病人預計進行手術,下列哪項任務必須由 RN 完成,不能委派給 LPN/LVN?
A client is scheduled for surgery. Which of the following tasks must be completed by the RN and cannot be delegated to an LPN/LVN?
- AProviding the initial pre-operative teaching✓ 正解提供最初的術前衛教
- BObtaining the client's signature on the informed consent form讓病人在知情同意書上簽名
- CAdministering oral antibiotics ordered for the morning of surgery執行醫師指示於手術當天早上給予口服抗生素
- DMonitoring the client’s vital signs during the pre-operative period監測病人在術前期的生命徵象
護理評估、教育與護理計畫的初始制定(Teaching and Assessment)均為 RN 的核心責任。LPN 可以執行護理計畫中的給藥或生命徵象測量,但不得執行初始衛教。知情同意書(Consent)簽署由醫師解釋,RN 負責確認簽署過程及病人認知,不屬於可委派給 LPN 的職責。
Nursing assessment, education, and initial development of the care plan (teaching and assessment) are core responsibilities of the RN. The LPN may carry out medication administration or measure vital signs within the care plan but cannot perform initial patient education. The informed consent form is explained by the physician; the RN is responsible for confirming the signature process and the client's understanding, which is not a duty that can be delegated to an LPN.
美國 LPN/LVN 分工嚴謹;台灣護理體系中 NP 與 RN 的權責區隔主要在於診斷與處置,一般護理人員皆需負擔大部分臨床照護。