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照護管理 · EASY · MCQ

護理師在外科病房進行工作分派,下列哪項工作適合委託給病房助理(UAP)執行?

A nurse is working in a medical-surgical unit and is delegating tasks. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?

  • AMeasuring and documenting the output from a surgical drain
    測量並記錄手術引流管的引流量
  • BEvaluating the skin integrity around a pressure ulcer
    評估壓瘡周圍的皮膚完整性
  • CEducating the client on the signs of wound infection
    對病人進行傷口感染徵兆之衛教
  • DAssisting a client with post-operative ambulation✓ 正解
    協助病人術後下床行走
Explanation · 中文詳解

根據護理委派原則,UAP 可執行常規性、非侵入性且結果穩定的護理活動。協助術後下床活動屬於基本生活協助,適合 UAP。A(測量引流量)雖然看似簡單,但涉及引流管評估,在某些醫院屬於護理師職責;B 和 C 涉及專業評估與健康教育,屬於護理師之非委派範疇。

According to nursing delegation principles, UAPs may perform routine, non-invasive nursing activities with predictable outcomes. Assisting with postoperative ambulation is basic care assistance and is appropriate for the UAP. Option A (measuring drainage output) appears simple but involves assessment of the drain; in some hospitals this falls within the nurse's responsibility. Options B and C involve professional assessment and health teaching, which fall outside the scope of delegation to UAPs.

✦ 台美臨床差異

美國 UAP 權責較廣,可執行部分簡單導管護理;台灣依醫療法規,UAP 多負責基本照護,技術性護理多由護理師執行。

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