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照護管理 · MEDIUM · SATA

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
Explanation · 中文詳解

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.

✦ 台美臨床差異

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。

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