哪幾位病人適合分配給護士(LPN/LVN)照護?(選所有適合的)
Which clients are appropriate for a nurse to assign to a Licensed Practical Nurse (LPN)? (Select all that apply.)
- AA client who is 2 days post-op needing dressing changes✓ 正解術後兩天需要換藥的病人
- BA newly admitted client requiring initial nursing assessment需要初次護理評估的新入院病人
- CA client requiring stabilization of a new tracheostomy需要穩定新氣切管的病人
- DA client receiving oral medications for hypertension✓ 正解接受高血壓口服藥物的病人
- EA client with a stable COPD condition needing oxygen setup✓ 正解需要設定氧氣設備且病情穩定的慢性阻塞性肺病(COPD)病人
護理人員的職責範圍(Scope of Practice)取決於其專業證照。LPN/LVN 通常負責照護穩定、慢性或病情可預測的病人,並執行標準化的護理程序。RN 則負責處理不穩定、需複雜評估、初期入院評估或急性變化的病人。因此,術後穩定換藥、慢性病給藥與氧氣設備設置均屬於 LPN 可執行的業務;入院評估與氣切穩定則涉及高度專業判斷,必須由 RN 執行。
Licensed Practical Nurses (LPNs) manage stable patients with predictable conditions and perform standardized procedures such as dressing changes, administering routine oral medications, and setting up oxygen for stable respiratory conditions. Initial assessments, stabilization of new tracheostomies, and complex clinical judgments remain the responsibility of the Registered Nurse due to the need for advanced expertise.
在美國,LPN 與 RN 的職責界線由各州護理委員會(State Board of Nursing)定義。雖然大原則一致,但部分州允許 LPN 在特定培訓後執行靜脈給藥(IV push),這與台灣護理師職責略有不同。