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照護管理 · EASY · SATA

護理師與護理助理(UAP)共同照護病人。哪些任務可以委派給 UAP 執行?(選所有適合的)

A nurse is working with an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate for the nurse to delegate to the UAP? (Select all that apply.)

  • AAmbulating a stable client✓ 正解
    協助穩定的病人行走
  • BRecording intake and output✓ 正解
    記錄出入量
  • CAssessing the client's skin integrity
    評估病人的皮膚完整性
  • DAssisting with feeding a stable client✓ 正解
    協助穩定的病人進食
  • ECollecting a clean-catch urine specimen✓ 正解
    收集清潔中段尿液標本
Explanation · 中文詳解

委派(Delegation)必須遵循「五項權利」,即正確的任務、情況、人員、溝通及監督。UAP 可執行常規性、非侵入性且病人狀況穩定的照護任務。護理師必須保留涉及評估(Assessment)、診斷(Diagnosis)、規劃(Planning)與評值(Evaluation)的專業工作,這些是註冊護理師(RN)的法定職責,不可委派。

Delegation must follow the Five Rights of Delegation: the right task, circumstance, person, communication, and supervision. UAP may carry out routine, non-invasive care tasks for clients whose condition is stable. The nurse must retain the professional responsibilities of assessment, diagnosis, planning, and evaluation, which are the legal duties of the registered nurse (RN) and cannot be delegated.

✦ 台美臨床差異

美國護理執業範圍(Scope of Practice)對委派規範極嚴。RN 若將涉及評估的任務委派給 UAP,一旦發生問題,RN 需負完全法律責任。台灣臨床中,部分醫院為了效率,UAP 可能會被要求執行部分侵入性或評估性工作,這在美國 NCLEX 考試中絕對是錯誤答案。

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