— 照護管理 · EASY · MCQ —
護理師照顧一群病人，下列哪項任務可以安全委派給照服員？
A nurse is caring for a group of clients. Which task can be safely delegated to an AP?
- AChecking the blood glucose level of a stable client✓ 正解測量穩定病人的血糖
- BAdjusting the infusion rate of a patient on IV antibiotics調整接受靜脈抗生素治療病人的輸液速率
- CRe-evaluating a client's pain level after medication給藥後重新評估病人的疼痛程度
- DTeaching a patient about their discharge medications衛教病人關於出院用藥
— Explanation · 中文詳解 —
委派（Delegation）必須遵循護理實務範圍（Scope of practice）。護理師可以委派給輔助人員（AP/UAP）的任務，通常是結構化、重複性且對病人風險較低的活動。血糖測量（Blood glucose monitoring）屬於常規技術，只要 AP 經過訓練且病人狀況穩定，是可以安全委派的任務。評估、複雜衛教與靜脈輸液調整皆需專業護理判斷，不可委派。
Delegation must adhere to the scope of practice, reserving tasks requiring professional judgment, assessment, or complex education for licensed nurses. Blood glucose monitoring is a structured, routine procedure that can be safely performed by an auxiliary personnel (AP) who has received adequate training, provided the client is stable.
✦ 台美臨床差異
在美國，AP 的訓練與認證（如 CNA）要求明確，各州護理委員會（BON）對委派有嚴格的「Five Rights of Delegation」規範，護理師需負最終責任。