— 照護管理 · MEDIUM · MCQ —
經驗豐富的護理師指導新進護理師，下列哪項任務適合交給助理人員（AP）執行？
An experienced nurse is supervising a newly licensed nurse. Which task is appropriate for the new nurse to delegate to an assistive personnel (AP)?
- AFeeding a patient with dysphagia after swallowing evaluation✓ 正解吞嚥評估後餵食吞嚥困難的病人
- BEducation on insulin self-administration衛教胰島素自行注射
- CDocumentation of a patient's wound care progress記錄病人傷口護理進展
- DAssessment of a patient's surgical incision評估病人手術切口
— Explanation · 中文詳解 —
護理人員只能委派非專業性的常規照顧任務給助理人員。進食協助對於無複雜禁忌的病人是可行的，但需注意吞嚥評估狀況。評估傷口、記錄進展以及衛教皆屬於專業評估與判斷範疇，必須由 RN 執行，不得委派給 AP。
Assistive personnel can perform routine, unchanging tasks such as feeding a patient who has already been evaluated for swallowing safety. Clinical assessments, patient education, and documentation of wound care progress require nursing judgment and cannot be delegated.
✦ 台美臨床差異
美國 RN 委派權責明確；台灣醫療場域除看護外，許多基層照護工作仍由護理師親力親為，故分工界線需特別釐清。