— 照護管理 · MEDIUM · SATA —
下列哪些護理任務可以委託給護理佐理員(UAP)執行?(選所有適合的)
Which tasks can the nurse appropriately delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with ambulation✓ 正解協助穩定的病人進行步行活動
- BObtaining vital signs for a stable post-operative client✓ 正解為穩定的術後病人測量生命徵象
- CDocumenting the client's response to pain medication記錄病人對止痛藥的反應
- DProviding oral hygiene for a client on bed rest✓ 正解為臥床休息的病人提供口腔清潔
- EFeeding a client who is at risk for aspiration餵食有誤吸風險的病人
— Explanation · 中文詳解 —
根據委託原則(Five Rights of Delegation),護理師僅能委託穩定病人的日常照顧任務,例如移動、測量生命徵象及基本衛生清潔。涉及專業判斷(如評估用藥反應)或高風險技術(如處理吞嚥困難病人)必須由註冊護理師親自執行,以確保安全。
According to the Five Rights of Delegation, the nurse may delegate only routine care tasks for stable clients, such as ambulation, vital signs measurement, and basic hygiene. Tasks that involve professional judgment (such as evaluating medication response) or high-risk skills (such as caring for a client with dysphagia) must be performed by the registered nurse to ensure safety.
✦ 台美臨床差異
美國 UAP 權限與台灣照顧服務員(照服員)相似,但美國規範更嚴格區分評估職責,台灣常因人力不足導致照服員負擔過多任務。