— 照護管理 · EASY · MCQ —
護理師為一群病人分配照護工作，下列哪項任務適合交給輔助人員（UAP）？
A nurse is delegating care for a group of clients. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- ADocumenting intake and output記錄出入量
- BAssisting with a bed bath and hygiene✓ 正解協助床浴與衛生護理
- CMonitoring the IV infusion rate監測靜脈輸注速率
- DTeaching the client about diet restrictions教導病人關於飲食限制
— Explanation · 中文詳解 —
UAP 的職責包含基本的生活照護（如沐浴、衛生清潔、翻身）。監測點滴速度與執行衛教均需專業判斷，屬於 RN 的執業範圍。A 選項雖屬輔助人員常見工作，但「記錄輸出入量」有時涉及臨床判斷，在複雜病人身上通常由護理師核對，選項 B 為最明確、無爭議的基礎護理項目。
Assisting with activities of daily living, such as bed baths and hygiene, falls within the scope of practice for Unlicensed Assistive Personnel. These tasks do not require the clinical judgment or assessment skills reserved for licensed nurses. Delegating this responsibility allows the nurse to focus on more complex patient care needs.
✦ 台美臨床差異
美國醫院大量依賴 CNA 執行生活照護；台灣護理師常需包辦生活與技術照護，職責界線在實務上較模糊。