護理長觀察到輔助人員(UAP)執行任務。哪一項行為需要立即介入?
A charge nurse observes an unlicensed assistive personnel (UAP) performing tasks. Which action by the UAP requires immediate intervention?
- ATeaching a client how to use an incentive spirometer✓ 正解教導病人如何使用誘發性肺量計
- BDocumenting the intake and output of a client記錄病人的攝入量和排出量
- CReporting a change in a client's wound drainage to the nurse向護理師報告病人傷口引流液的變化
- DAssisting a stable client with ambulation協助穩定的病人進行步行
護理師不可將護理指導(Teaching)委派給輔助人員。教學涉及病人狀況評估與教育需求,是註冊護理師的專業範疇。記錄輸出入量、協助下床活動以及回報傷口變化均屬於輔助人員可執行的常規照護任務,唯教學行為完全違反委派原則,必須立即制止。
The nurse may not delegate patient teaching to unlicensed assistive personnel. Teaching involves assessment of the client's condition and educational needs and is within the professional scope of the registered nurse. Recording intake and output, assisting with ambulation, and reporting changes in wound drainage are all routine care tasks that UAPs may perform; however, teaching completely violates the principles of delegation and must be stopped immediately.
美國護理師對委派(Delegation)有明確法律定義,台灣則常由照服員執行部分身體照顧,但教育訓練仍嚴格要求由護理師主導。