— 照護管理 · MEDIUM · MCQ —
護理長正在評估新進護理師對輔助人員（UAP）的委派能力。下列哪項行為需要護理長介入？
A nurse manager is evaluating a newly licensed nurse's ability to safely delegate tasks to an Unlicensed Assistive Personnel (UAP). Which action by the new nurse requires intervention?
- ARequesting the UAP to document the intake and output for a client with heart failure請求輔助人員（UAP）記錄心衰竭病患的出入量
- BAsking the UAP to ambulate a client who had hip replacement surgery yesterday✓ 正解請輔助人員（UAP）協助昨天接受髖關節置換術的病患行走
- CDelegating the collection of a urine specimen to the UAP委派輔助人員（UAP）收集尿液檢體
- DInstructing the UAP to check the blood glucose level of a stable diabetic client指示輔助人員（UAP）測量穩定型糖尿病患的血糖值
— Explanation · 中文詳解 —
委派原則強調「護理師不能委派需要專業評估、判斷或高度危險性的任務」。全髖關節置換術後一日的病人，其活動涉及關節穩定性、體位轉換技術及術後併發症評估，應由護理師親自執行或指導，UAP 無法承擔此臨床判斷。
Ambulating a client who had hip replacement surgery yesterday requires professional clinical assessment of joint stability and complication risks, which exceeds the UAP's scope of practice. Delegation principles dictate that tasks requiring nursing judgment or involving recent surgical patients must remain with the licensed nurse.
✦ 台美臨床差異
美國 UAP 權責範圍廣；台灣多由照服員協助，但在委派界線與醫護專業責任判定上邏輯相似。