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安全與感染控制 · MEDIUM · SATA

護理師指派任務給照護輔佐人員(UAP),哪些任務適合委派?(選所有適合的)

A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate for delegation? (Select all that apply.)

  • AObtaining vital signs on a stable patient✓ 正解
    測量穩定病人的生命徵象
  • BAssisting with bathing and grooming✓ 正解
    協助沐浴與個人衛生
  • CFeeding a patient with swallowing difficulties
    餵食吞嚥困難的病人
  • DChanging a non-sterile dressing
    更換非無菌敷料
  • ERecording intake and output✓ 正解
    記錄攝入量與排出量
Explanation · 中文詳解

護理師在進行委派(Delegation)時,必須遵守「護理委派五大原則」(Five Rights of Delegation)。原則上,UAP 僅能執行常規性、非侵入性、可預測性的護理活動。對於臨床狀態不穩定、涉及專業評估、診斷、計畫或衛教的任務,護理師不得委派。本題中,測量生命徵象、協助日常清潔與紀錄進出量屬於標準化、低風險的輔助照護工作,適合委派。

When delegating, the nurse must follow the Five Rights of Delegation. As a general rule, the UAP may only perform routine, non-invasive, predictable nursing activities. Tasks involving unstable clinical conditions, professional assessment, diagnosis, planning, or teaching cannot be delegated. In this item, taking vital signs, assisting with daily hygiene, and recording intake and output are standardized, low-risk supportive care tasks suitable for delegation.

✦ 台美臨床差異

在美國,UAP(如 CNA)的職責範圍通常由機構政策嚴格規範。與台灣相比,美國護理師更強調委派後的「監督與評估(Supervision and Evaluation)」,即便委派了任務,護理師仍需對最終結果負擔全責。

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