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照護管理 · MEDIUM · SATA

護理師向學生說明委託原則。哪些任務適合委託給輔助人員(UAP)執行?(選所有適合的)

A nurse is teaching a group of students about delegation. Which tasks are appropriate for the nurse to delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AAssisting with ambulation of a stable post-operative client✓ 正解
    協助病情穩定的術後病人行走
  • BMeasuring and recording intake and output✓ 正解
    測量並記錄攝入量和排出量
  • CEvaluating the effectiveness of pain medication
    評估止痛藥的療效
  • DPerforming blood glucose monitoring for a diabetic client✓ 正解
    為糖尿病患者進行血糖監測
  • EFeeding a client who has difficulty swallowing
    餵食有吞嚥困難的病人
Explanation · 中文詳解

委託(Delegation)必須遵循「五項權利」(Five Rights of Delegation),護理師僅能委託常規性、穩定且不需要複雜專業評估的任務給輔助人員(UAP)。核心判斷準則是:若任務涉及評估(Assessment)、教學(Teaching)、評值(Evaluation)或臨床判斷(Clinical Judgment),則必須由註冊護理師(RN)親自執行。

Unlicensed Assistive Personnel (UAP) may perform routine, standardized tasks such as assisting ambulation, recording intake and output, and performing blood glucose monitoring on stable clients. Tasks requiring nursing judgment, assessment, evaluation, or teaching, such as evaluating pain medication effectiveness or feeding a client with dysphagia, must remain with the registered nurse.

✦ 台美臨床差異

在美國,UAP(如 CNA)的職責範圍較明確。台灣臨床常見由家屬或看護協助餵食,但在美國醫院,若病人有吞嚥困難,根據護理計畫,這通常被視為專業照護範疇,UAP 若未經特殊評估訓練,不得執行。

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