— 照護管理 · EASY · MCQ —
下列護理師的哪項行為顯示出對輔助人員（AP）的適當委派？
Which of the following actions by a nurse demonstrates appropriate delegation to an Assistive Personnel (AP)?
- ARequesting the AP to document the client's output after a shift✓ 正解要求輔助人員記錄班後病人的排泄量。
- BAsking the AP to feed a client who has dysphagia請輔助人員餵食有吞嚥困難的病人。
- CDirecting the AP to obtain vital signs for a client post-cardiac catheterization指示輔助人員測量心臟導管術後病人的生命徵象。
- DDelegating the AP to teach a client about incentive spirometry委派輔助人員教導病人使用誘发性肺量計。
— Explanation · 中文詳解 —
護理師委派任務時，應遵循「不可委派評估、教學、護理計畫」之原則。B 選項吞嚥困難病人有嗆入風險，不可委派；C 選項術後病人需 RN 監測血管併發症；D 選項衛教屬 RN 職責。記錄體液排出量屬於 AP 的常規工作。
Assistive personnel may be delegated tasks involving routine data collection, such as measuring and documenting intake and output, provided the patient is stable. Tasks requiring professional nursing judgment, such as assessing high-aspiration risks, monitoring complex post-procedure complications, or providing patient education, must remain with the registered nurse.
✦ 台美臨床差異
台灣照服員（AP）的工作範圍受嚴格規範，且常與家屬照顧習慣重疊。