— 照護管理 · EASY · MCQ —
護理師在內外科病房處理委派工作，下列哪項工作適合委派給輔助人員（AP）？
A nurse is preparing to delegate tasks on a busy medical-surgical unit. Which task is appropriate for the nurse to delegate to an Assistive Personnel (AP)?
- AMeasuring intake and output for a client with heart failure✓ 正解測量有心衰竭病人的出入量
- BEducating a client on wound care techniques對病人進行傷口護理技術衛教
- CAssessing a newly admitted client評估新入院病人
- DEvaluating the effectiveness of pain medication評估止痛藥物的療效
— Explanation · 中文詳解 —
根據護理委派原則，AP 可執行常規性、標準化、低風險且不需要臨床判斷的任務。紀錄出入量為基礎護理工作，適合委派。D、C、B 皆屬於評估、診斷或衛教範疇，必須由護理師親自執行，因為涉及臨床分析與專業判斷，不得委派給輔助人員。
Measuring intake and output is a routine, standardized task that does not require clinical judgment, making it appropriate to delegate to Assistive Personnel. Tasks such as initial assessments, client education, and evaluating medication effectiveness involve complex nursing processes and professional judgment, which must remain the responsibility of the registered nurse.
✦ 台美臨床差異
美國 RN 委派權限明確；台灣醫療場域常因人力不足，AP（如照服員）協助項目較多，但法律責任仍需由 RN 承擔。