— 照護管理 · EASY · MCQ —
護理長正在督導照服員 (UAP)，下列哪項工作適合授權給 UAP？
A charge nurse is overseeing an unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?
- AAssessing the skin around a new surgical incision評估新手術切口周圍的皮膚
- BAdministering oral medications to a stable client對穩定病人給予口服藥物
- CMeasuring the output of a Jackson-Pratt drain測量Jackson-Pratt引流管的引流量
- DObtaining a clean-catch urine specimen✓ 正解收集清潔中段尿液標本
— Explanation · 中文詳解 —
UAP 的工作重點在於非侵入性、常規的日常生活協助或測量。收集清潔尿液檢體屬於協助性任務，適合授權。測量引流量雖然簡單，但引流管涉及侵入性裝置，通常建議 RN 或 LPN 執行以評估性質。評估傷口（A）與給藥（B）皆涉及專業護理判斷與給藥安全，屬專業人員職責。
Obtaining a clean-catch urine specimen is a non-invasive, routine task appropriate for delegation to unlicensed assistive personnel (UAP). Assessment of surgical sites, medication administration, and evaluation of drainage characteristics require professional nursing judgment and are outside the UAP's scope of practice.
✦ 台美臨床差異
台灣照服員主要負責生活照顧，收集檢體或測量生命徵象依機構規定而異，未如美國有明確規範。