— 照護管理 · MEDIUM · SATA —
護理師正在監督一位護佐（UAP），哪些任務可以適當地委派給他？（選所有適合的）
A nurse is supervising an unlicensed assistive personnel (UAP). Which tasks can be appropriately delegated to the UAP? (Select all that apply.)
- AObtaining vital signs for a stable client✓ 正解為穩定個案測量生命徵象
- BAssisting a patient with oral hygiene and bathing✓ 正解協助病人進行口腔清潔與沐浴
- CDocumenting the nursing assessment of a new admission記錄新入院個案的護理評估
- DReporting intake and output measurements for the shift✓ 正解報告當班之出入量測量數據
- EFeeding a patient who has a high risk of aspiration餵食具有高誤吸風險的病人
— Explanation · 中文詳解 —
委派任務必須遵循「右委派」原則：正確任務、正確情境、正確人員。測量生命徵象、日常衛生清潔、記錄出入量屬於護佐職責範疇。評估屬於護理師核心專業不可委派；餵食吞嚥困難病人因有高度誤吸風險，需護理人員監控，不可委派給 UAP。
Tasks such as obtaining vital signs for stable clients, assisting with hygiene, and recording intake and output are appropriate for delegation to unlicensed assistive personnel. However, nursing assessments and feeding patients at high risk for aspiration require professional clinical judgment and supervision by a licensed nurse.
✦ 台美臨床差異
美國護佐（CNA/UAP）職責定義清晰，台灣類似職務為照顧服務員，但在臨床分工上較多重疊，需確認當地法規。