下列哪些護理任務可委派給護佐(UAP)執行?(選所有適合的)
Which of the following tasks should the nurse delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AMeasuring and recording intake and output✓ 正解測量並記錄出入量
- BFeeding a client who is at risk for aspiration餵食有吸入風險的病患
- CAmbulating a client who is two days post-op✓ 正解協助術後兩天的病患步行
- DAssessing the skin condition of a bedbound client評估長期臥床病患的皮膚狀況
- ECollecting a mid-stream urine specimen from a catheter從導尿管收集中段尿液檢體
委派原則(Delegation)重點在於「不可委派評估、計畫、執行高風險或需要專業判斷的任務」。測量出入量與協助下床活動屬於日常護理,適合委派。餵食吞嚥困難者、評估皮膚狀況及處理導管皆屬於需專業判斷的護理工作,不可委派。
Delegation principles dictate that nurses cannot assign assessment, planning, or high-risk tasks requiring professional judgment to Unlicensed Assistive Personnel (UAP). Measuring intake and output and ambulating a stable post-operative client are routine, non-invasive tasks appropriate for UAPs. Conversely, feeding a client at risk for aspiration, assessing skin integrity, and collecting sterile specimens require clinical expertise and should remain with licensed nursing staff.
在美國 UAP 權責範圍定義明確;台灣護理師常需負擔大量非護理核心工作,委派界線常較模糊。