繁忙外科單位的護理長正在為病患指派照護任務。該團隊包含一名 RN、一名實務護理師 (LPN/LVN) 與一名無照護佐 (UAP)。下列哪項特定的委派任務是毫無疑問地正確、具備法律健全性，且最大化了跨領域團隊的效率？（選所有適合的）
A charge nurse on a busy surgical unit is delegating care for a group of clients. The team consists of an RN, a Licensed Practical Nurse (LPN/LVN), and an Unlicensed Assistive Personnel (UAP). Which specific delegation assignment is unequivocally correct, legally sound, and maximizes interdisciplinary team efficiency? (Select all that apply.)
- ADelegate the continuous monitoring and titration calculation of a high-risk IV heparin drip for a DVT client to the LPN.將高度危險靜脈肝素輸注的持續監測與劑量調整計算委派給實務護理師 (LPN)。
- BInstruct the UAP to ambulate a deeply confused 85-year-old client down the hallway who is currently exactly 24 hours post-hip arthroplasty.指示無照護佐 (UAP) 陪同一位髖關節成形術後剛好 24 小時且意識深度混亂的 85 歲病患在走廊行走。
- CAssign the LPN to administer scheduled oral pain medications and perform complex sterile dressing changes for a stabilized 3-day post-op abdominal surgery client.✓ 正解指派實務護理師 (LPN) 對一位術後第 3 天狀況穩定的腹部手術病患，給予定時口服止痛藥並執行複雜的無菌換藥。
- DMandate the RN to completely conduct the comprehensive discharge teaching process for a newly diagnosed diabetic client going home on complex insulin.✓ 正解要求註冊護理師 (RN) 全面負責對一位新診斷糖尿病且將回家使用複雜胰島素治療的病患進行完整的出院衛教。
- EAssign the UAP to thoroughly evaluate and document the initial wound characteristics of an admitting trauma client.指派無照護佐 (UAP) 徹底評估並記錄一位入院創傷病患的初期傷口特徵。
本題測驗各層級護理人員的委派界線 (Delegation and Assignment)。護理學委派的三大金律：RN 負責所有的評估 (EAT: Evaluate, Assess, Teach) 與不穩定病患的重症推注給藥。LPN 負責技術性常規護理 (如給口服藥、打一般肌肉針、無菌換藥)、照顧生命徵象穩定可預期的病患。UAP 負責基礎日常生活照顧 (吃飯、洗澡、穩定移位、量體溫)。選項 C：LPN 執行穩定期病患的口服給藥與『無菌換藥 (sterile dressing change)』，這是 LPN 執照範圍內最完美的技術委派。選項 D：RN 全面負責新確診病患的『初始與出院衛教 (discharge teaching)』，這專屬 RN，完全正確。選項 A 錯誤，Heparin 滴注是高危險藥物且需要評估檢驗數值 (titration)，這絕對禁止交給 LPN，必須由 RN 一手包辦。選項 B 錯誤，剛開完髖關節的 85 歲老人又處於『嚴重混亂 (deeply confused)』狀態，這種極度高危險且無法遵從指令的老人需要 RN 或物理治療師的專業監控防跌，UAP 無法應付這種突發危險。選項 E 錯誤，UAP 絕對不能執行任何『評估 (evaluate)』。
LPNs are appropriately assigned to administer scheduled oral medications and perform sterile dressing changes for stable clients. RNs must handle comprehensive discharge teaching for new diagnoses, as assessment and education are exclusive to their scope, whereas UAPs cannot evaluate wounds or manage unstable patients.
委派核心鐵律：不穩定的給 RN，穩定的傷口換藥給 LPN，日常照顧給 UAP。但「危險跌倒狀態的病人下床」不能給 UAP。