— 照護管理 · HARD · MCQ —
護理長在分配病人照護。下列哪種情形需要護理長立即介入？
A charge nurse is managing a client's care assignment. Which situation requires immediate intervention by the charge nurse?
- AA newly hired nurse is performing a dressing change without checking the procedure manual新進護理師未查閱程序手冊即進行換藥
- BA nurse is administering a dose of antibiotic after verifying the five rights護理師在核對五對後給予抗生素劑量
- CA nursing student is documenting vital signs in the EHR護理學生在電子病歷中記錄生命徵象
- DAn LPN is suctioning a client with a new tracheostomy✓ 正解LPN 對有新氣管造廔的病人進行抽吸
— Explanation · 中文詳解 —
新造口（Tracheostomy）氣管內管抽痰屬於高風險技術，通常需由 RN 評估氣道狀況後執行，尤其在剛建立造口初期。LPN 執照範圍通常不包括處理不穩定或剛手術後的氣道問題，護理長必須介入以維護安全。
Suctioning a newly created tracheostomy is a high-risk skill that typically requires assessment of airway status by an RN before being performed, particularly in the early post-procedure period. The LPN scope of practice usually does not include managing unstable or freshly post-surgical airways, so the charge nurse must intervene to maintain patient safety.
✦ 台美臨床差異
美國各州對 LPN/LVN 職責有嚴格法律界定；台灣各層級護理師執照範圍界定較模糊，多依醫院臨床常規調整。