— 照護管理 · EASY · MCQ —
護理師將護理任務委派給輔助人力（UAP），哪一項任務適合委派？
An unlicensed assistive personnel (UAP) is assigned to assist with patient care. Which task is appropriate for the nurse to delegate to the UAP?
- AMeasuring and documenting the daily weight of a patient with heart failure✓ 正解測量並記錄充血性心臟衰竭病人的每日體重
- BProviding patient education on insulin administration提供關於胰島素給藥的病人衛教
- CAssessing the lung sounds of a patient with pneumonia評估肺炎病人的肺部呼吸音
- DEvaluating the skin integrity around a surgical site評估手術部位周圍的皮膚完整性
— Explanation · 中文詳解 —
根據委派原則，護理師應保留評估（Assessment）、教學（Teaching）與判斷（Evaluation）等需專業知識的任務（ATE）。測量體重屬於常規且穩定的數據收集，適合委派給經過培訓的輔助人力。肺音評估、胰島素衛教及傷口癒合評估皆涉及臨床判斷，應由護理師親自執行。
Delegation follows the ATE rule, reserving Assessment, Teaching, and Evaluation for licensed nurses. Measuring and documenting daily weight is a standardized data collection task that does not require clinical judgment, making it appropriate for delegation to unlicensed assistive personnel. Tasks involving patient education, physical assessment, or wound evaluation must remain with the registered nurse.
✦ 台美臨床差異
美國 UAP 角色分工明確；台灣醫院類似工作的看護或照服員角色較不固定，需更謹慎確認其教育背景。