護理師準備委派任務給護理助理(UAP),下列哪項任務最適合委派?
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate?
- ACalculating the intake and output for the shift計算當班的攝入量與排出量
- BAdministering oral medications給予口服藥物
- CPerforming a sterile dressing change執行無菌敷料更換
- DAssisting with ambulation for a stable client✓ 正解協助穩定客戶下床活動
委派(Delegation)必須遵循「五項權利」(Five Rights of Delegation),包括正確的任務、正確的情況、正確的人員、正確的溝通與正確的監督。UAP 的工作範疇限於「穩定病人」的基礎生活照護。協助下床活動(Ambulation)屬於 UAP 的核心業務,且前提是病人穩定,不需要專業護理評估或技術性介入。
Delegation must follow the Five Rights of Delegation: right task, right circumstance, right person, right communication, and right supervision. The scope of practice for unlicensed assistive personnel (UAP) is limited to basic care of stable clients. Assisting with ambulation falls within the UAP's core duties, provided the client is stable and does not require professional nursing assessment or skilled intervention.
在美國,UAP 的訓練與執照要求依各州(State Board of Nursing)規範不同,但「Nursing Process」(評估、診斷、計畫、執行、評估)絕對不可委派是全美共識。