— 照護管理 · EASY · MCQ —
護理師正與照服員（UAP）合作。下列哪項工作適合指派給照服員？
A nurse is working with an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?
- AAssisting a client with a stroke to ambulate for the first time.協助中風病患進行首次步行
- BDocumenting the quality and quantity of wound drainage on a surgical dressing.記錄手術敷料上傷口引流液的性質與量
- CTeaching a client about the potential side effects of their new antihypertensive medication.教導病患有關其新開立之抗高血壓藥物的潛在副作用
- DObtaining vital signs for a stable client who is scheduled for discharge.✓ 正解為預計出院之穩定病患測量生命徵象
— Explanation · 中文詳解 —
護理委派核心法則為「EAT」（評估 Evaluation、評估 Assessment、教學 Teaching）不可委派。測量生命徵象屬於常規數據蒐集，適合訓練有素的照服員。中風病人首次活動（A）屬於需要專業評估的復健護理，傷口評估（B）需具備臨床判斷能力，衛教（C）更是護理師的核心專業。
A core rule of nursing delegation is that "EAT" (Evaluation, Assessment, Teaching) cannot be delegated. Measuring vital signs is routine data collection and is appropriate for a trained UAP. First-time ambulation of a stroke client (A) is rehabilitative care that requires professional assessment; wound assessment (B) requires clinical judgment; and client education (C) is at the core of professional nursing practice.
✦ 台美臨床差異
美國 UAP 權責範圍明確且受嚴格規範；台灣照服員角色較混雜，常執行超出範圍之護理任務。