— 照護管理 · EASY · MCQ —
護理師在內外科病房進行工作分派，下列哪項工作適合交由護理佐理員（UAP）執行？
A nurse is preparing to delegate tasks on a medical-surgical unit. Which task is appropriate for the nurse to assign to an Unlicensed Assistive Personnel (UAP)?
- AObtaining a clean-catch urine specimen from a client with a history of UTI✓ 正解從有尿路感染病史的病人身上取得清潔中段尿液標本
- BAssessing the skin condition of a client upon admission評估病人入院時的皮膚狀況
- CEducating a client on the side effects of newly prescribed medications衛教病人有關新處方藥物的副作用
- DMeasuring the intake and output of a client with a continuous bladder irrigation測量接受持續膀胱沖洗病人的出入量
— Explanation · 中文詳解 —
UAP 的執業範圍包括基本生活照顧、收集標本（非侵入性）及記錄數值。獲取清潔中段尿屬於常規護理項目。D 涉及持續膀胱沖洗屬於複雜護理程序，需評估引流量顏色與性質，由護理師執行；B 與 C 皆涉及護理評估、診斷與衛教，皆為註冊護理師（RN）的核心專業，不可轉移。
Unlicensed Assistive Personnel (UAP) may perform routine, standardized tasks that do not require nursing judgment, such as obtaining a clean-catch urine specimen. Assessment, client education, and complex procedures like monitoring continuous bladder irrigation are outside the UAP scope and must be performed by a registered nurse.
✦ 台美臨床差異
美國 UAP 職責較明確且受法律保護；台灣病房照顧服務員（看護）角色模糊，常被要求執行超出其訓練範圍之處置。