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照護管理 · MEDIUM · SATA

RN 可以安全地將下列哪些任務委派給執照職業護理師(LPN/LVN)?(選所有適合的)

Which tasks can the RN safely delegate to a Licensed Practical Nurse (LPN)? (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 sterile dressing change on a post-operative wound✓ 正解
    對術後傷口進行無菌換藥
  • CProviding the initial education for a newly diagnosed diabetic client
    為新診斷糖尿病患者提供初步衛教
  • DSuctioning a client's established tracheostomy tube✓ 正解
    對已建立的氣切管病人進行抽吸
  • EDeveloping the initial nursing care plan for a new admission
    為新入院病人擬定初步護理計畫
Explanation · 中文詳解

LPN 的工作範疇包括給予口服藥(A)、執行傷口照護(B)及抽吸氣切管(D)。然而,初始衛教(C)與制定初始護理計畫(E)涉及高級評估與決策,是 RN 的專屬職責。LPN 僅能針對已制定的計畫進行後續執行或數據收集,不能進行初始的評估或教育工作。

The LPN scope of practice includes administering oral medications (A), performing wound care (B), and suctioning an established tracheostomy tube (D). However, providing the initial client education (C) and developing the initial nursing care plan (E) involve advanced assessment and decision-making and are the exclusive responsibility of the RN. LPNs may only carry out subsequent actions or data collection based on plans the RN has established; they may not perform initial assessment or initial education.

✦ 台美臨床差異

美國 LPN/LVN 角色與 RN 有明確法律界限;台灣目前無 LPN 制度,多由 RN 執行所有專業護理,或由輔助人員協助 ADLs。

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