— 照護管理 · EASY · MCQ —
護理師將照護任務指派給輔助人員（UAP），下列哪項任務適合？
A nurse is delegating care tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate?
- AObtaining vital signs on a stable postoperative client✓ 正解為穩定的術後病人測量生命徵象
- BAssessing the wound status of a new surgical site評估新手術部位的傷口狀況
- CUpdating the nursing care plan based on patient progress根據病人進展更新護理計畫
- DReinforcing teaching on insulin administration加強胰島素注射的衛教
— Explanation · 中文詳解 —
在護理委派（delegation）中，護理師必須遵守五項權利（Five Rights of Delegation）。UAP 可執行常規的、低風險的、穩定病人的照護任務。生命徵象量測屬於數據收集，若病人狀況穩定，這是非常適合委派給 UAP 的任務。而評估、教學與護理計畫更新屬於專業護理判斷，絕對不可委派。
In delegation, the nurse must follow the Five Rights of Delegation. UAPs may perform routine, low-risk tasks for stable clients. Obtaining vital signs on a stable postoperative client is data collection that is appropriate to delegate. Assessment, teaching, and updating the care plan require professional nursing judgment and cannot be delegated.
✦ 台美臨床差異
在美國，UAP（如 CNA）的職責範圍依各州護理委員會規定不同，但生命徵象量測通常屬於其標準職責。在台灣，護理佐理員（Nursing Assistant）的角色與 UAP 類似，但臨床護理師對委派的責任歸屬在兩地皆由 RN 負責。