— 照護管理 · EASY · MCQ —
護理師與輔助人員（AP）合作，下列哪項任務可適當地交辦給 AP？
A nurse is working with an assistive personnel (AP). Which task is appropriate for the nurse to delegate to the AP?
- AEvaluating the skin integrity of a new admission.評估新入院病人的皮膚完整性。
- BAdministering oral medications to a stable client.對穩定病人給予口服藥物。
- CAssisting a stable client with ambulation after surgery.✓ 正解協助穩定病人於術後行走。
- DTeaching a client how to use an incentive spirometer.教導病人如何使用誘發性肺量計。
— Explanation · 中文詳解 —
護理師可交辦事項應為穩定、常規且不需專業判斷的任務。協助術後下床活動屬於基本照護範圍，適合委派給輔助人員。教育訓練、評估皮膚完整性以及給藥，皆屬於護理師的核心專業職責，涉及臨床判斷與安全性，不可委派。
Tasks that the nurse may delegate should be stable, routine activities that do not require professional judgment. Assisting a postoperative client with ambulation falls within basic care and is appropriate to delegate to assistive personnel. Patient education, skin integrity assessment, and medication administration all belong to the registered nurse's core professional duties, involve clinical judgment and safety, and cannot be delegated.
✦ 台美臨床差異
台灣 AP 職能包含病房照護員，但在給藥法規上與美國同樣嚴謹。