護理師監督助理護理人員(AP)工作,下列哪項任務適合由 AP 執行?
A nurse is supervising an assistive personnel (AP) providing care. Which task is appropriate for the AP to perform?
- AEducating a client on wound care techniques教育病人傷口護理技巧
- BAssessing the skin integrity of a new admission評估新入院病人的皮膚完整性
- CMeasuring the vital signs of a stable client✓ 正解測量穩定病人的生命徵象
- DAdministering oral medications to a client給予病人口服藥物
依據護理人員執業範疇與委派原則(Delegation),護理師應將穩定病人且無需複雜臨床判斷的任務委派給 AP。測量生命徵象屬於常規性、標準化任務,適合訓練有素的 AP。評估、給藥與健康教育皆需專業護理師的臨床判斷或法律執照權限,不可委派。
According to the nurse's scope of practice and the principles of delegation, the nurse should delegate to assistive personnel (AP) those tasks that involve stable clients and do not require complex clinical judgment. Measuring vital signs is a routine, standardized task that is appropriate for a properly trained AP. Assessment, medication administration, and patient education all require the clinical judgment or legal licensure of a registered nurse and cannot be delegated.
美國 RN 對 AP(如 CNA)的委派權限明確;台灣稱呼為照服員或護佐,角色職責與委派範疇在法規定義上略有不同。