— 照護管理 · MEDIUM · SATA —
護理師照護一組病人，哪些工作適合委派給非執照輔助人員（UAP）？（選所有適合的）
A nurse is caring for a group of clients. Which tasks can the nurse appropriately delegate to an unlicensed assistive personnel (UAP)? (Select all that apply.)
- AObtaining vital signs for a stable postoperative client✓ 正解為穩定的術後病人測量生命徵象
- BAssisting with ambulation of a client with a stable gait✓ 正解協助步態穩定的病人行走
- CPerforming a sterile dressing change on a deep wound對深層傷口進行無菌換藥
- DDocumenting the intake and output of a stable client✓ 正解記錄穩定病人的出入量
- EFeeding a client who has a risk for aspiration餵食有吸入性風險的病人
— Explanation · 中文詳解 —
委派原則需遵守「非專業、穩定、無侵入性」。量測生命徵象、協助行走與記錄出入量均屬於常規且穩定的照護範疇。無菌傷口換藥屬於評估與侵入性處置，需由護理師執行；餵食有誤吸風險的病人需由專業人員評估吞嚥功能。
Unlicensed assistive personnel (UAP) can safely perform routine, non-invasive tasks for stable clients, such as obtaining vital signs, assisting with ambulation, and documenting intake and output. Sterile procedures, complex assessments, and feeding clients with aspiration risks require licensed nursing judgment.
✦ 台美臨床差異
美國 UAP 角色定位明確且受法律保障；台灣護理輔助人力（如照服員）功能相似，但在急性病房的委派權責界線需依醫院規定執行。