護理師在內外科病房準備進行工作分派，下列哪項工作適合委派給照顧服務員（UAP）執行？
A nurse is preparing to delegate tasks in a medical-surgical unit. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AFeeding a client who has dysphagia and requires aspiration precautions餵食有吞嚥困難且需預防吸入之併發症的病人
- BObtaining a clean-catch urine specimen from a client with a history of recurrent UTIs從有反覆泌尿道感染病史的病人身上取得清潔中段尿檢體
- CMeasuring the intake and output of a client with a continuous bladder irrigation測量接受持續膀胱灌洗病人的出入量
- DAssisting a stable postoperative client with ambulation and morning hygiene✓ 正解協助穩定的術後病人步行及晨間衛生護理
工作委派原則為委派穩定性高、常規性、非侵入性之任務。D 選項中的病人狀態穩定，協助翻身下床及個人衛生屬 UAP 職責範疇。A 的持續灌洗需監測輸出入量精準度與顏色，通常由護理師評估；B 吞嚥障礙具高度吸入性肺炎風險；C 的採檢雖屬基礎，但在臨床常規中通常由護理師確保標本品質。
Delegation principles call for assigning tasks that are stable, routine, and non-invasive. The patient in option D is stable and assistance with turning, transferring out of bed, and personal hygiene falls within the UAP's scope. Option C — continuous irrigation — requires accurate intake-output and color monitoring and is generally evaluated by the nurse; option A carries a high risk of aspiration pneumonia due to swallowing impairment; and option B, although a basic task, is typically performed by the nurse in routine practice to ensure specimen quality.
美台對於 UAP 職責劃分相似，但台灣病房照顧服務員多為私人聘僱，責任歸屬與醫院體系內規範較模糊。