— 照護管理 · EASY · MCQ —
下列哪項任務可安全指派給輔助人力（UAP）執行？
Which of the following tasks can be safely delegated to an Unlicensed Assistive Personnel (UAP)?
- AEducating a client on insulin injection techniques教育病人胰島素注射技巧
- BMonitoring the IV infusion site for signs of infiltration監測靜脈輸注部位是否有滲漏跡象
- CMeasuring the intake and output of a postoperative client✓ 正解測量術後病人的出入量
- DAssessing the skin integrity of a bedridden client評估臥床病人的皮膚完整性
— Explanation · 中文詳解 —
護理授權的界線在於需評估、教導、評量（EAT：Evaluate, Assess, Teach）的專業任務，皆不可授權。測量出入量屬於常規生理數據記錄，且不需要專業判斷，符合 UAP 工作範圍。其他選項如衛教、皮膚評估與點滴滲漏監測，皆需要專業護理師的臨床判斷。
The boundary of nursing delegation lies in tasks requiring evaluation, assessment, or teaching (EAT), which cannot be delegated. Measuring intake and output is a routine physiological data recording task that does not require professional judgment and falls within the UAP scope of work. The other options, such as patient education, skin assessment, and monitoring IV infiltration, all require the clinical judgment of a professional nurse.
✦ 台美臨床差異
美國 UAP 權責範圍較明確，台灣則依據醫院評鑑規範，輔助人力多協助生活照顧，臨床技術操作多仍由護理師執行。