護理師規劃照護工作,下列哪項適合委派給 LPN/LVN?
A nurse is planning care for a group of clients. Which task is appropriate to delegate to an LPN/LVN?
- AProviding discharge teaching to a client with a new diagnosis of diabetes為新診斷糖尿病病人提供出院衛教
- BPerforming a comprehensive admission assessment執行全面的入院評估
- CAdministering oral medications to a stable client✓ 正解對狀況穩定的病人給予口服藥物
- DDeveloping the initial nursing care plan for a new admission為新入院病人擬定初步護理計畫
根據護理委派原則(Delegation),RN(註冊護理師)負責需要複雜評估、判斷與衛教的任務,而 LPN/LVN(執業護理師)則可在 RN 的督導下執行技術性護理。給予口服藥物屬於技術性任務,若病人狀況穩定,適合委派給 LPN/LVN。而制定護理計畫、進行綜合評估與出院衛教,皆屬於 RN 的核心專業職責,不可委派。
According to the principles of delegation, the RN is responsible for tasks requiring complex assessment, judgment, and teaching, while the LPN/LVN may perform technical nursing tasks under RN supervision. Administering oral medications is a technical task that is appropriate to delegate to an LPN/LVN if the client is stable. Developing the nursing care plan, performing a comprehensive assessment, and providing discharge teaching are all core RN responsibilities and cannot be delegated.
台美在護理執照分級上有顯著差異。在美國,LPN/LVN 的執照範圍(Scope of practice)會根據各州護理委員會(State Board of Nursing)規定有所不同,但在大多數州,LPN 可以執行給藥及傷口照護,但不能進行初始評估(Initial assessment)或制定照護計畫。