— 照護管理 · MEDIUM · SATA —
下列哪些任務可以授權給護佐（UAP）執行？（選所有適合的）
Which tasks can the registered nurse (RN) delegate to an unlicensed assistive personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with ambulation✓ 正解協助穩定的個案進行步行
- BFeeding a client who has dysphagia餵食有吞嚥困難的個案
- CObtaining vital signs on a stable postoperative client✓ 正解測量穩定術後個案的生命徵象
- DDocumenting urine output from a Foley catheter✓ 正解記錄導尿管的尿液排出量
- ECollecting a mid-stream urine specimen✓ 正解收集中段尿液檢體
— Explanation · 中文詳解 —
授權原則是「不評估、不教學、不評值」。UAP 可執行常規性、標準化且穩定的身體照護。吞嚥困難（dysphagia）病人有誤吸風險，餵食屬於護理評估的一環，不應授權。其餘選項涉及生命徵象測量、輔助行動及排泄收集，皆為 UAP 範疇。
The principle of delegation is 'no assessment, no teaching, no evaluation.' A UAP can perform routine, standardized care for stable clients. Feeding a client with dysphagia carries an aspiration risk and requires nursing assessment, so it cannot be delegated. Vital signs, ambulation assistance, and routine specimen collection are within UAP scope.
✦ 台美臨床差異
美國護佐角色功能明確；台灣照服員在醫院協助照護，部分評值與教育仍由護理師負責。