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照護管理 · EASY · SATA

下列哪些護理措施適合委託給護佐(UAP)執行?(選所有適合的)

Which of the following interventions are appropriate for a nurse to delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AAssisting a stable client with personal hygiene✓ 正解
    協助病情穩定的病人進行個人衛生
  • BObtaining vital signs for a stable postoperative client✓ 正解
    測量病情穩定的術後病人的生命徵象
  • CDocumenting the outcome of a sterile dressing change
    記錄無菌換藥的結果
  • DFeeding a client who is at risk for aspiration
    餵食有吸入性肺炎風險的病人
  • ECollecting a mid-stream urine specimen✓ 正解
    收集中段尿液檢體
Explanation · 中文詳解

委託原則依據「不需專業評估、不具侵入性、病情穩定、標準程序」四大要素。衛生照護、測量生命徵象、留取尿液樣本均符合此準則。C 選項:無菌換藥屬專業處置,評估傷口需由 RN 負責;D 選項:有嗆入風險的病人進食需專業護理師觀察與評估,不可由 UAP 獨自餵食。

Delegation principles are based on four elements: the task does not require professional assessment, is noninvasive, the client is stable, and the procedure is standardized. Hygiene care, taking vital signs, and obtaining urine specimens all meet these criteria. Option C: sterile dressing change is a professional procedure and wound assessment must be performed by an RN; option D: feeding a client at risk for aspiration requires professional nursing observation and assessment and cannot be performed by a UAP alone.

✦ 台美臨床差異

美方護佐權限較固定;台方照服員(看護)多為外包或家屬聘僱,職責與專業標準較難在臨床完全統一。

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