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照護管理 · MEDIUM · SATA

護理師需同時照護多位病人,下列哪些任務可委託給輔助人員(UAP)執行?(選所有適合的)

A nurse is providing care to multiple clients. Which of the following tasks can be delegated to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AAssisting a stable client with ambulation✓ 正解
    協助穩定病人下床活動
  • BObtaining vital signs on a stable postoperative client✓ 正解
    測量穩定之術後病人生命徵象
  • CEvaluating the skin integrity of a patient with pressure ulcers
    評估壓瘡患者之皮膚完整性
  • DFeeding a client who requires assistance with meals✓ 正解
    餵食需要協助進食的客戶
  • EDocumenting intake and output for a client with heart failure✓ 正解
    記錄心衰竭病人之出入量
Explanation · 中文詳解

根據護理法規,UAP 可執行常規的照護任務,如協助活動、測量常規生命徵象、餵食及記錄進出水。評估(Assessment)、診斷、計畫與教學等涉及專業判斷的任務,不可委託。評估壓瘡傷口完整性屬於護理專業評估範疇,必須由護理師親自執行。

Unlicensed Assistive Personnel (UAP) may perform routine, standardized tasks such as assisting stable clients with ambulation, obtaining vital signs, feeding, and documenting intake and output. Assessment, diagnosis, planning, and teaching require professional nursing judgment and cannot be delegated to UAPs.

✦ 台美臨床差異

美國 UAP 工作範疇明確,台灣則由照顧服務員(照服員)執行類似任務,但因人力配置,有時護理師需兼任多項照服工作。

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