— 照護管理 · EASY · SATA —
護理師在指導一位輔助人員（UAP），下列哪些工作適合委派給 UAP？（選所有適合的）
A nurse is supervising an unlicensed assistive personnel (UAP). Which tasks are appropriate to delegate to the UAP? (Select all that apply.)
- AMeasuring and recording intake and output✓ 正解測量並記錄進出量
- BPerforming oral hygiene for a client on bed rest✓ 正解為臥床病人進行口腔護理
- CReinforcing teaching on insulin administration強化胰島素給藥的衛教
- DAssisting a client with ambulation after a hip replacement✓ 正解協助髖關節置換術後病人步行
- ECollecting a midstream urine specimen✓ 正解收集中段尿液檢體
— Explanation · 中文詳解 —
根據護理委派原則，護理師只能將「穩定」且「執行過程無須護理判斷」的例行性工作委派給 UAP。記錄液體進出量、口腔清潔、協助下床活動以及收集尿液檢體，皆屬於常規照顧範疇。教育（Teaching）屬於護理專業範疇，必須由護理師親自執行，不可委派。
Under the principles of nursing delegation, the nurse may only delegate routine tasks that are stable and require no nursing judgment to a UAP. Measuring and recording intake and output, providing oral hygiene, assisting with ambulation, and collecting urine specimens all fall within the scope of routine care. Teaching falls within the professional scope of nursing and must be performed by the nurse; it cannot be delegated.
✦ 台美臨床差異
美國護理師委派權責清晰，台灣則常因人力限制，護理師需負擔較多非專業行政與照顧瑣事。