— 照護管理 · MEDIUM · SATA —
護理長可以將哪些任務適當地指派給護理佐理員(UAP)?(選所有適合的)
Which tasks can the charge nurse appropriately delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with ambulation✓ 正解協助穩定病人進行步行
- BMeasuring and recording output from a wound drain測量並記錄傷口引流管的排出量
- CDocumenting vital signs for a stable client✓ 正解記錄穩定病人的生命徵象
- DProviding oral care to a client with a nasogastric tube✓ 正解提供帶有鼻胃管病人的口腔護理
- ECollecting a clean-catch urine specimen✓ 正解收集清潔中段尿液檢體
— Explanation · 中文詳解 —
根據護理專業職責與委派原則(Delegation),護理師可將穩定病人的日常照顧任務指派給護理佐理員(UAP)。UAP 的職責包括協助基本生理參數測量、ADL 協助及簡單的清潔。涉及臨床判斷、評估(Assessment)、教學(Teaching)或不穩定病人的觀察,皆屬於註冊護理師(RN)的職責,不可委派。
Unlicensed Assistive Personnel (UAP) may perform routine, standardized tasks for stable clients, such as ambulation, documenting vital signs, providing oral care, and collecting clean-catch urine specimens. Tasks involving clinical assessment, judgment, or unstable conditions, like measuring wound drain output, remain the responsibility of the registered nurse.
✦ 台美臨床差異
在美國,UAP(如 CNA)的職權範圍嚴格受限於機構政策,RN 必須對委派結果負最終責任,且不得委派任何需要評估(Assessment)的任務。