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照護管理 · EASY · MCQ

護理長評估護理佐理員(AP)的工作分派,下列哪項任務適合由 AP 執行?

A nurse manager is evaluating the delegation of tasks to assistive personnel (AP). Which task is appropriate for the AP to perform?

  • AAssessing the incision site for signs of infection
    評估切口部位是否有感染跡象
  • BTeaching a client about home wound care
    教導病人關於居家傷口護理
  • CAdministering oral medications to a stable client
    對狀況穩定的病人給予口服藥物
  • DObtaining a clean-catch urine specimen from a client✓ 正解
    從病人身上採集清潔中段尿檢體
Explanation · 中文詳解

護理委派(Delegation)的核心原則是將「常規性、預測性、非侵入性且穩定」的任務委派給護理佐理員(AP)。護理師必須負責涉及護理程序(Nursing Process)的步驟,包括評估(Assessment)、診斷(Diagnosis)、規劃(Planning)與教學(Evaluation)。收集尿液檢體是一項標準化的技術操作,不涉及臨床判斷,適合委派。反之,評估傷口、給藥及健康教育皆屬於專業護理責任,不可委派。

The core principle of nursing delegation is to assign routine, predictable, non-invasive, and stable tasks to assistive personnel (AP). The nurse must remain responsible for the steps of the nursing process, including assessment, diagnosis, planning, and evaluation. Collecting a urine specimen is a standardized technical procedure that does not involve clinical judgment and is therefore appropriate for delegation. Conversely, wound assessment, medication administration, and patient education are professional nursing responsibilities and cannot be delegated.

✦ 台美臨床差異

在美國,AP(如 CNA)的職責範圍依各州護理委員會(BON)規定,但普遍嚴格禁止執行任何涉及藥物給予或專業評估的任務。台灣臨床上 AP 角色較模糊,常有過度依賴非專業人員執行護理業務的情況,赴美執業需嚴格遵守護理師對委派任務的法律責任。

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