— 照護管理 · MEDIUM · SATA —
護理師照顧一群病人。哪些工作可以委派給照服員（UAP）？（選所有適合的）
A nurse is caring for a group of clients. Which tasks can the nurse delegate to an unlicensed assistive personnel (UAP)? (Select all that apply.)
- AMeasuring and documenting vital signs for a stable client✓ 正解測量並記錄穩定病人的生命徵象
- BAssisting a client with chronic back pain with ambulation✓ 正解協助慢性背痛病人行走
- CPerforming a sterile dressing change on a post-surgical wound為術後傷口進行無菌換藥
- DFeeding a client who has a risk of aspiration餵食有吸入風險的病人
- ERecording the intake and output of a client✓ 正解記錄病人的出入量
— Explanation · 中文詳解 —
委派原則依據護理實務範圍（Scope of Practice）。UAP 可執行基本生理監測、日常生活活動協助及記錄。無菌技術或風險較高的護理行為（如吸入風險病人的餵食）應由護理師親自評估或執行。C、D 選項涉及護理判斷與無菌操作，不可委派。
Delegation follows scope of practice. UAPs may perform basic monitoring, ADLs assistance, and documentation. Sterile technique or higher-risk care (e.g., feeding an aspiration-risk client) requires the nurse's assessment or direct action. Options C and D involve nursing judgment and sterile procedure and must not be delegated.
✦ 台美臨床差異
台灣醫院對照服員的委派範圍常受限於機構規範，美籍醫院中 UAP 的角色與職責範圍較為清晰且標準化。