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照護管理 · EASY · SATA

護理師可以將哪些任務委派給輔助人員(AP)?(選所有適合的)

Which tasks can the registered nurse (RN) delegate to an assistive personnel (AP)? (Select all that apply.)

  • AAssisting a client with ambulation using a walker✓ 正解
    協助病人使用助行器行走
  • BPerforming an initial nursing assessment upon admission
    入院時進行初步護理評估
  • CMeasuring and documenting intake and output✓ 正解
    測量並記錄出入量
  • DFeeding a client who has difficulty swallowing
    餵食吞嚥困難的病人
  • ECollecting a midstream urine specimen✓ 正解
    採集中段尿液檢體
Explanation · 中文詳解

委派(Delegation)原則依循 Five Rights of Delegation:Right Task, Right Circumstance, Right Person, Right Direction/Communication, Right Supervision。RN 負責評估、診斷、規劃與教學,輔助人員(AP)僅能執行常規性、非侵入性且穩定病人的照護工作。

Delegation principles follow the Five Rights of Delegation: right task, right circumstance, right person, right direction/communication, and right supervision. The RN is responsible for assessment, diagnosis, planning, and teaching, while assistive personnel (AP) may only perform routine, non-invasive care for stable clients.

✦ 台美臨床差異

台灣護理師常需包辦所有臨床技術,但 NCLEX 考試中,委派原則非常嚴格。在美國,RN 必須明確區分什麼是「專業護理診斷/評估」與「輔助性照護」,嚴禁將需要評估判斷的任務委派給 AP。

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