— 照護管理 · EASY · MCQ —
護理師在內外科病房進行工作分派，下列哪項工作適合委派給輔助人力（UAP）？
A nurse is preparing to delegate tasks in a medical-surgical unit. Which task is appropriate for an Unlicensed Assistive Personnel (UAP)?
- AMeasuring and documenting the urine output of a stable client✓ 正解測量並記錄穩定病人的尿液排出量
- BAdministering oral medications to a client with dysphagia對吞嚥困難的病人給予口服藥物
- CEducating a client on the side effects of new medication對病人進行新藥副作用的衛教
- DAssessing the skin integrity of a client with a pressure injury評估壓瘡病人的皮膚完整性
— Explanation · 中文詳解 —
UAP 的執業範圍侷限於執行常規性、非侵入性且穩定病人的照護。測量並記錄尿量屬於常規測量範疇，由護理師指導後即可執行。其餘選項皆涉及護理評估、藥物給予或病人衛教，這些屬於專業護理師的核心職責，不可委派。
Unlicensed Assistive Personnel (UAP) are authorized to perform routine, non-invasive tasks for stable clients, such as measuring and documenting urine output. Tasks involving professional nursing judgment, including medication administration, patient education, and physical assessment, remain the responsibility of the licensed nurse.
✦ 台美臨床差異
美國 UAP 訓練結構嚴謹（如 CNA），台灣照服員在醫院分工中常態執行類似職責，但護理師仍需負擔最終監督責任。