— 照護管理 · MEDIUM · SATA —
護理師準備分派任務給照服員，下列哪些項目是合適的？（選所有適合的）
A nurse is preparing to delegate tasks to a nursing assistant. Which tasks are appropriate for the nurse to delegate? (Select all that apply.)
- AAssisting a client with ambulation✓ 正解協助病人行走
- BObtaining vital signs on a stable client✓ 正解測量穩定病人的生命徵象
- CDocumenting a client's response to pain medication記錄病人對止痛藥的反應
- DPerforming a sterile dressing change執行無菌敷料更換
- EFeeding a client who has no swallowing precautions✓ 正解餵食無吞嚥注意事項的病人
— Explanation · 中文詳解 —
根據護理授權原則，照服員可執行常規性、非侵入性、具備標準化步驟的程序。選項 A、B、E 皆屬於基礎生活照護與常規監測。選項 C（評估疼痛反應）與 D（無菌換藥）涉及專業評估與侵入性技術，屬於護理師職責。
Nursing assistants can appropriately delegate routine, non-invasive tasks such as assisting with ambulation, obtaining vital signs on stable clients, and feeding clients without swallowing precautions. Tasks requiring professional nursing judgment, such as pain assessment or sterile procedures, must remain with the licensed nurse.
✦ 台美臨床差異
在美國，Nursing Assistant 職責規範嚴格；台灣照服員通常由家屬聘僱或醫院編制，工作界線有時較模糊，需特別注意法律界限。