護理師指派工作給輔助人員(UAP)。下列哪些工作適合指派給 UAP?(選所有適合的)
A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate for the UAP? (Select all that apply.)
- AObtaining vital signs for a stable client✓ 正解為穩定病人測量生命徵象
- BAssisting a client with chronic back pain with ambulation✓ 正解協助慢性背痛病人行走
- CMonitoring the drainage from a fresh post-op chest tube監測新開胸手術病人的胸管引流
- DDocumenting the intake and output for a client with heart failure✓ 正解記錄心衰竭病人的出入量
- EFeeding a client who has difficulty swallowing餵食吞嚥困難的病人
輔助人員(UAP)的職責範圍限於穩定病人的常規照護。測量生命徵象與紀錄攝入/排出量(I/O)均屬於常規數據收集,適合委派。協助慢性疼痛病人行走也是常規活動。胸管引流觀察(C)與吞嚥困難病人的餵食(E)涉及複雜的專業評估與風險控制,護理師不得委派。護理師在委派時,必須確保 UAP 的能力足以執行任務,並定期查核結果。
The scope of unlicensed assistive personnel (UAP) is limited to routine care for stable clients. Measuring vital signs and recording intake and output (I/O) are routine data collection tasks and are appropriate to delegate. Assisting a client with chronic pain to ambulate is also a routine activity. Observation of chest tube drainage (C) and feeding a client with dysphagia (E) involve complex professional assessment and risk management and may not be delegated by the nurse. When delegating, the nurse must ensure that the UAP is competent to carry out the task and must regularly verify the outcomes.