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照護管理 · EASY · MCQ

護理長在人力短缺的單位,下列哪項工作最適合委派給照顧服務員(UAP)?

A charge nurse is managing an understaffed unit. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?

  • ATeaching a client about the side effects of newly prescribed medication
    教導病人有關新開立藥物的副作用
  • BAssisting a client with chronic back pain to ambulate in the hallway✓ 正解
    協助患有慢性背痛之病人於走廊步行
  • CObtaining vital signs for a client who just returned from surgery
    為剛結束手術返回之病人測量生命徵象
  • DDocumenting the effectiveness of PRN analgesics
    記錄備用止痛藥之療效
Explanation · 中文詳解

委派(Delegation)原則需遵循「五大權利」(Right task, right circumstance, right person, right direction, right supervision)。UAP 僅能處理穩定、程序化且不需要護理評估的任務。協助慢性穩定病人下床活動屬於基本護理範疇,是 UAP 的職責範圍,而生命徵象評估後的臨床判斷、藥效評估及衛教均屬 RN 的專業範疇,不可委派。

Delegation principles must follow the "five rights" (right task, right circumstance, right person, right direction, right supervision). A UAP may only carry out stable, procedural tasks that do not require nursing assessment. Assisting a chronically stable client to ambulate falls within basic nursing care and is within the UAP's scope, whereas clinical judgment based on vital sign assessment, medication effectiveness evaluation, and patient education all fall within the RN's professional scope and cannot be delegated.

✦ 台美臨床差異

在台灣,UAP(如照服員)的職責範圍常與美國相似,但台灣護理師常需負擔更多執行面工作。在美國 NCLEX 考試中,必須嚴格遵守「護理評估、教導、評值」不可委派的原則。

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