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照護管理 · MEDIUM · SATA

護理師為一群病人規劃照護工作,下列哪些任務可安全指派給非技術性護佐(UAP)?(選所有適合的)

A nurse is planning care for a group of clients. Which tasks can be safely delegated to an unlicensed assistive personnel (UAP)? (Select all that apply.)

  • AMeasuring and recording intake and output✓ 正解
    測量並記錄液體進出量
  • BPerforming a sterile dressing change
    進行無菌敷料更換
  • CAssisting a client with ambulation after surgery✓ 正解
    協助病人於術後行走
  • DEducating a client on insulin injection techniques
    衛教病人胰島素注射技巧
  • EFeeding a client who is at risk for aspiration
    餵食有吸入風險的病人
Explanation · 中文詳解

UAP 的職責範疇為執行穩定病人的常規活動。測量輸入輸出量與協助術後早期下床活動皆為標準輔助工作。換藥(侵入性)、病患衛教(護理專業判斷)與餵食吞嚥困難病人(需專業評估以防吸入)皆屬護理師或專業人員責任範圍,不可委派。

The UAP's scope of practice involves performing routine activities for stable clients. Measuring intake and output and assisting with early postoperative ambulation are both standard support tasks. Dressing changes (invasive procedures), patient education (requires professional nursing judgment), and feeding clients with dysphagia (requires professional assessment to prevent aspiration) all fall within the responsibilities of the nurse or other professionals and cannot be delegated.

✦ 台美臨床差異

美國 UAP 權限規範較嚴格;台灣照服員(看護)有時會協助執行部分受訓過後的技術,但護理師仍需負督導責任。

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