— 照護管理 · EASY · MCQ —
護理長正在督導照服員（UAP），下列哪項工作適合授權給照服員？
A nurse manager is supervising an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?
- AMonitoring the IV site for signs of infiltration監測靜脈留置處是否有滲漏跡象
- BEvaluating the skin integrity of a patient with a pressure ulcer評估壓瘡患者的皮膚完整性
- CAssisting a patient with a new colostomy to empty the appliance協助有新式人工肛門的患者清空造口袋
- DObtaining a clean-catch urine specimen from a patient✓ 正解從患者身上取得清潔中段尿標本
— Explanation · 中文詳解 —
授權原則依據「護理程序」與「專業判斷」，護理師保留評估、診斷、計畫與評值。協助收集清潔尿液檢體屬於常規身體照護，無技術性侵入性；而造口護理、皮膚評估與靜脈留置管監測均涉及評估與專業技術，不可委託給 UAP。
Delegation to unlicensed assistive personnel (UAP) is limited to routine, standardized tasks that do not require nursing judgment or assessment. Obtaining a clean-catch urine specimen is a basic procedure within the UAP's scope, whereas monitoring IV sites, evaluating skin integrity, and performing ostomy care require professional nursing skills.
✦ 台美臨床差異
美國護理人員依職責細分明確；台灣照服員（看護）職責常更廣泛，但護理評估核心責任仍相同。