註冊護理師 (RN) 正在指派任務。下列哪項行動展現了對 UAP 最恰當的工作委派？
The RN is organizing care for a four-client assignment on a medical unit. Which action demonstrates the most appropriate delegation of a task to the unlicensed assistive personnel (UAP)?
- AFeeding a pureed diet to a culturally stable client who has passed a bedside swallow evaluation.✓ 正解餵食已通過床邊吞嚥評估且狀況穩定的病人泥狀飲食
- BObtaining a pulse oximetry reading on an asthmatic client reporting sudden shortness of breath.對主訴突發呼吸困難的氣喘病人測量血氧飽和度
- CApplying an over-the-counter hydrocortisone barrier cream to a newly discovered red sacral rash.將非處方氫化可體松屏障藥膏塗抹於新發現的薦骨紅疹
- DAmbulating a 70-year-old post-operative hip arthroplasty client down the hall for the first time.首次讓 70 歲術後髖關節置換病人在走廊行走
這道題目旨在評估註冊護理師（RN）關於工作委派（delegation）的知識，特別是對非執照輔助人員（UAP）的恰當委派。委派的五個原則（Five Rights of Delegation）包括：正確的任務（Right Task）、正確的環境（Right Circumstance）、正確的人員（Right Person）、正確的指導與溝通（Right Direction/Communication）、正確的監督與評估（Right Supervision/Evaluation）。UAP可以執行穩定病患的日常護理活動，這些活動通常是可預測的、不需專業判斷的、且不涉及評估、教學或複雜護理。餵食一位吞嚥評估已通過且狀況穩定的病患，符合這些原則。
This question is designed to evaluate the registered nurse's (RN) knowledge of delegation, particularly appropriate delegation to unlicensed assistive personnel (UAP). The Five Rights of Delegation include: Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. UAPs may perform routine care activities for stable patients; such activities are usually predictable, do not require professional judgment, and do not involve assessment, teaching, or complex nursing care. Feeding a stable patient who has already passed a swallow evaluation meets these principles.
在台灣，護理助理（或稱照顧服務員）的職責範圍與美國的UAP相似，主要負責協助病患的日常生活活動（ADLs），如餵食、協助翻身、身體清潔等。然而，在美國，UAP的培訓和資格認定標準可能因州而異，其執行任務的範圍會更明確地受RN的監督和指導。委派原則（Five Rights of Delegation）在兩地的護理教育和實務中都是重要的概念，但台灣的護理助理通常不會執行任何藥物塗抹相關的任務，即使是非處方藥膏，因為這被視為護理專業範疇。