— 照護管理 · EASY · MCQ —
護理長正在評估指派給輔助人員（AP）的工作。下列哪項工作適合由 AP 執行？
A nurse manager is evaluating the tasks assigned to an Assistive Personnel (AP). Which task is appropriate for the AP to perform?
- AAdministering oral medications to a client給予病人口服藥物
- BMeasuring the intake and output of a stable client✓ 正解測量穩定病人的攝入量和排出量
- CTeaching a client about insulin injection sites教導病人關於胰島素注射部位
- DDeveloping a plan of care for a new admission為新入院病人制定護理計畫
— Explanation · 中文詳解 —
輔助人員（AP）的職責範疇（Scope of practice）僅限於執行已規範、重複性高且無需專業判斷的任務。測量攝入與排出量（I&O）屬於基礎監測，適合由 AP 執行。而護理計畫的制定、評估、教學以及給藥等，涉及專業護理判斷與藥物動力學知識，這些屬於註冊護理師（RN）的核心專業責任，不得轉移（Delegate）。
Assistive personnel are trained to perform routine, standardized tasks that do not require professional nursing judgment, such as measuring intake and output for stable clients. Tasks involving medication administration, patient education, care planning, and assessment remain within the scope of registered nurses and cannot be delegated.
✦ 台美臨床差異
在美國，不同州對於 AP（如 CNA, UAP）的授權範圍略有不同，但「評估（Assessment）」、「診斷（Diagnosis）」、「計畫（Planning）」與「衛教（Evaluation）」這四項核心護理步驟，絕對是 RN 的專屬權利。