— 照護管理 · MEDIUM · SATA —
護理師準備向照服員（AP）進行業務授權，哪些工作適合委託？（選所有適合的）
A nurse is preparing to delegate tasks to an assistive personnel (AP). Which tasks are appropriate for the nurse to delegate? (Select all that apply.)
- AMeasuring and documenting routine vital signs✓ 正解量測並記錄常規生命徵象
- BAssisting a stable client with personal hygiene✓ 正解協助穩定個案進行個人衛生清潔
- CEvaluating the effectiveness of pain medication評估止痛藥物的療效
- DFeeding a client who has a risk of aspiration餵食有吸入風險的個案
- ECollecting a mid-stream urine specimen from a catheterized client從導尿個案收集中段尿液標本
— Explanation · 中文詳解 —
授權原則依據「護理程序」（評估、診斷、計畫、執行、評值）進行。評估（C）與複雜的護理執行（如需專業評估吞嚥能力的餵食 D、無菌技術操作 E）皆不可委託給照服員。Vital signs 與協助日常生活（ADLs）屬常規且具可預測性，適合委託。
Routine tasks such as measuring vital signs and assisting with personal hygiene are appropriate to delegate to assistive personnel because they do not require nursing judgment. Evaluation of pain medication, feeding clients with aspiration risks, and collecting specimens requiring sterile technique involve assessment and professional judgment, which must remain with the registered nurse.
✦ 台美臨床差異
美國 AP（如 CNA）職責範疇定義明確；台灣照服員在醫院中角色多元，但專業無菌技術依護理師法規範仍應由 RN 執行。