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照護管理 · EASY · SATA

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
Explanation · 中文詳解

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.

✦ 台美臨床差異

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。

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