— 照護管理 · EASY · MCQ —
護理師正在照顧一名化學灼傷病人。下列哪項護理任務委派給輔助人員（UAP）是適當的？
A nurse is caring for a client who sustained a chemical burn. Which delegation to the unlicensed assistive personnel (UAP) is appropriate?
- AApply the prescribed antibiotic ointment to the burned area將處方抗生素軟膏塗抹於燒傷部位
- BEvaluate the client's pain level after medication administration評估病人用藥後的疼痛程度
- CAssist the client with a bath and linen change✓ 正解協助病人洗澡並更換床單
- DAssess the wound bed for signs of infection評估傷口床是否有感染跡象
— Explanation · 中文詳解 —
委派工作（Delegation）遵循五項原則（Right task, circumstance, person, direction, communication）。UAP 可執行基本生活照顧如沐浴或更換床單，但藥物給予、傷口評估及成效評估均屬護理專業職責，不得委派。
Delegation follows the Five Rights (right task, circumstance, person, direction, and communication). UAPs can perform basic ADL care such as bathing and changing linens, but medication administration, wound assessment, and evaluation of outcomes require professional nursing judgment and cannot be delegated.
✦ 台美臨床差異
台灣照服員角色類似 UAP，但在病房中協助換藥情形常見，與美國嚴格區分醫療行為有差異。