— 照護管理 · MEDIUM · SATA —
護理師照顧一群病人，下列哪些任務可適當地交辦給 UAP？（選所有適合的）
A nurse is caring for a group of clients. Which tasks can the nurse appropriately delegate to the UAP? (Select all that apply.)
- AFeeding a patient who has dysphagia and requires thick liquids餵食需要濃稠液體的吞嚥困難患者
- BObtaining vital signs on a stable patient admitted for observation✓ 正解為因觀察而收治的穩定病人測量生命徵象
- CEmptying a urinary catheter drainage bag✓ 正解排空導尿管引流袋
- DAssisting a patient with bathing and oral hygiene✓ 正解協助病人洗澡及口腔衛生
- EDocumenting the results of a bedside glucose check記錄床邊血糖檢查結果
— Explanation · 中文詳解 —
交辦原則需考量病人穩定度與任務複雜度。吞嚥困難（Dysphagia）病人有極高誤吸風險，餵食必須由護理師執行以確保安全；血糖紀錄雖然常由 UAP 測量，但判讀與處理是護理師責任，應避免讓 UAP 紀錄醫療檢查數據，除非有明確規範。B、C、D 皆為日常照護活動，適合交辦。
Unlicensed assistive personnel can appropriately obtain vital signs on stable patients, empty urinary catheter drainage bags, and assist with bathing and oral hygiene. Feeding clients with dysphagia poses a high aspiration risk, and documenting glucose results involves clinical data interpretation, both of which require licensed nursing judgment.
✦ 台美臨床差異
在美國，UAP 的 scope 較明確；台灣照服員受限於執照與法律，對於血糖紀錄等醫療數據處理常有模糊地帶。