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照護管理 · MEDIUM · SATA

註冊護理師 (RN) 可將哪些任務委派給執業護理師 (LPN)?(選所有適合的)

Which of the following tasks can the registered nurse (RN) appropriately delegate to a licensed practical nurse (LPN)? (Select all that apply.)

  • AAdministering oral medications to a stable client✓ 正解
    對穩定的病人給予口服藥物
  • BPerforming an initial admission assessment
    執行初次入院評估
  • CPerforming a sterile dressing change on a chronic wound✓ 正解
    對慢性傷口進行無菌換藥
  • DDeveloping a complex plan of care for a new admission
    為新入院病人制定複雜的護理計畫
  • EMonitoring the status of a client receiving a blood transfusion
    監測接受輸血的病人狀況
Explanation · 中文詳解

委派(Delegation)必須基於護理人員的執照範疇(Scope of Practice)。RN 負責評估、診斷、計畫與評估(Nursing Process),而 LPN 可執行護理計畫中較為穩定且可預期的任務。初次評估、制定護理計畫及處理高危險性治療(如輸血)均屬於 RN 的專業核心職責,不可委派。

Delegation must be based on each provider's scope of practice. The RN owns assessment, diagnosis, planning, and evaluation. LPNs can perform stable, predictable tasks such as administering oral medications to stable clients and performing sterile dressing changes on chronic wounds. Initial admission assessment, complex care planning, and monitoring high-risk treatments like blood transfusion remain RN responsibilities.

✦ 台美臨床差異

台灣與美國對於 LPN(在美國為 LPN/LVN)的委派權限有顯著差異。在美國,LPN 的執照範圍由各州護理委員會定義,禁止 LPN 執行靜脈注射(部分州除外)或處理複雜病人的護理評估。

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