護理師可以將哪些任務指派給護理佐理員(AP)?(選所有適合的)
Which tasks are appropriate for a registered nurse to delegate to an assistive personnel (AP)? (Select all that apply.)
- AObtaining a routine 12-lead ECG✓ 正解取得常規十二導程心電圖
- BCalculating intake and output totals✓ 正解計算攝入量與排出量總和
- CProviding discharge teaching regarding wound care提供關於傷口護理的出院衛教
- DAssisting a patient with a stable transfer from bed to chair✓ 正解協助病情穩定的病人從床轉至椅子
- EDocumenting skin integrity changes observed during bathing記錄沐浴期間觀察到的皮膚完整性變化
指派原則應遵循「不可指派評估、教學、護理診斷或複雜處置」。AP 可執行標準化、低風險且結果可預期的任務。心電圖檢查、體液量統計、以及協助體能穩定病人的轉位,屬於 AP 職責。而衛教與病灶評估需專業護理判斷,必須由 RN 完成。
Delegation should follow the principle that assessment, teaching, nursing diagnosis, and complex interventions cannot be delegated. Assistive personnel (AP) may perform standardized, low-risk tasks with predictable outcomes. ECG acquisition, intake and output totals, and assistance with transfer of a physically stable client are within the scope of an AP. Discharge teaching and assessment of skin changes require professional nursing judgment and must be performed by the RN.
美國醫院制度明確定義 AP/UAP 職責,台灣則多由照顧服務員執行基礎生活照顧,護理師較常親自執行部分技術性護理。