— 照護管理 · MEDIUM · SATA —
下列哪些活動適合納入護理委任計畫(Nursing Delegation)?(選所有適合的)
Which of the following activities are appropriate to include in a nursing delegation plan? (Select all that apply.)
- AChecking the patient's blood pressure prior to administering antihypertensives在給予抗高血壓藥物前測量病人的血壓
- BAssisting a patient with feeding if they have no dysphagia✓ 正解協助無吞嚥困難的病人進食
- CRe-evaluating a patient's response to medication重新評估病人對藥物的反應
- DObtaining routine vital signs on a stable patient✓ 正解為穩定病人測量常規生命徵象
- ECollecting a mid-stream urine sample from a patient✓ 正解收集病人的中段尿液檢體
— Explanation · 中文詳解 —
委任原則需排除「評估」、「規劃」、「教導」等專業技能。血壓測量後「決定是否給藥」屬專業判斷(RN)。監測服藥反應亦需專業分析(RN)。至於餵食(無吞嚥困難者)、常規測量生命徵象、收集檢體,均屬可委任範圍。
Appropriate delegation to Unlicensed Assistive Personnel (UAP) includes routine tasks such as assisting with feeding, obtaining vital signs on stable clients, and collecting mid-stream urine samples. Tasks requiring nursing judgment, such as evaluating medication responses or deciding whether to administer drugs based on vital signs, must remain with the licensed nurse.
✦ 台美臨床差異
在台灣,護理師常需負擔過多技術性工作,對於委任(Delegation)的操作與責任分擔,與美國制度仍有差異。