護理長指派工作給輔助人員(UAP),哪些項目適合授權?(選所有適合的)
An charge nurse is assigning tasks to a UAP. Which tasks are appropriate to delegate? (Select all that apply.)
- AMeasuring and documenting vital signs✓ 正解測量並記錄生命徵象
- BPerforming an initial nursing assessment進行初步護理評估
- CAssisting a stable client with ambulation✓ 正解協助穩定病患下床活動
- DProviding oral hygiene and skin care✓ 正解提供口腔衛生與皮膚護理
- EAdministering routine oral medications給予常規口服藥物
授權遵循 RN 負責評估、教學與複雜處置的原則。UAP 可執行測量生命徵象、協助活動及基本身體清潔。B 選項「首次護理評估」為 RN 核心專業責任,不可授權。E 選項給藥屬於侵入性技術且需藥物專業評估,非 UAP 職責範圍。
Delegation follows the principle that the RN is responsible for assessment, teaching, and complex procedures. UAPs can measure vital signs, assist with mobility, and provide basic hygiene care. Option B, performing the initial nursing assessment, is a core professional responsibility of the RN and cannot be delegated. Option E, medication administration, is an invasive technique that requires professional medication assessment and is outside the scope of a UAP's responsibilities.
美國 UAP 職責定義較明確;台灣病房照服員(看護)職責常與 UAP 重疊,但給藥權責兩地皆嚴格限制。