護理師準備將任務分配給輔助人員(UAP),哪些任務適合委派?(選所有適合的)
The nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate to delegate? (Select all that apply.)
- AMeasuring intake and output✓ 正解測量攝入量和排出量
- BEducating a client on insulin administration教育病人關於胰島素的施用
- CPerforming a sterile dressing change進行無菌敷料更換
- DAssisting a client with ambulation✓ 正解協助病人步行
- ECollecting a clean-catch urine specimen✓ 正解收集清潔中段尿檢體
委派原則核心為「護理過程(Nursing Process)」不可委派,包含評估、診斷、計畫、評值與衛教。A、D、E 皆為常規生理監測與協助生活起居,屬 UAP 專業範疇;B 與 C 涉及專業評估與無菌程序,僅限護理人員執行。
The core principle of delegation is that the nursing process—assessment, diagnosis, planning, evaluation, and patient teaching—cannot be delegated. Options A, D, and E are routine physiologic monitoring and assistance with activities of daily living and fall within the scope of unlicensed assistive personnel (UAP); options B and C involve professional assessment and sterile procedures and may be performed only by licensed nursing staff.
美國對 UAP/CNA 角色分工明確,台灣因人力短缺,照服員雖協助生活照顧,但專業護理任務仍由護理師全包。