護理師照護癲癇病人,哪些任務可以分配給受過訓練的照護人員(UAP)?(選所有適合的)
A nurse is caring for a client with a history of seizures. Which tasks can the nurse appropriately delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AMeasuring and recording the client's vital signs✓ 正解測量並記錄病人的生命徵象
- BAssisting the client with ambulation to the bathroom✓ 正解協助病人步行至廁所
- CDocumenting the duration and characteristics of a seizure記錄抽搐的持續時間和特徵
- DAssisting with bathing and grooming✓ 正解協助沐浴和整理儀容
- EApplying seizure pads to the bed rails✓ 正解在床欄上安裝防癲癇保護墊
委派(Delegation)遵循「五項權利」(Five Rights of Delegation)。UAP可執行常規性、穩定性高且不需要專業護理判斷的任務。生命徵象測量、日常協助(如沐浴、下床)及環境安全設置(如床欄護墊)屬於此類。關於癲癇發作的觀察、評估與醫療記錄,涉及專業護理判斷,必須由RN執行。
Delegation follows the 'Five Rights of Delegation.' UAPs may perform routine, stable tasks that do not require professional nursing judgment. Measuring vital signs, providing activities of daily living (such as bathing and ambulation), and setting up the environment for safety (such as padding side rails) fall into this category. Observation, assessment, and medical documentation related to seizure activity involve professional nursing judgment and must be performed by the RN.