— 照護管理 · HARD · SATA —
哪些病人不適合指派照服員（UAP）照顧？（選所有適合的）
A nurse is preparing to delegate care. Which clients are inappropriate for delegation to a UAP? (Select all that apply.)
- AA client who just returned from surgery with a stable vital sign剛從手術回來且生命徵象穩定的病人
- BA client requiring tracheostomy care and suctioning✓ 正解需要氣切照護和抽吸的病人
- CA client with an unstable cardiac rhythm✓ 正解心律不穩定的病人
- DA client requiring education on home medications✓ 正解需要居家藥物衛教的病人
- EA client who is NPO for a diagnostic test因診斷測試而禁食（NPO）的病人
— Explanation · 中文詳解 —
不可委派的對象包括：病情不穩定者（心律不整）、需要專業評估或無菌技術者（氣切吸痰）、需要衛教與診斷者。術後病人若已穩定且無侵入管路，可由照服員協助 ADLs，但在未經護理師評估前，應先由專業人員處理。
Delegation to Unlicensed Assistive Personnel (UAP) excludes tasks requiring sterile technique, clinical assessment, or patient education. Tracheostomy care involves sterile procedures, unstable cardiac rhythms require continuous nursing assessment, and medication education is a professional nursing responsibility.
✦ 台美臨床差異
台灣照服員在氣切照顧上常協助抽痰，但在法律專業劃分上，侵入性處置應由護理師執行，護理師需負監督責任。