— 照護管理 · EASY · MCQ —
護理長進行護理工作分配，下列哪項工作適合交派給助理人員 (UAP)？
A charge nurse is planning assignments. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AObtaining vital signs for a client who just returned from surgery為剛從手術返回的病人生命徵象
- BAssisting a stable client with ambulation after surgery✓ 正解協助穩定的病人術後下床活動
- CReinforcing teaching about wound care to the client加強對病人的傷口護理衛教
- DDocumenting the client's response to pain medication記錄病人對止痛藥的反應
— Explanation · 中文詳解 —
護理任務分配原則為將穩定、重複性高、不需要複雜專業評估的任務交給 UAP。協助穩定病人下床活動是 UAP 的常規職責。護理師職責包含評估用藥反應、測量術後不穩定病人的生命徵象以及執行衛教指導，這些不能交派。
Unlicensed Assistive Personnel can assist stable clients with activities of daily living, including ambulation. Post-surgical assessments, patient education, and evaluation of medication responses require the clinical judgment of a registered nurse. Delegating these tasks to UAPs exceeds their scope of practice.
✦ 台美臨床差異
美國護理體系中 UAP 定位明確；台灣護理輔助人力多為照服員，常由護理師直接指導，權限需更嚴謹區分。