— 照護管理 · EASY · MCQ —
護理師正在外科病房分配工作。下列哪項工作最適合委派給輔助人員（UAP）？
A nurse is preparing to delegate tasks on a busy medical-surgical unit. Which task is most appropriate to assign to an Unlicensed Assistive Personnel (UAP)?
- AAssessing the skin condition of a client with a stage 2 pressure ulcer評估患有第二階段壓力性傷口的病人皮膚狀況
- BTeaching a client about the side effects of their new insulin regimen教導病人其新胰島素治療方案的副作用
- CMeasuring the intake and output of a client with a recent ileostomy✓ 正解測量近期接受回腸造廔手術病人的出入量
- DFeeding a client who is at high risk for aspiration餵食有高誤吸風險的病人
— Explanation · 中文詳解 —
根據護理委派原則，UAP 可執行常規性、非侵入性且臨床狀況穩定的照護工作。記錄出入量屬於常規測量範疇。D 涉及吞嚥困難，具窒息風險，需專業護理評估；A 涉及傷口評估，屬於護理專業判斷；D 衛教屬於評估與教育範疇，皆不可委派。
Measuring intake and output for a client with a recent ileostomy is an appropriate task to delegate to Unlicensed Assistive Personnel as it involves routine, non-invasive data collection. Tasks requiring clinical judgment, such as wound assessment, patient education, or feeding clients at risk for aspiration, must be performed by licensed nursing staff.
✦ 台美臨床差異
美國 UAP 權責範圍明確；台灣病房助理或照服員角色類似，但臨床常因人力短缺而擴大職責，需注意法律風險。