— 照護管理 · MEDIUM · SATA —
護理師正在準備一位病人的出院工作，下列哪些活動可以指派給照服人員（AP）？（選所有適合的）
A nurse is caring for a client who is being discharged. Which of the following activities can the nurse delegate to an assistive personnel (AP)? (Select all that apply.)
- AGathering the client's personal belongings for discharge✓ 正解整理病人出院時的個人物品
- BObtaining the client's final set of vital signs✓ 正解取得病人最後一組生命徵象
- CExplaining the discharge summary to the client向病人解釋出院摘要
- DAssisting the client to the wheelchair for transportation to the exit✓ 正解協助病人坐上輪椅以便出院交通
- ECleaning the hospital room after the client has departed✓ 正解病人離開後清潔病房
— Explanation · 中文詳解 —
指派工作需遵守「五項權利」，包括正確的任務。A、B、D、E 均屬於非侵入性、常規性且不會改變病人狀況的任務，適合指派給照服員。解釋出院總結（C）涉及專業護理評估與治療建議，屬於護理師的專業職責，不可委派。
Tasks delegated to assistive personnel must be non-invasive, routine, and unlikely to change the client's condition, adhering to the five rights of delegation. Collecting belongings, obtaining vital signs, assisting with ambulation, and cleaning the room are appropriate for APs, whereas providing discharge education requires the professional judgment and assessment skills of the registered nurse.
✦ 台美臨床差異
美台臨床皆將環境清潔歸為輔助人力範疇，但美國護理師對指派權限（Delegation）的操作更為嚴謹。