— 照護管理 · EASY · MCQ —
下列哪項助理護理人員（UAP）的行為，需要護理師立即介入？
Which of the following actions by an unlicensed assistive personnel (UAP) requires immediate intervention by the nurse?
- AEmptying a urinary drainage bag and recording the volume清空導尿管集尿袋並記錄尿量
- BMeasuring and documenting the intake and output of a stable patient測量並記錄穩定病人的出入量
- CFeeding a patient who has a dysphagia precaution order✓ 正解餵食有吞嚥障礙 precautions 指示的病人
- DAssisting a patient with ambulation using a gait belt使用步態帶協助病人行走
— Explanation · 中文詳解 —
吞嚥困難（Dysphagia）的病人有極高吸入性肺炎風險，餵食過程需要專業評估與技巧，屬於護理師的核心專業職責，不能委派給 UAP。其餘選項如行走輔助、紀錄攝入排出量、清空導尿管，皆為 UAP 的授權範圍內的常規護理輔助工作。
Feeding a patient with a dysphagia precaution requires nursing assessment (positioning, food consistency, signs of aspiration) and is outside the UAP scope; allowing this risks aspiration pneumonia and warrants immediate intervention. Gait-belt ambulation, I&O measurement for stable patients, and emptying a drainage bag with documentation are all within standard UAP scope.
✦ 台美臨床差異
美國護理機構對 UAP 的分工明確，台灣的照顧服務員（照服員）功能相似，但依醫院層級不同，權限邊界有時較模糊。