— 照護管理 · EASY · SATA —
護理師在內外科病房與照服員合作。下列哪些任務適合指派給照服員？（選所有適合的）
A nurse is working with an assistive personnel (AP) on a medical-surgical unit. Which task is appropriate for the nurse to delegate to the AP? (Select all that apply.)
- AAssisting a client with ambulation after surgery✓ 正解協助病人於術後行走
- BMeasuring and recording a client's intake and output✓ 正解測量並記錄病人的攝入量與排出量
- CAssessing a client's wound healing status評估病人的傷口癒合狀況
- DProviding oral hygiene for a bedbound client✓ 正解為卧床病人提供口腔護理
- EFeeding a client who has dysphagia餵食有吞嚥困難的病人
— Explanation · 中文詳解 —
指派（Delegation）必須符合護理師職責與照服員能力限制。A、B、D 為基礎日常生活協助，屬於照服員工作範圍。C（評估傷口）屬於護理專業評估，不可指派；E（吞嚥困難病人的餵食）風險過高且需專業判斷，亦不可指派。
Assistive personnel can safely perform routine tasks such as assisting with ambulation, measuring intake and output, and providing oral hygiene for bedbound clients. Nursing assessment of wound healing and feeding clients with dysphagia require professional judgment and pose aspiration risks, making them inappropriate for delegation.
✦ 台美臨床差異
美台照服員職責界線相似，但美國執業護理師（LPN/LVN）與照服員的分工在某些州法下有明確規範。