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
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.
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。