護理師應將哪些任務分配給執業護士(LPN/LVN)?(選所有適合的)
Which tasks should the nurse delegate to a licensed practical nurse (LPN/LVN)? (Select all that apply.)
- AAdministering oral medications✓ 正解給予口服藥物
- BPerforming an initial assessment of a new admission對新入院病人進行初次評估
- CReinforcing teaching on wound care✓ 正解加強傷口護理衛教
- DDischarging a client with complex needs出院具有複雜需求的病人
- EInserting a urinary catheter✓ 正解插入導尿管
根據護理授權規範,RN(註冊護理師)負責複雜的評估、護理診斷及出院規劃。LPN/LVN(執業護士)可以執行標準化的技術性任務,如口服給藥、導尿、以及在 RN 已經完成教學後進行衛教加強。初次入院評估必須由 RN 執行,因為這涉及護理計畫的制定;複雜個案的出院規劃亦需 RN 的專業判斷以確保後續照護安全。
According to the principles of nursing delegation, the registered nurse (RN) is responsible for complex assessments, nursing diagnoses, and discharge planning. The LPN/LVN can perform standardized technical tasks such as oral medication administration, urinary catheterization, and reinforcement of teaching that the RN has already completed. The initial admission assessment must be performed by the RN because it involves formulation of the plan of care; discharge planning for complex clients also requires the professional judgment of the RN to ensure safe continuity of care.
美國各州對 LPN 職責定義有差異,但核心原則皆為:RN 負責評估(Assessment)、診斷(Diagnosis)與護理計畫(Planning),LPN 則在執行(Implementation)面提供協助。