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照護管理 · MEDIUM · SATA

護理師可以將哪些任務委託給實務護士(LPN/LVN)執行?(選所有適合的)

Which tasks can the nurse appropriately delegate to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)

  • AAdministering oral medications to a stable client✓ 正解
    對穩定個案給予口服藥物
  • BPerforming a comprehensive admission assessment
    執行全面的入院評估
  • CChanging a sterile dressing on a surgical wound✓ 正解
    更換手術傷口的無菌敷料
  • DDeveloping a teaching plan for a new diabetic
    為新診斷糖尿病患者擬定衛教計畫
  • EReinforcing teaching previously provided by the RN✓ 正解
    強化護理師先前提供的衛教內容
Explanation · 中文詳解

委派(Delegation)必須遵循「五項權利」,特別是 LPN 的執業範圍。LPN 可以執行技術性操作(給藥、常規換藥)及協助教學強化(Reinforcing teaching),但評估(Admission assessment)、制訂計畫(Teaching plan)及病人評值(Evaluation)屬於 RN 的核心專業責任,不可委派。

Delegation must follow the "Five Rights," especially the LPN's scope of practice. LPNs can perform technical procedures (such as medication administration and routine dressing changes) and reinforce teaching, but assessment (admission assessment), care planning (teaching plan development), and patient evaluation remain core RN responsibilities and cannot be delegated.

✦ 台美臨床差異

台灣與美國對於 LPN/LVN 的執業範圍有明顯差異。美國 LPN 經訓練後可執行給藥與基礎護理,台灣則無此職級制度,護理業務多由護理師(RN)執行。

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