— 照護管理 · EASY · SATA —
護理師照顧一群病人，下列哪些任務可指派給護理助理（AP）？（選所有適合的）
A nurse is caring for a group of clients. Which of the following tasks can be delegated to an Assistive Personnel (AP)? (Select all that apply.)
- AObtaining vital signs for a stable postoperative client✓ 正解為病情穩定的術後病人測量生命徵象
- BAssisting a client with a stable gait to the restroom✓ 正解協助步態穩定的病人前往廁所
- CRe-evaluating a client’s pain level after analgesic administration給予鎮痛藥後重新評估病人的疼痛程度
- DRecording the client’s daily oral intake and output✓ 正解記錄病人的每日經口攝取量與排出量
- EFeeding a client who has difficulty swallowing (dysphagia)餵食有吞嚥困難（失用症）的病人
— Explanation · 中文詳解 —
指派任務給護理助理（AP/CNA）時，應遵循「穩定」與「非專業評估」原則。Vital signs 測量、日常生活協助（如如廁）、記錄攝入排泄量皆屬於輔助工作。至於重新評估疼痛及餵食吞嚥困難病人，涉及臨床判斷與安全評估，必須由專業護理人員執行。
Tasks such as obtaining vital signs for stable clients, assisting with ambulation, and recording intake and output can be safely delegated to assistive personnel as they involve routine measurements and non-clinical activities. However, re-evaluating pain levels and feeding clients with dysphagia require professional nursing assessment and judgment to ensure safety and accurate clinical evaluation.
✦ 台美臨床差異
美國護理助理（CNA）職責明確；台灣臨床多由照服員負責協助，但護理師需確保其符合相關教育要求。