— 照護管理 · EASY · SATA —
護理師照顧多位病人，下列哪些項目適合委託給輔助人員（UAP）執行？（選所有適合的）
A nurse is caring for multiple clients. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AMeasuring and documenting a client's daily weight✓ 正解測量並記錄病人的每日體重
- BAssisting a stable post-operative client with morning hygiene✓ 正解協助穩定的術後病人進行晨間清潔
- CCalculating the intake and output for a client with a chest tube計算胸腔引流管病人的出入量
- DReporting a client's complaint of sudden chest pain✓ 正解回報病人突然胸痛的抱怨
- EFeeding a client who is on dysphagia precautions餵食有吞嚥障礙 precautions 的病人
— Explanation · 中文詳解 —
委託原則依據護理師執業範疇，UAP 可執行常規的生理數據測量（如體重、生命徵象）與日常生活照護（如沐浴、翻身）。若病人抱怨胸痛，UAP 應立即回報護理師進行評估，這是正確的溝通流程。C 錯誤：胸管引流液涉及醫療評估，需護理師判定顏色與量；E 錯誤：吞嚥困難病人需專業護理師評估吞嚥功能並防止吸入性肺炎。
Unlicensed Assistive Personnel (UAP) can perform routine tasks such as measuring daily weights and assisting with hygiene for stable clients. They should also report significant changes in condition, such as sudden chest pain, to the licensed nurse for further assessment, but they should not calculate complex intake and output or feed clients with swallowing difficulties.
✦ 台美臨床差異
美國護理體系中 UAP（如 CNA）職責明確；台灣護理師常需負擔大量生活照護工作，照顧服務員（照服員）協助比例隨照護人力比調整。