護理師準備分配工作給護佐 (UAP)，下列哪項任務適合指派？
A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate to assign?
- AEducating the client on post-operative incentive spirometer use衛教病人術後使用呼吸練習器
- BMonitoring the IV infusion site for signs of infiltration監測靜脈注射部位是否有滲漏跡象
- CPerforming a sterile dressing change for a pressure ulcer為壓瘡進行無菌敷料更換
- DAssisting a stable client with bathing and oral hygiene✓ 正解協助狀況穩定的病人洗澡及口腔清潔
護理指派（Delegation）必須遵循「評估（Assessment）、教學（Teaching）、評估（Evaluation）不可指派」的原則。護佐（UAP）僅能執行穩定病人的常規照護。日常活動協助（如洗澡、口腔衛生）屬於 UAP 的執業範圍，而涉及專業評估、傷口護理或衛教的任務，必須由註冊護理師（RN）親自執行以確保病人安全。
Unlicensed Assistive Personnel (UAP) can safely perform routine tasks for stable clients, such as assisting with activities of daily living like bathing and oral hygiene. Tasks involving assessment, teaching, sterile procedures, or evaluation of IV sites require the specialized knowledge and judgment of a registered nurse. Delegating ADLs to UAPs ensures efficient resource use while maintaining patient safety through appropriate role boundaries.
在美國，護佐（Certified Nursing Assistant, CNA/UAP）的職責界線非常明確且受法律保護。護理師在指派任務時需考量 State Board of Nursing 的法規，並對指派結果負責；台灣護理師工作負荷較重，有時會請照服員協助更多臨床事務，但專業評估職責仍應由 RN 執行。