— 照護管理 · MEDIUM · SATA —
護理師在內外科病房照護多位病人，下列哪些項目可適當委託給照護員（AP）？（選所有適合的）
A nurse is caring for a group of clients on a medical-surgical unit. Which task is appropriate for the nurse to delegate to an assistive personnel (AP)? (Select all that apply.)
- AObtaining vital signs for a stable postoperative client✓ 正解為穩定的術後病人測量生命徵象
- BAssisting a client with ambulation using a walker✓ 正解協助病人使用助行器行走
- CPerforming a sterile dressing change on a surgical incision對手術切口進行無菌換藥
- DFeeding a client who has difficulty swallowing餵食有吞嚥困難的病人
- ERecording intake and output measurements for a client✓ 正解記錄病人的出入量
— Explanation · 中文詳解 —
護理委託應遵循穩定、常規、低風險之原則。測量生命徵象、協助下床活動及紀錄進出量皆屬照護員的訓練範疇且為日常活動。需無菌技術的傷口照護、吞嚥障礙病人的餵食（有吸入風險）需專業護理評估，不可委託給一般照護員。
Nursing delegation should follow the principles of being stable, routine, and low-risk. Measuring vital signs, assisting with ambulation, and recording intake and output all fall within the training scope of the AP and are routine activities. Wound care requiring sterile technique and feeding a client with dysphagia (because of aspiration risk) require professional nursing assessment and must not be delegated to an AP.
✦ 台美臨床差異
台灣病房常由家屬協助餵食，AP 則多協助個人衛生與移動。