— 照護管理 · MEDIUM · MCQ —
護理師正在督導護理佐理員（AP）。下列哪項 AP 的行為需要護理師立即介入？
A nurse is supervising an assistive personnel (AP). Which action by the AP requires immediate intervention by the nurse?
- AThe AP is emptying a urinary drainage bag for a client with a catheter護理佐理員正在為一位有導尿管的病人排空尿液引流袋
- BThe AP is ambulating a post-operative client in the hallway護理佐理員正在走廊裡協助術後病人行走
- CThe AP is documenting the intake and output of a stable client護理佐理員正在記錄一位穩定病人的出入量
- DThe AP is adjusting the oxygen flow rate for a client with respiratory distress✓ 正解護理佐理員正在為一位呼吸窘迫的病人調整氧氣流量
— Explanation · 中文詳解 —
調整氧氣流量屬於執行醫療措施的一部分，屬於護理師的專業範疇，不得交由非專業人員（如 AP）執行。AP 的職責包括執行簡單的肢體活動、記錄數據及基礎清潔，調整氧氣參數涉及病人呼吸功能的臨床判斷，具備醫療操作風險，必須由護理師親自確認。
Adjusting oxygen flow rate is part of performing a medical intervention and falls within the nurse's professional scope; it must not be assigned to unlicensed personnel (such as an AP). The AP's duties include simple ambulation, recording data, and basic hygiene; adjusting oxygen parameters involves clinical judgment about the client's respiratory function and carries medical risk, so it must be performed by the nurse personally.
✦ 台美臨床差異
美國對 AP 授權範圍較明確，台灣醫院常由照服員協助，但醫療參數調整皆嚴格限定由護理人員操作。