下列哪項任務最適合護理師 (RN) 委派給職業護理師 (LPN)？
Which task is most appropriate for the registered nurse (RN) to delegate to a licensed practical nurse (LPN)?
- ADeveloping a teaching plan for a client with newly diagnosed diabetes.為新診斷糖尿病之病人制定衛教計畫
- BPerforming an initial assessment on a newly admitted client.對新入院之病人進行初次評估
- CAdministering oral medications to a stable client.✓ 正解對狀況穩定之病人給予口服藥物
- DEvaluating the effectiveness of a PRN pain medication for a post-surgical client.評估術後病人使用間斷性止痛藥之療效
委派（Delegation）的核心原則是 RN 負責 TAPE：Teaching（衛教）、Assessment（初始評估）、Planning（護理計畫）、Evaluation（成效評價）。LPN 的執業範圍通常包含照顧「狀況穩定」的病患，並執行標準化的護理技術。選項 B（初始評估）和選項 A（制定衛教計畫）都涉及高度的判斷與分析，屬於 RN 的範疇，不可委派。選項 D（評估止痛藥成效）屬於「評價」階段，亦應由 RN 執行。而選項 C（為穩定病患給予口服藥）是 LPN 訓練中的核心職責，在病患穩定、風險低的情境下，這是最符合經濟效益且安全的委派。理解委派的層級不僅能優化人力配置，更能確保病患安全，避免因委派不當導致的法律責任。護理師應記住：責任（Accountability）永遠在委派者身上。
The core principle of delegation is that the RN is accountable for TAPE: Teaching, initial Assessment, Planning, and Evaluation. The LPN's scope of practice generally includes caring for stable patients and performing standardized nursing skills. Options A (initial assessment) and A (developing a teaching plan) involve significant judgment and analysis, fall within the RN's domain, and cannot be delegated. Option D (evaluating the effectiveness of analgesics) is in the 'evaluation' phase and should likewise be performed by the RN. Option C (administering oral medication to a stable patient), however, is a core LPN competency and, in a stable, low-risk situation, is the most cost-effective and safe delegation. Understanding the levels of delegation not only optimizes staffing but also safeguards patient safety and prevents legal liability from improper delegation. The nurse must remember: accountability always remains with the person delegating.
美國 LPN/LVN 有明確的法定執業範圍且需通過 NCLEX-PN 考試，委派層級分明；台灣目前護理人力結構以 RN 為主，雖有助理護理人員但功能較接近 UAP，臨床上較少見到如美國般結構化的 RN-LPN 合作模式。