護理師正將任務委派給非執照輔助人員(UAP)。下列哪項任務最適委派?
The nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is most appropriate to delegate?
- ATeaching a client how to use an incentive spirometer教導病人如何使用誘發式肺量計
- BEvaluating the effectiveness of a client's pain medication評估病人疼痛藥物的療效
- CAssessing a post-operative client's surgical incision評估術後病人的手術切口
- DAssisting a stable client with ambulation to the bathroom✓ 正解協助生命徵象穩定的病人步行至廁所
委派原則(Delegation)的核心在於區分專業護理行為與一般照護行為。根據 TAPE 原則,Teaching(衛教)、Assessment(評估)、Planning(計畫)、Evaluation(評價)屬於註冊護理師(RN)的範疇,不可委派給 UAP。協助穩定病人下床如廁屬於例行性的日常生活照顧,不需要高度判斷力,因此最適合委派。護理師在委派後仍需負責監督與最後的結果評估。正確委派能優化人力分配並確保病人安全。
Delegation follows the TAPE principle, where Teaching, Assessment, Planning, and Evaluation are reserved for the Registered Nurse. Unlicensed Assistive Personnel (UAP) may perform routine tasks for stable clients, such as assisting with ambulation to the bathroom, which does not require clinical judgment. The RN retains responsibility for supervision and final evaluation of patient outcomes.
美國 UAP (如 CNA) 職責定義明確且受過認證;台灣輔助人力(如照顧服務員)在醫院內常由家屬自聘,其職權劃分在法律與實務上較美國模糊,但國考標準仍依循專業不委派原則。