— 照護管理 · EASY · MCQ —
護理長將工作分配給輔助人力（UAP），下列哪項任務適合委派？
A nurse manager is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?
- AObtaining a urine specimen from an indwelling urinary catheter從留置導尿管取得尿液檢體
- BAssessing the skin condition of a client with limited mobility評估行動不便病人的皮膚狀況
- CReinforcing the teaching provided by the nurse to a new client協助護理師向新入院病人強化衛教內容
- DMeasuring and documenting the output from a surgical drain✓ 正解測量並記錄外科引流管的引流量
— Explanation · 中文詳解 —
UAP 可負責常規的測量與生命徵象紀錄。引流管輸出量屬於標準化的測量工作，不需要專業護理判斷。選項 A 涉及無菌操作與導尿管維護，應由專業護理師執行；B、C 均涉及評估與衛教，屬於護理師專業職責，不可下放。
Measuring and documenting output from a surgical drain is a routine task that does not require professional nursing judgment, making it appropriate to delegate to unlicensed assistive personnel (UAP). Tasks involving sterile technique, skin assessment, or reinforcing patient education require the specialized skills of a licensed nurse.
✦ 台美臨床差異
美國 UAP 職責較明確且法律授權較大；台灣醫院輔助人力多協助日常生活照顧，臨床監測任務較少授權給 UAP。