— 照護管理 · EASY · MCQ —
護理師將照護任務分配給助理護理人員(UAP),下列何項適合委託?
A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is appropriate to delegate?
- AEducating the client on wound care techniques教育病人傷口護理技巧
- BMonitoring the client's response to pain medication監測病人對止痛藥的反應
- CAssessing the client for signs of skin breakdown評估病人是否有皮膚破損跡象
- DObtaining a clean-catch urine specimen✓ 正解收集清潔中段尿檢體
— Explanation · 中文詳解 —
UAP 的工作範圍限於穩定的病人,包含基本生活照護、測量生命徵象及協助收集檢體。收集尿液檢體屬於非侵入性且常規的協助工作。護理評估(C)、藥物反應評估(B)及衛教(A)涉及專業判斷與護理職責,必須由註冊護理師(RN)親自執行,不可委託。
Unlicensed assistive personnel (UAP) may perform routine, standardized tasks on stable clients, such as obtaining non-invasive specimens like a clean-catch urine sample. Tasks requiring nursing judgment, including assessment, evaluation of medication responses, and patient education, must be performed by the registered nurse.
✦ 台美臨床差異
在美國,UAP 職責定義較明確;台灣病房助理(看護)多由家屬聘僱,職責界線有時較模糊。