— 照護管理 · EASY · MCQ —
護理師在內外科病房進行工作分派，下列哪項任務適合交辦給護理佐理員（UAP）？
A nurse is preparing to delegate tasks on a busy medical-surgical unit. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAssisting a stable client with a post-operative hip replacement to ambulate✓ 正解協助病情穩定的髖關節置換術後病人下床行走
- BMeasuring the intake and output of a client with a continuous bladder irrigation測量接受持續膀胱沖洗病人的出入量
- CAssessing the skin condition of a client with a new pressure ulcer評估新發褥瘡病人的皮膚狀況
- DTeaching a client how to perform self-blood glucose monitoring教導病人如何進行自我血糖監測
— Explanation · 中文詳解 —
護理工作的分派原則為「不可將評估、教學、護理計畫及執行複雜治療任務交辦給非護理人員」。UAP 可執行常規的身體護理或協助活動。B 選項中的連續膀胱沖洗屬於治療性護理，需專業判斷；C 需要專業護理評估；D 屬於病人衛教，需由護理師執行。
Unlicensed Assistive Personnel (UAP) may assist stable clients with activities of daily living, such as ambulation. Assessment, patient education, and complex treatments like continuous bladder irrigation require the clinical judgment of a registered nurse.
✦ 台美臨床差異
美國 UAP 權限由法規與機構 Policy 明確定義；台灣照服員通常處理生活照顧，但在急性病房協助項目可能因醫院人力配置而彈性調整。