護理師正與護理佐理員(AP)共同照護病人,下列哪項任務適合交由 AP 執行?
A nurse is working with an assistive personnel (AP) to provide care. Which task is appropriate for the nurse to delegate to the AP?
- AAssessing the incision site of a post-operative patient評估術後病人的切口部位
- BEducating the client on medication administration schedule教育病人藥物給藥時間表
- CEvaluating the effectiveness of pain management interventions評估疼痛管理介入措施的有效性
- DPerforming an intake and output measurement for a stable client✓ 正解為穩定病人進行出入量測量
護理界定的「指派(delegation)」原則為:不可指派「評估(Assessment)」、「計畫(Planning)」、「教導(Teaching)」或「評值(Evaluation)」。測量攝入與排出量(I&O)屬於常規性數據收集,適合由已訓練的 AP 執行。其他選項:A 評估術後傷口需護理判斷;C 用藥衛教屬於 Teaching;D 評估止痛效果屬於 Evaluation。
The principle of nursing delegation is that one cannot delegate assessment, planning, teaching, or evaluation. Measuring intake and output (I&O) is routine data collection and is appropriate for a trained AP. For the other options: B (assessment of a postoperative wound) requires nursing judgment; C (medication teaching) is teaching; and C (evaluating the effectiveness of pain management) is evaluation.
美國 AP(如 CNA)權責範圍明確;台灣病房照顧服務員角色定位與工作範圍常與護理人員重疊,需特別注意執業範圍限制。