— 照護管理 · MEDIUM · MCQ —
護理師正在督導助理護理員（UAP）。下列哪項 UAP 的行為需要護理師立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP). Which action by the UAP requires immediate intervention by the nurse?
- AReporting a blood glucose level of 70 mg/dL to the nurse將血糖值70 mg/dL報告給護理師
- BAssisting a postoperative client with ambulation in the hallway協助術後病人在走廊行走
- CApplying a barrier cream to a client with stage 1 pressure injury✓ 正解對第一期壓瘡病人塗抹保護性乳霜
- DMeasuring the blood pressure of a client who is sitting測量坐姿病人的血壓
— Explanation · 中文詳解 —
UAP 的工作範疇包含基本日常生活照顧與生命徵象測量。塗抹藥膏（Barrier cream）屬於治療性給藥範疇，無論藥膏為何種性質，通常屬於護理師的專業職責，助理人員不得執行，因為這涉及評估皮膚狀況以及執行治療的醫療行為，錯誤的操作可能導致傷口惡化。
Applying barrier cream involves therapeutic skin assessment and treatment, which falls outside the scope of practice for unlicensed assistive personnel. This action requires immediate intervention because medication administration and wound care assessment are licensed nursing responsibilities.
✦ 台美臨床差異
美國 UAP 角色明確且分工細；台灣類似角色多為照服員（Caregiver），在醫院中給藥職責的定義更嚴格。