— 照護管理 · EASY · MCQ —
醫療外科病房的護理長正在進行班次分配。下列哪位病人應分配給執業護士（LPN）照顧？
A charge nurse on a medical-surgical unit is planning assignments for the shift. Which client should be assigned to the licensed practical nurse (LPN)?
- AA client being prepared for immediate transfer to the intensive care unit準備立即轉至加護病房的病人
- BA client with a new diagnosis of diabetes mellitus requiring insulin education新診斷糖尿病且需要胰島素衛教的病人
- CA client requiring dressing changes for a stage 2 pressure ulcer✓ 正解需要為第二期壓力性傷口更換敷料的病人
- DA client with unstable blood pressure and increased chest pain血壓不穩定且胸痛增加的病人
— Explanation · 中文詳解 —
護理任務分配原則中，LPN/LVN 適合處理病情穩定、護理常規明確的個案。壓瘡換藥屬於穩定的常規操作。新診斷教育、不穩定生命徵象及轉入加護病房的個案，皆需要 RN 的專業評估、病情判斷及護理計畫制定，不適宜交由 LPN 獨立執行。
Under nursing assignment principles, LPNs/LVNs are suited to caring for clients with stable conditions and well-defined routine care. Pressure ulcer dressing changes are a stable, routine task. Newly diagnosed teaching, unstable vital signs, and transfers to the ICU all require RN-level assessment, clinical judgment, and care planning and are not appropriate for independent LPN performance.
✦ 台美臨床差異
美國 LPN 權限視州法規而異，但在穩定病人照顧上普遍；台灣護理人員職務分級不如美國明確，通常護理師皆需執行上述所有任務。