護理師在內外科病房工作,並將任務分配給輔助人力(UAP)。下列哪項任務適合授權?
A nurse is working on a medical-surgical unit and is assigning tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate?
- AEducating a patient on the administration of subcutaneous insulin衛教病人皮下注射胰島素之用法
- BEvaluating the effectiveness of a client's pain medication評估病人疼痛藥物之療效
- CAssessing the skin condition of a patient with a pressure ulcer評估壓瘡病人之皮膚狀況
- DMeasuring intake and output for a client with a urinary catheter✓ 正解測量留置導尿管病人之出入量
授權(Delegation)遵循「護理師授權五原則」(Five Rights of Delegation):正確的任務、正確的情況、正確的人員、正確的溝通與指令、正確的監督與評估。輔助人力(UAP)的職責範疇通常侷限於常規、重複性、非侵入性且穩定病人的照護活動,如測量生命徵象、記錄攝入與排出量(I&O)、基本衛生護理等。
Delegation follows the Five Rights of Delegation: the right task, the right circumstance, the right person, the right direction and communication, and the right supervision and evaluation. UAP responsibilities are generally limited to routine, repetitive, non-invasive care activities for stable clients, such as measuring vital signs, recording intake and output (I&O), and basic hygiene care.
在美國,RN 對 UAP 的授權有明確的法律界線,RN 必須負最終責任。台灣臨床實務中,部分病房由照服員協助 I&O,但美國對於授權的規範更強調 RN 必須先評估病人狀況穩定(stable)才可授權。