— 照護管理 · EASY · MCQ —
下列哪項任務最適合委派給輔助人員（UAP）執行？
Which of the following tasks is most appropriate for the nurse to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAdministering routine oral medications給予常規口服藥物
- BDocumenting nursing assessments in the electronic record在電子病歷中記錄護理評估
- CProviding discharge education on wound care提供傷口護理的出院衛教
- DAssisting a stable client with morning hygiene and ambulation✓ 正解協助穩定的病人進行晨間清潔與步行
— Explanation · 中文詳解 —
委派（Delegation）必須遵循「委派五項原則」（Five Rights of Delegation）。護理師應將非侵入性、低風險、穩定病況且屬於例行性的工作委派給輔助人員（UAP）。協助日常生活活動（ADLs）與活動（Ambulation）符合這些原則，且能讓護理師將時間專注於專業評估與複雜護理。
Unlicensed Assistive Personnel (UAP) can perform routine, non-invasive tasks for stable clients, such as assisting with hygiene and ambulation. Medication administration, nursing assessments, and patient education remain within the licensed nurse's scope of practice.
✦ 台美臨床差異
美國各州的護理執業法（Nurse Practice Act）對於 UAP 的委派權限有嚴格規定，且不同機構（Facility）的 Policy 可能不同，但核心原則皆為「不評估、不給藥、不教學」。