— 照護管理 · EASY · MCQ —
下列哪項護理任務最適合指派給輔助人員（UAP）執行？
Which of the following nursing tasks is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- ARe-evaluating a client's response to an analgesic medication重新評估病人對鎮痛藥的反應
- BEducating a client on the side effects of prescribed medication衛教病人處方藥物的副作用
- CAssessing the incision site for signs of infection評估切口部位是否有感染跡象
- DObtaining a clean-catch urine specimen from a stable client✓ 正解從穩定病人處取得中段尿檢體
— Explanation · 中文詳解 —
根據護理委派原則，UAP 可執行常規性、重複性、不需要臨床判斷的活動。收集尿液檢體屬於協助基本照護的一環，對病情穩定的病人執行無風險。而評估傷口、衛教用藥及評估藥物反應均涉及專業護理判斷（Assessment, Evaluation, Teaching），必須由 RN 親自執行。
Obtaining a clean-catch urine specimen from a stable client is a routine, non-invasive task that does not require clinical judgment, making it appropriate to delegate to Unlicensed Assistive Personnel (UAP). Tasks involving assessment, evaluation, or patient education, such as monitoring medication responses or teaching side effects, must be performed by a licensed nurse.
✦ 台美臨床差異
美國 UAP 職責較明確且受法律保護；台灣因護理人力較吃緊，常有照服員承擔部分非醫療性照護，但法律責任仍歸護理師。