— 照護管理 · MEDIUM · MCQ —
下列哪項行為展現了護理師有效的委派技巧？
Which of the following actions demonstrates effective delegation by the nurse?
- ARequesting the UAP to teach the client about medication side effects要求未註冊護理人員教導病人關於藥物副作用
- BInstructing the UAP to report any changes in a client's wound appearance✓ 正解指示未註冊護理人員報告病人傷口外觀的任何變化
- CAssigning the UAP to discharge a patient after surgery指派未註冊護理人員在手術後出院病人
- DAsking the UAP to document the nurse's assessment findings要求未註冊護理人員記錄護理師的評估結果
— Explanation · 中文詳解 —
有效委派需明確告知期望（Expected results）及何時應回報異常。護理師委派 UAP 觀察並回報傷口變化，屬於監督範圍內的適當委派；其餘選項皆涉及教學、評估或法律紀錄，均屬於護理師的專業範疇，不能委派給 UAP。
Effective delegation requires clearly communicating expected results and when abnormal findings should be reported. Asking the UAP to observe and report wound changes lies within the scope of appropriate delegated supervision; the other options involve teaching, assessment, or legal documentation, all of which belong within the professional scope of the nurse and cannot be delegated to the UAP.
✦ 台美臨床差異
在美國，委派（Delegation）是五大授權原則的重點；台灣實務中較少使用「委派」一詞，常由護理師逕自指揮人員。