— 照護管理 · EASY · SATA —
護理師與非護理專業人員(UAP)合作,下列哪些任務適合指派給 UAP?(選所有適合的)
A nurse is working with an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate to delegate to the UAP? (Select all that apply.)
- AAssisting a stable client with morning hygiene✓ 正解協助穩定的客戶進行晨間衛生清潔
- BObtaining routine vital signs on a stable patient✓ 正解為穩定病人測量常規生命徵象
- CDocumenting the client's response to new pain medication記錄客戶對新止痛藥的反應
- DFeeding a client who is at risk for aspiration餵食有吸入風險的客戶
- EApplying barrier cream to a patient with non-broken skin✓ 正解為皮膚無破損的病人塗抹屏障軟膏
— Explanation · 中文詳解 —
指派原則應遵循『不可指派評估、教學、診斷、護理過程規劃』。UAP 可處理日常照顧(洗澡)、測量生命徵象(針對穩定者)、簡單的外用皮膚保護。C 涉及護理評估,D 涉及吞嚥障礙需專業人員評估,皆不可指派。
Tasks appropriate for delegation to unlicensed assistive personnel include assisting stable clients with hygiene, obtaining routine vital signs, and applying barrier cream to intact skin. Assessment, evaluation of medication responses, and care for clients at risk for aspiration require nursing judgment and should not be delegated.
✦ 台美臨床差異
台灣護理體系中 UAP 角色較模糊,通常由照服員負責。美式照護模式中,UAP 角色界定較嚴謹且法規保障較清楚。