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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。

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