護理師負責一群病人,哪項任務應委託給執業護理師(LPN)執行?
A nurse is assigned to a group of clients. Which task should the nurse delegate to a licensed practical nurse (LPN)?
- AAdministering oral medications to a stable client✓ 正解給予穩定病患口服藥物
- BPerforming a comprehensive admission assessment執行全面的入院評估
- CEducating a client on newly prescribed insulin therapy對病患進行新處方胰島素療法的衛教
- DFormulating a nursing care plan for a new admission為新入院病患擬定護理計畫
護理委託(Delegation)必須遵守「五個權利」(Five Rights of Delegation):正確的任務、正確的情況、正確的對象、正確的溝通與監督。LPN 的執業範圍不包含評估(Assessment)、制定護理診斷(Nursing Diagnosis)或執行複雜的衛教(Teaching),因為這些任務需要 RN 的專業判斷。給予穩定病人的口服藥屬於常規護理,適合委託給 LPN。
Nursing delegation must follow the Five Rights of Delegation: right task, right circumstance, right person, right communication, and right supervision. The LPN scope of practice does not include assessment, formulating nursing diagnoses, or performing complex teaching, because these tasks require the professional judgment of the RN. Administering oral medications to a stable client is routine nursing care and is appropriate to delegate to an LPN.
台灣與美國對 LPN/LVN 的執業範圍有明顯差異。在美國,LPN 的執業範圍依州法律規範,通常可執行給藥、傷口護理,但不得執行評估或護理計畫制定。台灣護理師體系中較少類似 LPN 的角色,多由 RN 或護理佐理員分擔。