— 照護管理 · MEDIUM · MCQ —
護理督導正在監督輔助人員（UAP），下列哪項 UAP 的行為需要護理師立即介入？
A nurse manager is supervising an unlicensed assistive personnel (UAP). Which action by the UAP requires the nurse to intervene?
- AThe UAP documents the client's fluid intake and output輔助人員記錄病人的液體攝取量和排出量
- BThe UAP adjusts the flow rate of a client's oxygen therapy✓ 正解輔助人員調整病人的氧氣治療流速
- CThe UAP assists a client with ambulation after the nurse assesses the client's gait護理師評估病人的步態後，輔助人員協助病人步行
- DThe UAP reports a client's blood pressure of 140/90 mmHg to the nurse輔助人員向護理師報告病人的血壓為 140/90 mmHg
— Explanation · 中文詳解 —
調整氧氣流量涉及醫療決策與氣體治療的臨床判斷，屬於護理師的執業權限，而非 UAP 的職責。UAP 的工作重點在於常規照護、收集數據與協助生活起居，任何涉及調整治療參數的行為均違反安全規範，必須立即制止。
Adjusting oxygen flow rate involves medical decision-making and clinical judgment regarding gas therapy and is within the nurse's scope of practice, not that of the UAP. The UAP's role focuses on routine care, data collection, and assistance with activities of daily living; any action that adjusts treatment parameters violates safety standards and must be stopped immediately.
✦ 台美臨床差異
美國 UAP 訓練規格化；台灣看護工（看護）由家屬僱用，執業權限更模糊，護理師需負更多督導責任。