— 照護管理 · EASY · SATA —
護理師可以將哪些任務委派給輔助人力(UAP)?(選所有適合的)
Which tasks are appropriate for a nurse to delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with a bed bath✓ 正解協助穩定的病人進行床上擦澡
- BMeasuring and recording output from a Foley catheter✓ 正解測量並記錄導尿管的排出量
- CEducating a client on insulin injection techniques教育病人胰島素注射技巧
- DFeeding a client who is at risk for aspiration餵食有吸入風險的病人
- ECollecting a routine morning urine specimen✓ 正解收集常規晨間尿液標本
— Explanation · 中文詳解 —
委派原則為:不可委派評估(Assessment)、教導(Teaching)、評值(Evaluation)或複雜的護理程序。洗澡、測量尿量與留尿屬常規照顧,適合 UAP。餵食嗆咳風險高的病人需專業評估吞嚥功能,教育則屬護理師的核心專業職責,皆不可委派。
Delegation principles: assessment, teaching, evaluation, and complex nursing procedures may not be delegated. Bathing, measuring urine output, and routine specimen collection are appropriate for UAPs. Feeding a patient at high risk for aspiration requires a professional swallowing assessment, and teaching is the nurse's core professional responsibility – both should not be delegated.
✦ 台美臨床差異
美國 UAP 權責劃分嚴格;台灣照服員在醫院中角色類似,但法規上對於執行侵入性或觀察性護理任務的界線較為模糊。