護理師正在將任務委派給一位執照實務護理師(LPN)和一位非技術助理人員(UAP)。哪些任務適合委派給 UAP?
A nurse is delegating tasks to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?
- APerforming a sterile dressing change執行無菌換藥
- BProviding patient education on a new diagnosis提供新診斷之病人衛教
- CAdministering intravenous medications給予靜脈藥物
- DMeasuring vital signs and reporting findings✓ 正解測量生命徵象並回報結果
護理委派(Delegation)的核心原則依循『五項權利』(Five Rights of Delegation):正確的任務、正確的環境、正確的對象、正確的溝通以及正確的監督。UAP(非技術助理人員)僅能執行標準化、低風險且結果可預測的例行性任務。護理師必須保留涉及評估(Assessment)、教學(Teaching)、評價(Evaluation)以及給藥(Medication Administration)等需要專業判斷的工作,不可委派給 UAP。
Nursing delegation follows the core principles of the Five Rights of Delegation: the right task, the right circumstance, the right person, the right communication, and the right supervision. Unlicensed assistive personnel (UAP) may perform only standardized, low-risk, routine tasks with predictable outcomes. The nurse must retain responsibilities requiring professional judgment such as Assessment, Teaching, Evaluation, and Medication Administration, which cannot be delegated to a UAP.
在美國,UAP(如 CNA)的職責界線非常明確,RN 必須負最終責任。台灣臨床環境中,助理人員(照服員)的職責範圍常因醫院評鑑或人力配置而有較大的彈性空間,但 NCLEX 考試中需嚴格遵守美國的護理實務標準。