Assignment/Delegation/Supervision

一位護理長正向新進 RN 教授依 ANA 與 NCSBN 標準之 5 Rights of Delegation(委任 5 原則)架構。下列何者正確說明安全 RN 委任之核心要素?選出所有適用項目。

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1 Right Direction/Communication — the RN provides clear, specific instructions including expected outcomes, time frame, and which abnormal findings the assistant must report immediately to the RN Right Direction/Communication(正確之指示與溝通) — RN 提供具體明確之指示，包含預期結果、時間範圍、應立即向 RN 回報之異常發現 2 Once verbal instructions are given, accountability for the delegated task is fully transferred from the RN to the UAP, and the RN no longer has supervisory responsibility for that task 一旦給予口頭指示，受委任任務之 accountability 即由 RN 完全移轉至 UAP，RN 不再負該任務之督導責任 3 Right Supervision/Evaluation — the RN periodically observes performance, provides feedback, and evaluates client outcomes; accountability for the nursing process remains with the RN even after delegation Right Supervision/Evaluation(正確之督導與評值) — RN 定期觀察執行情形、提供回饋並評估病人結果; 委任後護理過程之 accountability 仍歸 RN 4 Initial assessment of a deteriorating pressure injury or first-time teaching of a newly diagnosed unstable client may be delegated to a UAP if the unit is short-staffed and time-pressured 在人力不足、時間壓力情況下，可將惡化中褥瘡之初次評估或新診斷不穩定病人之初次衛教委任予 UAP 5 Right Person — any unlicensed assistive personnel (UAP) may receive any task that does not require a license, regardless of the individual's training, experience, or recent skill check-off Right Person(正確之人選) — 凡不需執照之任務皆可指派任一 UAP，無論其個人訓練、經驗或近期技能查核狀況 6 Right Task — only routine, repetitive, predictable tasks within the assistant's scope of practice and verified competency may be delegated, such as ambulating a stable client or measuring routine vital signs Right Task(正確之任務) — 僅可委任於協助人員業務範圍及經驗證能力內之例行、重複、可預期任務(例: 病情穩定病人步行、例行生命徵象量測)

解析

5 Rights of Delegation(Right Task, Right Circumstance, Right Person, Right Direction/Communication, Right Supervision/Evaluation)指引安全委任。Right Task(選項 6)將委任限制於協助人員經驗證範圍與能力內之例行、重複、可預期任務。Right Direction/Communication(選項 1)要求具體指示包含預期結果、時間範圍、應回報之異常。Right Supervision/Evaluation(選項 3)維持 RN 之 accountability，RN 督導執行並評估病人結果。選項 5 錯誤 — Right Person 須對該特定任務確認 UAP 之訓練、經驗、近期能力，並非所有 UAP 可互換。選項 2 錯誤 — 護理過程之 accountability 不會移轉至 UAP; RN 維持 accountability，UAP 負執行受委任任務之 responsibility。選項 4 錯誤 — 惡化褥瘡初次評估、不穩定病人衛教、需護理判斷之任務即使人力壓力下亦不可委任予 UAP。

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一位護理長正向新進 RN 教授依 ANA 與 NCSBN 標準之 5 Rights of Delegation(委任 5 原則)架構。下列何者正確說明安全 RN 委任之核心要素?選出所有適用項目。

Select All That Apply

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