護理師同時照護多位病人。下列哪些工作適合委派給非技術輔助人員(UAP)?(選所有適合的)
A nurse is caring for multiple clients. Which tasks can be safely delegated to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a post-operative client with ambulation✓ 正解協助術後病人下床活動
- BFeeding a client who has difficulty swallowing (dysphagia)餵食吞嚥困難(失用症)的病人
- CObtaining vital signs on a stable client✓ 正解測量穩定病人的生命徵象
- DDocumenting hourly output of a client on a strict fluid balance✓ 正解記錄嚴格液體平衡病人的每小時尿量
- ECollecting a urine specimen from a Foley catheter從福來氏導尿管收集尿液標本
委派(Delegation)必須遵循「五項原則」(Right task, circumstance, person, direction/communication, supervision)。UAP 可執行常規的護理任務,但不能執行評估(Assessment)、教學(Teaching)、護理診斷或複雜的無菌技術。穩定病人的生命徵象測量、協助活動及紀錄輸出入量屬於常見的委派範圍。
Delegation must follow the "five rights" (right task, right circumstance, right person, right direction/communication, and right supervision). UAPs can perform routine nursing tasks but cannot perform assessment, teaching, nursing diagnoses, or complex sterile techniques. Measuring vital signs on stable clients, assisting with ambulation, and recording intake and output fall within the typical scope of tasks that may be delegated.