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照護管理 · EASY · MCQ

護理師正監督一名輔助人員(UAP),下列哪項任務適合授權給他?

A nurse is supervising an unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate?

  • AEducating a client on how to use a glucose monitor
    教育病人如何使用血糖監測儀
  • BAssessing the skin integrity of a bedridden client
    評估長期臥床病人的皮膚完整性
  • CEvaluating the effectiveness of a pain medication
    評估止痛藥物的療效
  • DMeasuring the intake and output for a client with heart failure✓ 正解
    測量心衰竭病人的出入量
Explanation · 中文詳解

授權(Delegation)必須遵循「五項原則」(Five Rights of Delegation),且任務內容需在輔助人員(UAP)的執業範圍(Scope of practice)內。測量出入量(I&O)屬於常規性、非侵入性且結果可預測的生理資料收集,適合授權給 UAP。評估、診斷與教學屬於註冊護理師(RN)的專業職責,不可授權。

Delegation must follow the Five Rights of Delegation, and the task must fall within the UAP's scope of practice. Measuring intake and output (I&O) is a routine, non-invasive, and predictable physiological data collection task that is appropriate to delegate to UAP. Assessment, diagnosis, and teaching are professional responsibilities of the registered nurse (RN) and cannot be delegated.

✦ 台美臨床差異

在美國,UAP(如 CNA 或 PCT)的職責界線非常明確且受法律規範。RN 若將涉及「評估」(Assessment)、「教學」(Teaching)或「評估反應」(Evaluation)的任務授權給 UAP,將會面臨嚴重的執照懲戒風險。

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