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照護管理 · EASY · MCQ

護理師監督助理人員(AP)工作時,哪項工作可委派給 AP?

A nurse is supervising an assistive personnel (AP) providing care. Which task is appropriate to delegate to the AP?

  • AAdministering oral medications to a stable client
    給予穩定病人口服藥物
  • BEvaluating the skin integrity of a bedridden client
    評估臥床病人的皮膚完整性
  • CMeasuring the intake and output of a postoperative client✓ 正解
    測量術後病人的出入量
  • DTeaching the client about insulin injection technique
    教導病人胰島素注射技術
Explanation · 中文詳解

委派(Delegation)必須遵循「五項權利」,並嚴格遵守護理師專業範疇(Scope of Practice)。核心原則是「EAT」不能委派:評估(Evaluation/Assessment)、教學(Teaching)與專業護理診斷(Nursing Judgment)。測量輸出入量(I/O)屬於收集資料的常規性工作,且不涉及病人的病情評估,因此適合委派給助理人員(AP/CNA)。

Delegation must follow the five rights and remain strictly within the nurse's scope of practice. The core principle is that EAT cannot be delegated: evaluation/assessment, teaching, and nursing judgment. Measuring intake and output (I/O) is a routine data-collection task that does not involve clinical assessment of the client's condition and is therefore appropriate to delegate to assistive personnel (AP/CNA).

✦ 台美臨床差異

在美國,AP(Assistive Personnel)或 CNA(Certified Nursing Assistant)的職責範疇受州立護理委員會(State Board of Nursing)嚴格界定,且不同機構政策可能略有不同,但「EAT」原則是 NCLEX 考試的絕對準則。

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