— 照護管理 · EASY · MCQ —
護理長正在分配工作。下列哪項任務最適合委託給輔助護理人員（AP）？
A charge nurse is assigning tasks to staff. Which task is most appropriate to delegate to an Assistive Personnel (AP)?
- AAssessing the client's surgical site for infection評估病人的手術傷口是否有感染跡象
- BEducating the client on post-operative wound care教育病人術後傷口護理
- CMeasuring the output from a surgical wound drain✓ 正解測量手術傷口引流管的引流量
- DAdministering oral pain medication給予口服止痛藥物
— Explanation · 中文詳解 —
委託（Delegation）的核心原則在於「護理師負責評估、教學、判斷（EAT：Evaluation, Assessment, Teaching）」。AP 可執行常規的數據收集與照顧工作。測量引流液屬於單純數據記錄，不涉及臨床判斷，適合委託。反之，教學、評估與給藥皆涉及專業判斷與責任，必須由註冊護理師（RN）親自執行，不可委託。
Assistive personnel (AP) may perform routine, non-invasive tasks that do not require nursing assessment, teaching, or clinical judgment, such as measuring drainage output. Tasks involving evaluation, patient education, or medication administration are within the registered nurse's scope of practice and cannot be delegated to APs.
✦ 台美臨床差異
在美國臨床環境中，AP（或稱 UAP, CNA）的職責範圍由各州護理委員會（BON）嚴格規範。與台灣相比，美國護理師對委託對象的執行結果負有法律責任，因此對於「不可委託」的界線（EAT原則）要求極高。