— 照護管理 · EASY · MCQ —
護理師為一位新造口病人規劃出院，下列何種護理措施委派給護理佐理員（UAP）是適當的？
A nurse is planning discharge for a client with a new colostomy. Which nursing action demonstrates effective delegation to the UAP?
- ADelegating the assessment of the stoma color to the UAP.將評估造口顏色的任務委派給護理佐理員（UAP）
- BInstructing the UAP to teach the client how to change the ostomy bag.指示UAP教導個案如何更換造口袋
- CAsking the UAP to empty the ostomy bag and record the output volume.✓ 正解請UAP排空造口袋並記錄輸出量
- DTasking the UAP with documenting the teaching session in the EMR.指派UAP在電子病歷（EMR）中記錄教學課程
— Explanation · 中文詳解 —
根據委派原則，護理師應將重複性、低風險、非侵入性且不需評估的作業委派給護理佐理員（UAP）。清空造口袋並記錄排出量屬於常規技術，符合 UAP 的職責範圍。教學、評估造口顏色與記錄護理評估均屬於專業護理師職責，不可委派。
Effective delegation to Unlicensed Assistive Personnel (UAP) involves assigning routine, non-invasive tasks that do not require clinical judgment, such as emptying an ostomy bag and recording output volume. Assessments, teaching, and documentation of professional nursing care are reserved for the registered nurse.
✦ 台美臨床差異
美國 UAP 工作範疇明確；台灣類似職位為照服員，常受限於醫院評鑑與法規，分工界線在急性病房有時較模糊。