— 照護管理 · EASY · MCQ —
護理師在內外科病房準備委任工作，下列哪項工作最適合委任給助理護理員（UAP）？
A nurse is preparing to delegate tasks on a busy medical-surgical unit. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAssessing the lung sounds of a patient admitted with pneumonia評估肺炎入院患者的肺部呼吸音
- BEducating a patient on how to self-administer insulin教育患者如何自行注射胰島素
- CMeasuring and documenting the urine output of a client with a foley catheter✓ 正解測量並記錄留置導尿管患者的尿量
- DEvaluating the skin integrity of a patient with a pressure ulcer評估壓瘡患者的皮膚完整性
— Explanation · 中文詳解 —
依據委任原則（Five Rights of Delegation），護理師應保留評估、教學、治療性處置及判斷異常狀況的責任。測量輸出量屬於常規生理監測，且尿液流失紀錄屬於照顧範疇。後續選項（評估皮膚、聽診肺音、衛教）皆涉及專業護理判斷與教學，屬於護理師核心業務，不可委任。
Routine tasks that do not require nursing judgment, such as measuring and documenting urine output, can be appropriately delegated to Unlicensed Assistive Personnel (UAP). Assessments, patient education, and evaluations of skin integrity require professional nursing knowledge and clinical decision-making, which must remain the responsibility of the licensed nurse.
✦ 台美臨床差異
美台對 UAP 之定義與權限高度相似，皆強調不可將護理評估與判斷責任委任出去。