other complications, and educate the patient on care required.

On the other hand, providing companionship, reporting changes in a resident's condition, and assisting with mobility are within the scope of practice for a UAP. Although UAPs may report observations, they do so under the guidance of licensed personnel, but direct reporting is limited to observable changes without judgment. Therefore, changing a colostomy bag is not an appropriate task for UAPs, highlighting the importance of utilizing trained nursing staff for certain clinical tasks in skilled care settings.