護理師在內外科病房進行工作分配,下列哪項工作適合指派給輔助人員(UAP)?
A nurse is working on a medical-surgical unit and is assigning tasks. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAssessing the lung sounds of a stable client評估穩定病人的肺部呼吸音
- BTeaching a client about blood glucose monitoring教導病人關於血糖監測
- CMeasuring intake and output for a client with a foley catheter✓ 正解測量有導尿管病人的出入量
- DEvaluating the skin integrity around a surgical incision評估手術切口周圍的皮膚完整性
根據護理授權原則,輔助人員適合執行常規、預測性、非侵入性且不需要複雜臨床判斷的任務。紀錄出入量屬於常規生理數據採集,護理師負責數據分析與介入。其餘評估傷口、聽診肺音及衛教教學均屬於護理師的專業職責範疇,不可授權。
According to nursing delegation principles, assistive personnel are appropriate for tasks that are routine, predictable, non-invasive, and require no complex clinical judgment. Recording intake and output is routine collection of physiologic data, while the nurse remains responsible for data analysis and intervention. Wound assessment, lung-sound auscultation, and client teaching are professional nursing responsibilities and cannot be delegated.
美台護理制度中,UAP 職責範疇相近,但台灣依賴照服員,其執行常規數據記錄的訓練標準略有不同。