— 照護管理 · MEDIUM · SATA —
護理師準備協助病人出院，哪些任務可以委派給護理助理（NA）？（選所有適合的）
A nurse is preparing for a client's discharge. Which of the following tasks can the nurse delegate to a Nursing Assistant (NA)? (Select all that apply.)
- ATransporting the client to the discharge area by wheelchair✓ 正解以輪椅將病人送至出院區
- BObtaining the client's final set of vital signs✓ 正解取得病人最後一組生命徵象
- CRemoving the peripheral IV catheter移除周邊靜脈留置針
- DGathering the client's belongings from the bedside unit✓ 正解從床邊櫃收集病人的個人物品
- EExplaining the discharge medication side effects說明出院藥物的副作用
— Explanation · 中文詳解 —
委派原則依據病人的穩定度與技術複雜性。A、B、D 為輔助性與常規性工作，可由 NA 執行。C（移除靜脈導管）通常屬於護理技術，依各單位規定需由執照護理師執行。E（衛教）涉及護理評估與判斷，為 RN 的核心專屬職責，絕不可委派。
Delegation to a Nursing Assistant includes routine, non-invasive tasks such as transporting stable clients, obtaining vital signs, and gathering personal belongings. Clinical assessments, invasive procedures like removing IV catheters, and patient education require the specialized knowledge and judgment of licensed nurses and should not be delegated.
✦ 台美臨床差異
美國護理助理（CNA/NA）訓練與權責界線清楚；台灣目前亦強化照服員之權責，但仍需避免讓照服員執行過多技術性護理。