— 照護管理 · EASY · MCQ —
護理師將任務指派給輔助人員（UAP），下列哪項是適當的？
A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to assign?
- AAssessing the wound drainage of a surgical incision評估外科切口的傷口引流
- BAmbulating a client who is two days post-total hip arthroplasty✓ 正解協助全髖關節置換術後兩天的病人行走
- CEducating a client on the use of an incentive spirometer教育病人如何使用誘發性肺量計
- DAdjusting the infusion rate of a patient-controlled analgesia pump調整病人自控式鎮痛幫浦的輸注速率
— Explanation · 中文詳解 —
UAP 可執行常規的活動協助、基本身體清潔與測量生命徵象等技術性工作。協助術後病患下床活動屬於常見的照護任務，只要病人狀況穩定即可執行。衛教、評估傷口及調整泵浦流速均需專業判斷，屬於護理師的核心職責，不可委派。
Unlicensed Assistive Personnel (UAP) can perform routine ambulation assistance, basic hygiene, and vital sign measurement. Assisting a postoperative client out of bed is a common care task that can be delegated as long as the client is stable. Patient education, wound assessment, and adjustment of infusion pump rates all require professional nursing judgment, are core responsibilities of the registered nurse, and cannot be delegated.
✦ 台美臨床差異
美國 UAP 工作範疇較廣；台灣護理輔助人力（照服員）主要負責生活照顧，醫療技術操作範疇受限更多。