護理師在忙碌的內科病房準備委任工作,哪些任務適合委任給助理護理員(UAP)?(選所有適合的)
A nurse is preparing to delegate tasks on a busy medical unit. Which tasks are appropriate to delegate to a UAP? (Select all that apply.)
- AA client with swallowing difficulty is at risk for aspiration; feeding requires skilled assessment.吞嚥困難的病人有吸入性肺炎風險;餵食需要專業評估
- BObtaining specimens from a sterile system like a catheter bag should be done by licensed staff to prevent contamination.從導尿袋等無菌系統採集檢體應由持照人員執行以防污染
- CStable post-operative patients can be assisted with ambulation by UAP.✓ 正解穩定的術後病人可由未經認證的護理人員(UAP)協助行走
- DVital signs during blood transfusion must be taken by a nurse because of risk of reaction.輸血期間的生命徵象必須由護理師測量,因為有反應風險
- ECollecting a midstream urine sample for culture can be delegated as it is a routine procedure.✓ 正解收集中段尿液培養檢體可委任,因為這是常規程序
委任任務的核心原則是:評估、教學、藥物給予與高風險處置皆不可委任。吞嚥困難病人需專業護理師評估吸入風險(A);導尿管樣本採集需無菌技巧(B);輸血監測需專業評估過敏徵兆(D)。穩定病人活動(C)與常規尿液收集(E)則適合 UAP。
The core principle of delegation is that assessment, teaching, medication administration, and high-risk procedures must not be delegated. Feeding a client with dysphagia requires the nurse's assessment of aspiration risk (A); urinary catheter specimen collection requires sterile technique (B); transfusion monitoring requires professional assessment for allergic reactions (D). Ambulation of a stable client (C) and routine urine collection (E) are appropriate for the UAP.
美國對 delegation 規範嚴格,台灣護理師常需負擔過多非專業事務,委任權責界線相對模糊。