— 照護管理 · EASY · MCQ —
護理師在忙碌的內外科病房進行工作分派，下列哪項工作適合交由照服員（UAP）執行？
A nurse is preparing to delegate tasks in a busy medical-surgical unit. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AObtaining a urine specimen from an indwelling catheter從留置導尿管取得尿液檢體
- BMonitoring the client's skin site for signs of phlebitis監測病人皮膚穿刺處是否有靜脈炎跡象
- CFeeding a client who has dysphagia餵食有吞嚥困難的病人
- DAssisting a client with ambulation after total hip arthroplasty✓ 正解協助全髖關節置換術後的病人行走
— Explanation · 中文詳解 —
工作分派原則為「不可預測、不可評估、不可教學」的護理臨床評估皆由註冊護理師完成。照服員可執行常見的日常生活活動（ADL）及穩定病人的身體活動。A 項涉及無菌技術，通常需護理師操作；C 項吞嚥困難病人有高度誤吸風險，需護理師監督；B 項評估血管通路屬於護理評估範疇。
Unlicensed assistive personnel (UAP) may perform routine tasks for stable clients, such as assisting with ambulation after total hip arthroplasty. Tasks requiring sterile technique, clinical assessment, or evaluation of high-risk conditions like dysphagia remain within the scope of licensed nurses.
✦ 台美臨床差異
美國 UAP 工作範疇明確；台灣則多由看護或病房助理分擔，且護理師需負最終責任。