護理師在內外科病房，請問指派給照服員（UAP）執行哪項任務是適當的？
A nurse is working in a medical-surgical unit and is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate?
- ADocumenting the intake and output of a patient receiving IV antibiotics記錄接受靜脈抗生素治療病人的出入量
- BAssisting a stable patient with morning hygiene and changing bed linens✓ 正解協助狀況穩定的病人進行晨間衛生清潔並更換床單
- CEducating a patient on the side effects of newly prescribed antihypertensive medication教育病人關於新開立抗高血壓藥物的副作用
- DObtaining a sterile urine specimen via an indwelling urinary catheter透過留置導尿管取得無菌尿液檢體
護理指派的核心原則在於評估（Assessment）、診斷（Diagnosis）、計畫（Planning）、執行（Implementation）與評值（Evaluation）的護理過程（ADPIE）均屬於護理師專業權限，不可委派。照服員（UAP）的訓練範疇在於基本生活需求（ADLs）與輔助性常規工作，因此協助穩定病人的日常清潔是合適的。反之，無菌技術操作、侵入性管路採樣、對用藥後的臨床反應評估，或是衛教病人藥物副作用，均涉及專業判斷與無菌技術，屬於護理師責任，不可委派給非護理專業人員。此題考驗護理師對於職責分配的安全界線，確保病人獲得適當程度的照顧，避免潛在醫療風險。
Assisting a stable patient with morning hygiene and changing bed linens is appropriate to delegate to Unlicensed Assistive Personnel, as it involves basic activities of daily living. Tasks requiring nursing judgment, sterile technique, or patient education, such as documenting complex I&O or obtaining sterile specimens, remain the nurse's responsibility.
美國護理體系中對 UAP 的使用非常規範，主要依賴護理師評估後明確交代任務細節；台灣護理師由於人力吃緊，常有將技術性工作（如拆線、協助傷口換藥）委派給照服員的情形，這在美國實務中屬於嚴重執業違規，易導致護理評鑑缺失。