— 基本照護與舒適 · MEDIUM · MCQ —
將洗澡工作委託給輔助人員(UAP)前,需要進行什麼評估?
Which assessment is required before delegating a bathing task to a UAP?
- AThe UAP's preference for the task輔助人員(UAP)對該項工作的偏好
- BThe physician's personal schedule醫師的個人行程
- CThe client's hemodynamic stability✓ 正解病人的血流動力學穩定性
- DThe hospital's staffing level醫院的人力配置水準
— Explanation · 中文詳解 —
護理委派(Delegation)必須遵循「五項權利」(Right task, circumstance, person, direction, supervision)。在將日常照護(如沐浴)委派給輔助人員(UAP)之前,護理師必須評估病人的穩定度。若病人血流動力學不穩定,沐浴過程可能引發姿勢性低血壓、心律不整或呼吸困難,此時需由專業護理師親自執行或監測,不可委派。
Nursing delegation must follow the 'Five Rights' (right task, circumstance, person, direction, and supervision). Before delegating routine care (such as bathing) to a UAP, the nurse must assess the patient's stability. If the patient is hemodynamically unstable, bathing may precipitate orthostatic hypotension, dysrhythmia, or respiratory distress; in such cases the licensed nurse must perform or supervise the care personally, and the task cannot be delegated.