護理長正在分配工作。下列哪項工作最適合委派給輔助人員(UAP)?
A nurse manager is planning care for a unit with a heavy workload. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAdministering oral medications to a stable client對穩定的病人給予口服藥物
- BTeaching a client how to use an incentive spirometer教導病人如何使用誘發性肺量計
- CEvaluating the skin integrity of a bedbound client評估臥床病人的皮膚完整性
- DMeasuring intake and output for a client with IV fluids✓ 正解測量接受靜脈輸液病人的出入量
根據委派原則(Five Rights of Delegation),護理師僅能委派常規、低風險、不需要專業判斷的任務。計算出入量屬於基礎照護,適合 UAP 執行。評估、給藥、衛教均涉及專業判斷與護理過程,屬於護理師核心職責,不可委派。
Under the Five Rights of Delegation, the nurse may delegate only routine, low-risk tasks that do not require professional judgment. Calculation of intake and output is basic care and is appropriate to delegate to unlicensed assistive personnel (UAP). Assessment, medication administration, and patient education all involve professional judgment and the nursing process, fall within the core responsibilities of the registered nurse, and cannot be delegated.
美台兩地規範相似,UAP 均不可給藥或進行護理評估。台灣醫療環境中,照顧服務員的角色職能與 UAP 類似,但執行權限更為嚴格。