— 照護管理 · MEDIUM · SATA —
護理師準備將工作分派給病房助理人員（UAP）。下列哪些任務適合指派？（選所有適合的）
A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which tasks are appropriate to delegate? (Select all that apply.)
- ARecording vital signs for a stable client✓ 正解記錄穩定病人的生命徵象
- BAssisting a client with ambulation after surgery✓ 正解協助病人於術後步行
- CEducating a client on insulin administration衛教病人關於胰島素的施用
- DProviding oral hygiene and bed bathing✓ 正解提供口腔清潔與床上擦浴
- EDocumenting urine output from a Foley catheter✓ 正解記錄導尿管的尿液排出量
— Explanation · 中文詳解 —
護理師僅能指派標準化、重複性且低風險的任務給 UAP。生命徵象監測、肢體活動協助、日常生活自理（口腔護理、床上擦澡）及尿量測量均屬 UAP 執業範圍。然而，護理教育指導（如胰島素衛教）屬於專業評估與教學，必須由 RN 親自執行，不可委派。
Unlicensed Assistive Personnel (UAP) may perform standardized, low-risk tasks such as measuring vital signs, assisting with ambulation, providing hygiene care, and documenting output. However, tasks requiring clinical judgment, assessment, or patient education, such as teaching insulin administration, must remain the responsibility of the registered nurse.
✦ 台美臨床差異
美國護理師對 UAP 的監督權責明確；台灣護理師常需承擔所有病人瑣事，助理人員配置與授權範圍相對模糊。