— 照護管理 · MEDIUM · SATA —
註冊護理師 (RN) 可以安全地將哪些任務指派給輔助人員 (AP)？（選所有適合的）
Which tasks can the registered nurse (RN) safely delegate to an assistive personnel (AP)? (Select all that apply.)
- AObtaining a clean-catch urine specimen✓ 正解採集中間段清潔尿液標本
- BFeeding a client who has dysphagia餵食有吞嚥困難的個案
- CAmbulating a client 24 hours post-operative✓ 正解協助術後 24 小時的個案步行
- DAssessing a client's surgical incision site評估個案的手術切口部位
- EApplying a warm compress as ordered✓ 正解依醫囑施加熱敷
— Explanation · 中文詳解 —
委派任務（Delegation）必須符合「5R原則」：Right task, Right circumstance, Right person, Right direction, Right supervision。輔助人員（AP）可執行常規、穩定且不需要專業臨床判斷的任務。採尿、協助走動、熱敷皆屬常規生理需求照護。評估、教學、以及具備誤吸風險的餵食（吞嚥困難），因涉及專業判斷，屬於註冊護理師（RN）的職責。
The registered nurse can safely delegate routine tasks that do not require clinical judgment, such as obtaining a clean-catch urine specimen, ambulating a stable post-operative client, and applying a warm compress. Tasks involving assessment, teaching, or managing aspiration risks like feeding a client with dysphagia must remain with the RN.