護理師準備委派任務給 LPN/LVN。下列哪些任務適合 LPN/LVN 執行?(選所有適合的)
A nurse is preparing to delegate tasks to an LPN/LVN. Which of the following tasks are appropriate for an LPN/LVN? (Select all that apply.)
- AAdministering oral medications✓ 正解給予口服藥物
- BDeveloping the initial nursing care plan制定初始護理計畫
- CPerforming a sterile dressing change✓ 正解進行無菌換藥
- DMonitoring for signs of a blood transfusion reaction✓ 正解監測輸血反應徵象
- EDischarging a client with complex teaching needs出院衛教具有複雜需求的病人
LPN/LVN 的護理實務範圍(Scope of practice)通常包括常規性、穩定的照護任務。給藥(除靜脈注射在部分州有限制外)、無菌傷口護理及監控生命徵象皆在職責內。然而,制定護理計畫(Care plan)與處理複雜的出院衛教(Discharge planning)需要深入的臨床評估與判斷,屬於 RN 的專屬責任,不得委派。
Licensed Practical/Vocational Nurses (LPN/LVNs) are trained to perform routine, stable care tasks such as administering oral medications, performing sterile dressing changes, and monitoring for signs of complications like transfusion reactions. However, developing the initial nursing care plan and managing complex discharge teaching require the advanced assessment and clinical judgment reserved for Registered Nurses (RNs).
在美國,LPN/LVN 的權限依各州護理委員會(State Board of Nursing)規定略有不同,例如某些州允許 LPN 執行 IV 推注(IV push),但大部分不允許。RN 必須隨時確認該州 Practice Act 以確保委派符合法規。