護理師將任務分配給實務護理師(LPN/VN)。下列哪些任務適合讓 LPN 執行?(選所有適合的)
A nurse is delegating tasks to a Licensed Practical Nurse (LPN/VN). Which tasks are appropriate for the LPN to perform? (Select all that apply.)
- AAdministering oral medications to a stable client✓ 正解對狀況穩定的病人給予口服藥物
- BPerforming an initial admission assessment on a new patient對新入院病患進行初次入院評估
- CUpdating the patient's plan of care based on new findings根據新發現更新病人護理計畫
- DReinforcing teaching previously provided by the Registered Nurse✓ 正解強化護理師先前提供的衛教內容
- EPerforming a sterile dressing change for an uncomplicated wound✓ 正解對無併發症的傷口進行無菌換藥
根據護理職責範疇,RN 與 LPN 的分工關鍵在於『護理過程』(Nursing Process)的執行權限。RN 負責評估、診斷、規劃與評值(ADPIE),而 LPN 可執行護理計畫中具體、穩定的任務。選項 A、D、E 均為常規、穩定的護理執行動作。相反地,首次入院評估(B)屬於複雜的初始身體檢查與資料判讀,必須由 RN 執行;更新護理計畫(C)涉及臨床判斷與目標調整,這屬於 RN 的專業核心職責,不能委派給 LPN。透過正確的分工,護理師能發揮團隊效能,確保病人獲得最高品質的照護,同時符合執業規範的要求。
Licensed Practical Nurses may administer routine oral medications, reinforce teaching initiated by the RN, and perform sterile dressing changes on stable wounds. However, initial assessments, care planning, and complex clinical judgments remain the exclusive responsibility of the Registered Nurse.
美國明確區分 RN 與 LPN 執業範圍;台灣護理師體系較少類似 LPN 的角色,大部分由護理師(RN)與護佐(NA)組成,護佐不具備執行給藥或換藥的合法權限。