— 照護管理 · MEDIUM · SATA —
護理師可以將下列哪些工作委託給實務護理師（PN/LPN）？（選所有適合的）
Which of the following tasks can the nurse appropriately delegate to a practical nurse (PN)? (Select all that apply.)
- AAdministering oral medications to a stable client✓ 正解對穩定病人給予口服藥物
- BPerforming a comprehensive admission assessment執行全面的入院評估
- CChanging a sterile dressing on a chronic wound✓ 正解更換慢性傷口的無菌敷料
- DInitiating a blood transfusion開始輸血
- EReinforcing teaching about diabetic foot care✓ 正解強化關於糖尿病足部照護的衛教
— Explanation · 中文詳解 —
根據護理法規，PN 可以執行給藥、更換傷口敷料與強化指導。但全面性的入院評估（初始評估）以及輸血這類具高度侵入性與併發症風險的操作，必須由專業護理師（RN）執行。RN 負責護理計畫的制定，PN 則是協助執行。
Under nursing practice regulations, the PN may administer medications, change dressings, and reinforce teaching. Comprehensive admission assessment (initial assessment) and blood transfusion—a highly invasive task with risk of reactions—must be performed by the RN. The RN develops the plan of care, while the PN assists in carrying it out.
✦ 台美臨床差異
美國有明確的 RN/PN 執照分級與職責分野；台灣現行法規多為護理師（師級/士級）制度，職責雖有分級，但實務界線相對模糊。