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照護管理 · MEDIUM · SATA

護理師負責照護一組病人,下列哪些任務應指派給執業護理師(LPN/LVN)?(選所有適合的)

A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to a Licensed Practical Nurse (LPN)? (Select all that apply.)

  • AChanging a sterile surgical dressing✓ 正解
    更換無菌手術敷料
  • BAdministering oral medications✓ 正解
    給予口服藥物
  • CDeveloping a plan of care for a new admission
    為新入院病人制定護理計畫
  • DPerforming a comprehensive physical assessment
    進行全面性身體評估
  • EReinforcing teaching initially provided by the RN✓ 正解
    強化由護理師最初提供的衛教
Explanation · 中文詳解

根據護理實務範疇(Scope of Practice),RN 負責護理過程(Nursing Process)中的評估、診斷、計畫與評值(ADPIE),而 LPN/LVN 則負責執行穩定病人的照護措施。LPN 可執行已由 RN 評估且計畫完成的技術性照護與常規給藥,但不能執行需要高度專業判斷的評估與計畫工作。

According to the scope of practice, the RN is responsible for the assessment, diagnosis, planning, and evaluation phases of the nursing process (ADPIE), while the LPN/LVN is responsible for implementing care for stable clients. The LPN may perform technical care and routine medication administration for clients who have already been assessed and have a plan of care developed by the RN, but cannot carry out assessment and planning tasks that require advanced clinical judgment.

✦ 台美臨床差異

台灣護理師(RN)與 LPN 分工界線較模糊,但在美國,RN 與 LPN 的職責界線非常明確且受執照法規範,若指派錯誤將面臨嚴重的法律責任與執照風險。

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