護理師在內外科病房工作，並將任務分派給輔助人員 (UAP)。下列哪項任務適合分派給 UAP？
A nurse is working in a medical-surgical unit and is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?
- AEducating a patient on the side effects of prescribed antibiotics對病人進行處方抗生素副作用之衛教
- BEvaluating the skin integrity around a surgical wound評估手術傷口周圍之皮膚完整性
- CAssisting a patient with a new colostomy in changing the appliance協助新造口病人更換造口袋
- DMeasuring and documenting the output of a patient with a urinary catheter✓ 正解測量並記錄留置導尿管病人之尿液排出量
根據護理分派原則，UAP 可執行標準化、低風險且非侵入性的日常護理活動。測量與記錄尿量屬於常規生理監測，符合 UAP 工作職責。評估傷口（B）、協助複雜造口護理（C）及衛教（A）皆涉及專業護理判斷或評估，必須由護理師親自執行，不可委派。
By the principles of nursing delegation, UAPs may perform standardized, low-risk, non-invasive routine care activities. Measuring and documenting urine output is routine physiologic monitoring and is within the UAP scope. Wound assessment (B), complex colostomy care (C), and education (A) all require professional nursing judgment or assessment and must be performed by the registered nurse; they cannot be delegated.
美國 UAP 工作範疇廣且明確；台灣醫療場域常由照服員協助，但護理師分派時仍需考量法規與照服員訓練背景。