護理師正在照顧一位患有嚴重持續性氣喘的病人。下列哪項任務最適合委派給經驗豐富的非執照輔助人員（UAP）？
A nurse is caring for a client with a history of severe persistent asthma. Which task is most appropriate for the nurse to delegate to an experienced Unlicensed Assistive Personnel (UAP)?
- AAssisting the client to use a rescue inhaler during an attack.協助病人在發作期間使用急救吸入器
- BRecording the client's intake and output for the shift.✓ 正解記錄病人當班的出入量
- CAuscultating breath sounds to monitor for wheezing.聽診呼吸音以監測是否有喘鳴
- DMeasuring the client's peak expiratory flow rate (PEFR).測量病人的峰值呼氣流速 (PEFR)
委派（Delegation）的核心原則是 RN 絕不能委派涉及評估（Assessment）、判斷（Judgment）或教學（Teaching）的任務給非執照人員（UAP）。UAP 的角色定位在於執行日常生活的照護與標準化、非侵入性的量測。在本案例中，記錄攝入與排出量（I/O）是一項常規、不需臨床判斷的技術性工作，適合委派。聽診（C）屬於評估，判斷峰值呼氣流速（D）涉及臨床數據的解讀，而協助使用急救吸入器（A）則屬於藥物管理與緊急處理，這三者都必須由具備執照的護理人員（RN/LPN）執行，以確保病人的安全與法規遵循。
The core principle of delegation is that the RN must never delegate tasks involving assessment, judgment, or teaching to unlicensed personnel (UAPs). The UAP's role is limited to basic activities of daily living and standardized, non-invasive measurements. In this scenario, recording intake and output (I&O) is a routine, technical task that does not require clinical judgment and is therefore appropriate to delegate. Auscultation (C) is a component of assessment, interpreting peak expiratory flow rate (D) involves analysis of clinical data, and assisting with a rescue inhaler (A) involves medication administration and emergency care; all three must be performed by a licensed nurse (RN/LPN) to ensure client safety and regulatory compliance.
在美國，UAP（如 CNA）的職責範圍受州法律保護，護理師需學習如何透過五大委派權責進行管理。在台灣，病房內類似 UAP 的角色通常是「照顧服務員」或「護理佐理員」，其訓練標準各異。台灣護理師在臨床上往往因法律責任不明確，較傾向親力親為，而不像美國護理師那樣系統性地運用 UAP 來分擔非專業性質的體力工作。