— 照護管理 · MEDIUM · SATA —
下列哪些項目適合交給非護理人員（UAP/照服員）執行？（選所有適合的）
Which tasks should the nurse 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步行
- BMeasuring intake and output for a stable client✓ 正解測量穩定病人的攝入量與排出量
- CEvaluating the skin integrity of a patient with a pressure ulcer評估壓瘡患者的皮膚完整性
- DFeeding a client who has a risk for aspiration餵食有吸入風險的病人
- ECollecting a routine stool specimen✓ 正解收集常規糞便檢體
— Explanation · 中文詳解 —
UAP 僅能執行標準化、低風險且病情穩定的例行性照護。A、B、E 皆為常規事務。C 評估皮膚完整性屬於護理專業判斷，不能委派；D 吞嚥困難病人有嗆咳風險，餵食時需專業護理評估，不可由 UAP 自行負責。
UAP may only perform standardized, low-risk, routine care for stable clients. A, B, and E are all routine tasks. C, assessment of skin integrity, involves professional nursing judgment and cannot be delegated; D, a client with dysphagia is at risk for aspiration during feeding and requires professional nursing assessment, so it cannot be the sole responsibility of the UAP.
✦ 台美臨床差異
美國 UAP 定義明確；台灣病房多由照服員協助，但照服員訓練程度差異大，護理師需確認其能力與職責範圍。