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照護管理 · MEDIUM · SATA

護理師負責照護一位有癲癇病史的病人,下列哪些任務可安全委託給照服員(UAP)執行?(選所有適合的)

A nurse is managing the care of a client with a history of seizures. Which tasks can be safely delegated to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AMeasuring the client’s daily vital signs✓ 正解
    測量病人的每日生命徵象
  • BReporting observations of the client’s post-ictal state✓ 正解
    回報病人發作後狀態的觀察結果
  • CTurning the client to the side during an active seizure
    在癲癇發作期間將病人轉為側臥
  • DAssisting the client with oral hygiene after the seizure✓ 正解
    協助病人於發作後進行口腔清潔
  • EDocumenting seizure duration and characteristics
    記錄癲癇發作的持續時間與特徵
Explanation · 中文詳解

委託原則(Delegation)強調護理師應保留評估、教學、判斷與處理不穩定病人的職責。UAP 可測量生命徵象、回報觀察現象及協助 ADLs。但在癲癇發作時,維護氣道安全與臨床判斷為 RN 之責,不可委託;發作特徵與精準紀錄屬於臨床判斷範疇,應由護理師執行。

Unlicensed Assistive Personnel (UAP) can safely perform routine tasks such as measuring vital signs, assisting with activities of daily living like oral hygiene, and reporting observed behaviors to the registered nurse. Interventions requiring clinical judgment, such as positioning during an active seizure, or documentation of complex clinical assessments, must remain the responsibility of the licensed nurse.

✦ 台美臨床差異

美國 UAP 職責定義較嚴謹;台灣護理師常需承擔更多行政與照護雜務,委託過程更需溝通確認。

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