— 照護管理 · MEDIUM · MCQ —
護理長正在規劃單位照護工作，下列哪項工作適合授權給執業護理師（LPN/LVN）？
A nurse manager is planning care for a unit. Which task is appropriate to delegate to a Licensed Practical Nurse (LPN/LVN)?
- APerforming an initial admission assessment on a patient對病人進行初次入院評估
- BDeveloping a teaching plan for a client newly diagnosed with diabetes為新診斷糖尿病之客戶擬定衛教計畫
- CAdministering oral medications to stable clients✓ 正解對病情穩定的客戶給予口服藥物
- DEvaluating the effectiveness of a pain medication regimen評估止痛藥物療效
— Explanation · 中文詳解 —
授權的核心原則在於專業範疇的界限。LPN/LVN 可以進行臨床技能操作與給藥，但評估（Assessment）、診斷（Diagnosis）、規劃（Planning）與評值（Evaluation/Education）屬於註冊護理師（RN）的法定執業範圍。給藥屬於執行面，符合其範疇。
Delegation to an LPN/LVN is appropriate for stable clients requiring routine tasks such as administering oral medications. Assessment, care planning, patient education, and evaluation of treatment effectiveness remain within the exclusive scope of practice for the registered nurse.
✦ 台美臨床差異
美國 LPN 職責明確；台灣無 LPN 職位，執行業務者多為護理師（RN）或護士，護士執業範圍較受限，與 LPN 類似。