— 照護管理 · EASY · MCQ —
護理師正在指派工作給輔助人力(UAP)。哪項工作適合交付?
A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate?
- AMonitoring urine output from a new Foley catheter監測新留置導尿管的尿液排出量
- BAssessing the client's skin after a procedure評估病人術後的皮膚狀況
- CProviding oral medication to a client提供口服藥物給病人
- DAssisting a stable client with a bed bath✓ 正解協助穩定狀態的病人進行床上擦浴
— Explanation · 中文詳解 —
UAP 的職責範疇為執行非侵入性、低風險且具預測性的日常活動(Activities of Daily Living)。協助穩定病人盥洗屬於此範疇。評估、複雜監測與投藥皆涉及護理專業決策,屬於護理師核心職權,不可委託。
Unlicensed Assistive Personnel (UAP) are trained to perform routine, non-invasive activities of daily living for stable clients, such as assisting with a bed bath. Tasks involving assessment, complex monitoring, or medication administration require the clinical judgment of a licensed nurse and are outside the UAP's scope of practice.
✦ 台美臨床差異
美國 UAP 工作範疇嚴格,台灣常見由照服員協助,需注意法規對給藥與護理行為的明確限制。