護理長正在分配工作給助理人員 (UAP),請問下列哪項任務適合委任?
A nurse manager is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate to delegate?
- AProviding discharge education to a client對病人提供出院衛教
- BAssisting a stable client with ambulation✓ 正解協助穩定的病人下床行走
- CAssessing a client's surgical wound評估病人的手術傷口
- DAdministering oral medications給予口服藥物
委任(Delegation)的核心原則是護理師需確保任務具備「常規性(Routine)」、「穩定性(Stable)」且「非侵入性(Non-invasive)」。UAP 適合執行屬於 ADL(日常生活活動)的協助工作,如協助下床。而評估、給藥及衛教涉及臨床判斷(Clinical Judgment)或專業技術,必須由註冊護理師(RN)親自執行,不得委任給 UAP。
The core principle of delegation is that the nurse must ensure the task is routine, stable, and non-invasive. UAPs are appropriate for assisting with activities of daily living (ADLs), such as helping a client out of bed. Assessment, medication administration, and patient education involve clinical judgment or specialized skills and must be performed personally by the registered nurse (RN); they may not be delegated to a UAP.
在美國,RN 對委任工作負有監督責任(Accountability)。UAP 的職責範疇受各州護理委員會(State Board of Nursing)規範,各機構亦有詳細的 Task List,RN 必須明確知道 UAP 能做什麼,不能越界。