— 基本照護與舒適 · MEDIUM · MCQ —
護理師需處理一位需要床上沐浴病人的照護。下列哪項工作可適當地委派給照服員（UAP）？
A nurse is delegating care for a client requiring a bed bath. Which task can the nurse appropriately delegate to a UAP?
- APlanning the bathing schedule規劃沐浴時程
- BPerforming the bed bath✓ 正解執行床上沐浴
- CEvaluating the client's tolerance to the bath評估病人對沐浴的耐受度
- DAssessing the client's skin condition評估病人皮膚狀況
— Explanation · 中文詳解 —
護理委派（Delegation）遵循「護理過程（Nursing Process）」原則。評估（Assessment）、規劃（Planning）、評值（Evaluation）屬於專業護理師的核心職責，不可委派。床上沐浴屬於穩定病人的常規日常照顧，符合照服員（UAP）的職責範圍，且護理師可透過監督確保過程安全。
Delegation in nursing follows the steps of the nursing process. Assessment, planning, and evaluation are core responsibilities of the registered nurse and cannot be delegated. A bed bath is a routine activity of daily living for a stable client and is within the UAP's scope of practice; the nurse can ensure safety through supervision.
✦ 台美臨床差異
台美對於 UAP（如美國的 CNA 或 PCT）的委派規範相似，皆強調 Assessment 與 Evaluation 為 RN 之獨有職責。