— 照護管理 · HARD · SATA —
在急性病房工作，下列哪些活動適合指派給註冊護理師（RN）而非輔助人員（UAP）？（選所有適合的）
A nurse is working in a high-acuity unit. Which of the following activities are appropriate to delegate to a staff nurse (RN) rather than a UAP? (Select all that apply.)
- AInitial nursing assessment of a new admission✓ 正解對新入院病人進行初步護理評估
- BFeeding a patient who has no swallowing difficulties餵食沒有吞嚥困難的病人
- CPlanning the discharge process✓ 正解規劃出院流程
- DMonitoring for and reacting to drug side effects✓ 正解監測並對藥物副作用做出反應
- ECleaning the patient's room after discharge病人出院後清潔房間
— Explanation · 中文詳解 —
RN 的專業職責包含：評估、規劃（出院計畫）、藥物反應監控。UAP 適合處理 ADL（餵食、清潔）。即使餵食簡單，若病人有吞嚥困難或需營養評估，仍需由 RN 評估後決定是否可委派。清潔工作通常交由清潔人員或 UAP。
The professional responsibilities of an RN include assessment, planning (such as discharge planning), and monitoring of medication responses. The UAP is suited for activities of daily living (ADLs) such as feeding and cleaning. Even simple feeding requires RN assessment if the client has dysphagia or needs a nutritional evaluation before the task can be delegated. Cleaning is generally assigned to housekeeping personnel or UAPs.
✦ 台美臨床差異
美國護理師對任務委派權責清晰；台灣護理師常承擔許多非專業工作，導致效率降低。