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照護管理 · EASY · MCQ

護理師與輔助人員(AP)合作照護病人,下列哪項工作可委派給 AP?

A nurse is working with an assistive personnel (AP) to provide care for a client. Which task should the nurse delegate to the AP?

  • AAssessing the client's surgical wound for signs of infection
    評估病人手術傷口是否有感染跡象
  • BAssisting the client with ambulation after a hip replacement✓ 正解
    協助病人進行髖關節置換術後的步行
  • CEducating the client on the side effects of warfarin
    教導病人華法林的副作用
  • DDetermining the client's readiness for discharge
    判斷病人是否已做好出院準備
Explanation · 中文詳解

委派(Delegation)遵循「五項原則」(Five Rights of Delegation),護理師應委派穩定、標準化且低風險的照護工作給輔助人員(AP)。協助下床活動屬於常見的基礎照護,AP 已受過訓練且能安全執行。反之,衛教、評估及臨床判斷涉及護理專業決策,受《護理人員法》規範,必須由註冊護理師(RN)親自執行,不可委派。

Delegation follows the Five Rights of Delegation, and the nurse should delegate stable, standardized, low-risk care tasks to assistive personnel (AP). Assisting a client with ambulation is a routine basic care activity for which AP have been trained and which can be performed safely. By contrast, teaching, assessment, and clinical judgment involve professional nursing decisions regulated by nursing practice law and must be performed by the registered nurse (RN); they cannot be delegated.

✦ 台美臨床差異

美國的執業範圍(Scope of Practice)對委派規範非常嚴格,RN 若委派專業評估任務給 AP 而導致病人安全受損,RN 將面臨嚴重的法律責任與執照懲處。

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