— 照護管理 · MEDIUM · SATA —
下列哪些任務適合護理師指派給輔助人力（UAP）執行？（選所有適合的）
Which tasks are appropriate for the nurse to delegate to an Unlicensed Assistive Personnel (UAP)? (Select all that apply.)
- AAssisting a stable client with a bed bath✓ 正解協助穩定的病人進行床上擦浴
- BFeeding a client with dysphagia餵食有吞嚥困難的病人
- CMeasuring and documenting intake and output✓ 正解測量並記錄攝入量與排出量
- DObtaining vital signs for a post-operative client✓ 正解為術後病人測量生命徵象
- EPerforming a sterile dressing change進行無菌敷料更換
— Explanation · 中文詳解 —
指派原則應遵循「穩定、常規、無侵入性」。UAP 可執行沐浴、計量出入量及測量生命徵象，前提是病人狀態穩定。吞嚥困難病人有窒息風險，需由具評估能力的護理師執行；無菌換藥屬侵入性且需評估傷口狀況，屬專業護理範疇。
Delegation to Unlicensed Assistive Personnel (UAP) follows the principle of assigning stable, routine, and non-invasive tasks. Bathing, measuring intake and output, and obtaining vital signs on stable clients are appropriate for UAPs. Conversely, feeding a client with dysphagia carries a high aspiration risk, and sterile dressing changes require professional assessment, making these tasks outside the UAP scope.
✦ 台美臨床差異
美國 UAP 角色定位明確；台灣常由照顧服務員執行，但在醫療技術項目上，台灣法規對非護理人員執行的界線要求更嚴格。