下列哪些護理活動適合由 RN 授權給 LPN/LVN 執行?(選所有適合的)
Which of the following activities are appropriate for a Registered Nurse (RN) to delegate to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AReinforcing teaching about diabetic diet✓ 正解加強關於糖尿病飲食的衛教
- BInserting an indwelling urinary catheter✓ 正解置入留置導尿管
- CConducting the initial admission assessment進行初次入院評估
- DAdministering oral medications✓ 正解給予口服藥物
- EDeveloping the nursing care plan制定護理計畫
在護理授權(Delegation)中,RN 需運用護理程序(Nursing Process)。RN 負責評估、診斷、計畫與評值。LPN/LVN 可以在 RN 的指導下執行已建立的護理計畫,包括例行給藥、置入導尿管及加強衛教。然而,初期評估(Admission assessment)、護理計畫的制定(Developing care plan)及複雜的衛教屬於 RN 的不可授權職責。
In nursing delegation, the RN must use the nursing process. The RN is responsible for assessment, diagnosis, planning, and evaluation. The LPN/LVN can carry out established nursing plans under the RN's supervision, including routine medication administration, inserting urinary catheters, and reinforcing teaching. However, the initial admission assessment, development of the care plan, and complex teaching are non-delegable responsibilities of the RN.
在美國,RN 與 LPN 的職責界線非常明確。RN 負責高階決策(Assessment, Planning, Evaluation),LPN 負責執行(Implementation)。台灣臨床中,RN 與護理師(Diploma/Associate degree)的職責界線較為模糊,但在 NCLEX 考試中必須嚴格區分。