護理師將術後照護任務委派給輔助人員(UAP),下列哪些任務適合委派?(選所有適合的)
A nurse is delegating tasks to a UAP regarding post-operative care. Which tasks are appropriate to delegate? (Select all that apply.)
- AMeasuring the client's vital signs every 4 hours✓ 正解每4小時測量病人的生命徵象
- BReporting client's pain level to the RN✓ 正解向護理師回報病人的疼痛程度
- CAssisting the client to the bathroom for the first time post-op協助病人在術後第一次前往廁所
- DHelping the client with personal hygiene✓ 正解協助病人進行個人衛生清潔
- ECollecting a urine specimen from a Foley catheter從導尿管收集尿液檢體
委派任務應依循「五項權利」(Right Delegation)。量血壓、回報疼痛數值與協助盥洗屬常規照護,適合 UAP。C 錯誤:術後第一次下床屬高風險活動,應由 RN 親自評估與執行以防跌倒或低血壓;E 錯誤:從留置導尿管採檢屬侵入性操作,且需無菌技術,由 RN 執行。
Task delegation must follow the Five Rights of Delegation. Measuring vital signs, reporting pain levels, and assisting with hygiene are routine care activities appropriate for UAP. Option C is incorrect because the first postoperative ambulation is high-risk and must be performed by the RN, who can assess and intervene for falls or hypotension. Option E is incorrect because obtaining a specimen from an indwelling catheter is an invasive procedure requiring sterile technique and must be performed by the RN.
台灣病房常由家屬執行生活照護,護理師較少「委派」給 UAP,但在醫學中心技術員制度下,此觀念正逐漸推廣。