— 照護管理 · EASY · SATA —
註冊護理師（RN）可以安全地將下列哪些任務委派給輔助人員（AP）？（選所有適合的）
Which of the following tasks can the registered nurse (RN) safely delegate to an assistive personnel (AP)? (Select all that apply.)
- AObtaining vital signs for a client post-cardiac catheterization✓ 正解為心導管術後病人測量生命徵象
- BAssisting a client with ambulation after a hip replacement✓ 正解協助髖關節置換術後病人行走
- CAdjusting the infusion rate of a continuous IV heparin drip調整持續靜脈注射肝素滴注的速率
- DFeeding a client who has dysphagia and is at risk for aspiration餵食有吞嚥困難且有吸入風險的病人
- EPerforming a bed bath for a stable postoperative client✓ 正解為病情穩定的術後病人進行床上擦浴
— Explanation · 中文詳解 —
委派（Delegation）遵循五大原則：正確的人、正確的任務、正確的環境、正確的溝通、正確的督導。AP 可協助基本照護（洗澡、量測生命徵象、協助活動）。調整靜脈滴注速率涉及藥物治療調整，屬護理師職責；餵食有誤吸風險的吞嚥困難者需具備評估能力，不應委派給 AP。
Assistive personnel can safely perform standard tasks such as obtaining vital signs for stable clients, assisting with ambulation, and providing bed baths. Adjusting IV heparin rates requires nursing assessment, and feeding clients with dysphagia poses an aspiration risk that necessitates professional evaluation. Delegation must align with the scope of practice to ensure patient safety.
✦ 台美臨床差異
美國對 AP（如 CNA）的委派有明確法律規範；台灣照服員角色多元，醫院常因人力配置而模糊委派界線。