— 照護管理 · EASY · SATA —
護理師可以將下列哪些工作委託給輔助人員(UAP)執行?(選所有適合的)
Which of the following interventions should a nurse delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AObtaining a clean-catch urine specimen✓ 正解取得清潔中段尿檢體
- BAssisting a patient with chronic stable COPD with oral hygiene✓ 正解協助慢性穩定型慢性阻塞性肺病病人進行口腔護理
- CDocumenting the client's response to pain medication記錄病人對止痛藥的反應
- DApplying a sterile dressing to a surgical incision對手術切口敷上無菌敷料
- ERecording intake and output for a stable client✓ 正解記錄穩定病人的攝取量和排出量
— Explanation · 中文詳解 —
UAP 的工作應集中於例行性、低風險、且病人穩定的項目。採集尿液檢體、口腔衛生維護、監測排泄量均屬其職責。評估藥物療效(疼痛反應)屬於護理專業評估,而無菌換藥屬於侵入性且具感染風險之程序,均不可委託。
UAP work should focus on routine, low-risk tasks for stable clients. Collection of urine specimens, oral hygiene, and monitoring of output are all within their scope. Evaluating medication effectiveness (pain response) is a professional nursing assessment, and sterile dressing changes are invasive procedures with infection risk; neither may be delegated.
✦ 台美臨床差異
台灣醫院多由護理人員執行大部分工作,照顧服務員的角色在部分醫院才逐漸建立。