— 照護管理 · MEDIUM · SATA —
在管理個案護理時，哪些活動需要註冊護理師（RN）進行直接評估？（選所有適合的）
When managing client care, which of the following activities require a Registered Nurse's (RN) direct assessment? (Select all that apply.)
- AInitial admission assessment✓ 正解入院初期評估
- BChanging a routine dressing for a surgical wound更換外科傷口之常規敷料
- CEvaluating the response to a new medication✓ 正解評估對新藥物的反應
- DDeveloping the nursing care plan✓ 正解擬定護理計畫
- EPerforming a sterile procedure for the first time on a patient✓ 正解首次為病人執行無菌程序
— Explanation · 中文詳解 —
護理照護中，評估（Assessment）、診斷（Diagnosis）、規劃（Planning）及評值（Evaluation）屬於專業護理核心（ADPIE），不可委派。入院評估、對藥物療效的評估、照顧計畫的擬定，均涉及關鍵臨床判斷。執行侵入性或無菌程序需評估病人的耐受度與安全性，首次操作尤需 RN 親自把關。
The ADPIE framework (Assessment, Diagnosis, Planning, Implementation, Evaluation) represents core nursing responsibilities that require professional clinical judgment and cannot be delegated to LPNs/LVNs. Initial assessments, evaluating medication responses, developing care plans, and overseeing high-risk sterile procedures necessitate the RN's expertise to ensure patient safety and appropriate care.
✦ 台美臨床差異
美國有明確的 RN 與 LPN/LVN 職責分工；台灣護理師執行大部分醫療協助行為，職責範圍較廣。