— 照護管理 · MEDIUM · MCQ —
護理長在人員短缺時應將下列哪項工作委派給執業護理師（LPN/LVN）？
A charge nurse is managing an unit with a staff shortage. Which of the following tasks is the most appropriate to delegate to a Licensed Practical Nurse (LPN)?
- AProviding discharge teaching for a client with a new colostomy提供具新腸造口病人的出院衛教
- BDeveloping a nursing care plan for a new admission制定新入院病人的護理計畫
- CPerforming an initial assessment for a client with chest pain對胸痛病人進行初次評估
- DAdministering oral medications to stable clients✓ 正解對穩定病人給予口服藥物
— Explanation · 中文詳解 —
護理委任原則中，評估（Assessment）、診斷（Diagnosis）、計劃（Planning）與衛教（Teaching）屬於註冊護理師（RN）不可委任的專業職責。LPN 具備給藥執照，可執行穩定的給藥操作，但無法執行複雜的護理計劃或初次評估。
According to delegation principles, assessment, diagnosis, planning, and teaching are professional responsibilities of the registered nurse (RN) and cannot be delegated. The LPN holds a medication-administration license and may give medications to stable clients, but cannot perform complex care planning or initial assessments.
✦ 台美臨床差異
美國 LPN 制度成熟；台灣無 LPN 職位，護理體系全由 RN 組成，故 delegation 僅存在於護理師與照服員之間。