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照護管理 · MEDIUM · SATA

護理師照護一位簽署 DNR 的病人,哪些任務可交由助理員 (UAP) 執行?(選所有適合的)

A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which of the following tasks can be delegated to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)

  • AAssisting the client with oral hygiene✓ 正解
    協助病人進行口腔衛生
  • BDiscussing the prognosis with the family
    與家屬討論預後
  • CObtaining vital signs✓ 正解
    測量生命徵象
  • DAssisting with repositioning for comfort✓ 正解
    協助翻身以增進舒適度
  • EAdministering oral pain medication
    給予口服止痛藥物
Explanation · 中文詳解

護理工作的委派(Delegation)必須基於「五項權利(Five Rights of Delegation)」,包括正確的任務、正確的情況、正確的人員、正確的溝通與正確的監督。口腔衛生、生命徵象測量與協助翻身均屬於日常輔助照護,適合委派給 UAP。討論預後(B)涉及專業判斷與倫理,屬醫療團隊專業範疇;給藥(E)具有侵入性且需專業藥理評估,絕對不得委派。

Unlicensed Assistive Personnel (UAP) can safely perform routine, non-invasive tasks such as assisting with oral hygiene, obtaining vital signs, and helping with repositioning for comfort. Tasks requiring professional judgment, such as discussing prognosis, or those involving medication administration, must remain with licensed nursing staff to ensure patient safety and adherence to delegation guidelines.

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