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照護管理 · MEDIUM · SATA

護理師照顧出院病人,哪些任務可適當分配給照服員(UAP)?(選所有適合的)

A nurse is caring for a client who is being discharged. Which tasks can the nurse appropriately delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AMeasuring and recording the client's vital signs✓ 正解
    測量並記錄病人的生命徵象
  • BAssisting the client with transferring to the wheelchair✓ 正解
    協助病人轉移至輪椅
  • CEducating the client on medication side effects
    教育病人關於藥物副作用
  • DDocumenting intake and output✓ 正解
    記錄出入量
  • EPerforming a focused physical assessment of the wound
    對傷口進行重點式身體評估
Explanation · 中文詳解

在護理委任(Delegation)中,護理師必須遵循「護理過程 (Nursing Process)」原則,評估 (Assessment)、規劃 (Planning)、教學 (Education) 及評值 (Evaluation) 屬於護理師的專業範疇,絕對不可委任。照服員 (UAP) 的工作範疇僅限於穩定病人狀況下的例行性、重複性技術與身體照護。測量生命徵象、協助移位及記錄出入量皆為標準的照服員任務,能有效運用人力並維持安全。

Unlicensed Assistive Personnel (UAP) may perform routine, standardized tasks for stable clients, such as measuring vital signs, assisting with transfers, and documenting intake and output. Assessment, planning, education, and evaluation remain the exclusive responsibilities of the licensed nurse.

✦ 台美臨床差異

在美國,UAP 的角色定義非常嚴謹。護理師必須確保委任對象具備該技術的認證(如 CNA 執照)。若病人情況不穩定,即便是測量生命徵象也應由護理師親自進行,這與台灣臨床中護理師有時需處理大量庶務而過度委任的情況不同。

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