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照護管理 · EASY · SATA

護理師監督輔助人員(UAP),下列哪些工作可以委派給 UAP?(選所有適合的)

A nurse is supervising an unlicensed assistive personnel (UAP). Which tasks are appropriate for the nurse to delegate to the UAP? (Select all that apply.)

  • AAssisting a stable client with ambulation✓ 正解
    協助穩定病患進行步行
  • BFeeding a client who has dysphagia
    餵食有吞嚥困難的病患
  • CObtaining vital signs for a client post-cardiac catheterization
    測量心導管術後病患的生命徵象
  • DDocumenting intake and output for a client with heart failure✓ 正解
    記錄心衰竭病患的出入量
  • ECollecting a urine specimen from an indwelling urinary catheter
    從留置導尿管收集尿液標本
Explanation · 中文詳解

委派任務必須考量任務性質、病況穩定度及員工能力。UAP 適合從事常規性、非侵入性且穩定病人的照護。餵食吞嚥困難病人(B)有吸入性肺炎風險需護理專業評估;術後監測(C)需觀察血管穿刺部位出血狀況;從導尿管採檢(E)涉及無菌技術,均需由 RN 執行。

Task delegation must take into account the nature of the task, the stability of the client, and the staff member's competence. UAPs are appropriate for routine, non-invasive care of stable clients. Feeding a client with dysphagia (B) carries the risk of aspiration pneumonia and requires nursing assessment; postoperative monitoring (C) requires observation of the vascular puncture site for bleeding; obtaining a specimen from a urinary catheter (E) involves sterile technique. All of these must be performed by the RN.

✦ 台美臨床差異

美國 UAP 權限規範嚴格;台灣照護佐理員或病房助理執業範圍較彈性,但執行侵入性技術仍有法律規範。

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