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照護管理 · MEDIUM · SATA

護理師參與化學物質外洩災難演習。下列哪些任務適合委派給助理護理員(UAP)?(選所有適合的)

The nurse is participating in a facility disaster drill involving a chemical exposure. Which of the following tasks are appropriate to delegate to a UAP? (Select all that apply.)

  • AObtaining vitals for stable triage clients✓ 正解
    為穩定篩檢中的病患測量生命徵象
  • BAssisting with the decontamination shower process✓ 正解
    協助進行除汙淋浴程序
  • CTransporting stable clients to the designated safe zone✓ 正解
    轉送穩定病患至指定安全區域
  • DAssessing the severity of chemical burns
    評估化學灼傷的嚴重程度
  • EDocumenting nursing assessments in the electronic health record
    在電子病歷中記錄護理評估
Explanation · 中文詳解

在災難應變中,委派原則需符合委派者的教育訓練背景與許可範圍。測量生命徵象、協助沖洗除汙以及轉運穩定病患皆屬於 UAP 可執行的基本照護。評估燒傷嚴重度屬護理專業診斷,電子病歷記錄則涉及病歷完整性與專業決策,皆不可由 UAP 執行。

During disaster response, delegation must align with the delegatee's training and scope of practice. Measuring vital signs, assisting with decontamination, and transporting stable clients are all basic care activities that fall within the UAP's scope. Assessing the severity of burns is a professional nursing diagnosis, and documenting nursing assessments in the electronic health record involves chart integrity and professional decision-making; neither can be performed by a UAP.

✦ 台美臨床差異

台灣災難應變中,照服員的角色定位較模糊,通常由護理師帶領執行體力活,美國則有更標準化的 Disaster Policy。

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