護理師準備將工作交付給照服員(UAP)。下列哪些任務適合交付?(選所有適合的)
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which tasks are appropriate for the nurse to delegate? (Select all that apply.)
- AObtaining a urine specimen from an indwelling catheter自留置導尿管取得尿液標本
- BAssisting with ambulation of a client who is two days post-appendectomy✓ 正解協助術後兩天的闌尾切除術病患行走
- CFeeding a client who has dysphagia and requires thickeners餵食需要使用增稠劑的吞嚥困難病患
- DMeasuring and documenting the daily weight of a patient✓ 正解測量並記錄病患的每日體重
- EApplying a warm compress to an intravenous infiltration site在靜脈注射滲漏部位敷溫熱敷布
交付原則需符合「穩定」與「護理專業不需介入」之定義。測量體重與協助走動屬於穩定個案的常規照護。採集導尿管檢體屬無菌操作且需評估尿液特徵,吞嚥障礙餵食有吸入性肺炎風險,熱敷侵潤點涉及病情評估與皮膚完整性判斷,皆需專業護理師執行。
Delegation principles require that the task involve a 'stable' client and not require specialized nursing judgment. Daily weights and ambulation of a stable post-op client are appropriate routine tasks. Collecting urine from an indwelling catheter involves aseptic technique and assessment of urine; feeding a dysphagic client carries aspiration risk; warm-compress for IV infiltration requires assessment of the site and skin integrity—all must be performed by a licensed nurse.
台灣照服員職責界線較模糊,常協助執行部分技術性護理,美國則在 Delegation 規範上非常嚴格,護理師需負完全法律責任。