護理師可以安全地將哪些工作委派給輔助人員(UAP)?(選所有適合的)
Which of the following tasks can the nurse safely delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with hygiene and grooming✓ 正解協助穩定之病人進行衛生清潔與儀容整理
- BObtaining vital signs on a postoperative client who is stable✓ 正解為狀況穩定的術後病人測量生命徵象
- CDocumenting the intake and output of a stable client✓ 正解紀錄穩定之病人的出入量
- DTeaching a client how to perform self-blood glucose monitoring教導病人如何自行監測血糖
- EFeeding a client who has a risk of aspiration餵食有吸入性肺炎風險之病人
委派原則需考量工作穩定度與專業性。A、B、C 屬於基本的活動協助與數據記錄,適合 UAP。D 涉及衛教與專業技能判定,必須由護理師執行。E 涉及吞嚥評估與風險控制,對於有嗆入風險的病人,必須由護理師或專業人員(如語言治療師/護理師)進行風險評估與餵食輔導。
Delegation principles must consider the stability and skill demands of a task. Options A, B, and C involve basic assistance with activities and data recording, which are suitable for UAP. Option D involves client teaching and professional judgment of skill and must be performed by the nurse. Option E involves swallowing assessment and risk control; for a client with aspiration risk, the risk evaluation and feeding guidance must be performed by a professional (such as a speech therapist or nurse).
美國 UAP 職責範疇較明確,台灣則由照顧服務員執行類似工作,但法規規範與責任釐清程度略有不同。