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照護管理 · MEDIUM · SATA

下列哪幾項護理師的行為展現了有效的優先級判定與委派技巧?(選所有適合的)

Which of the following actions by a nurse demonstrate effective prioritization and delegation? (Select all that apply.)

  • ADelegating the collection of vital signs to a UAP for a patient who is stable✓ 正解
    將穩定病人的生命徵象測量委派給未註冊護理人員(UAP)
  • BAssigning the admission assessment of a new patient to a Licensed Practical Nurse (LPN)
    將新病人的入院評估指派給執業護理師(LPN)
  • CAsking a UAP to perform a bedside blood glucose check for a diabetic patient✓ 正解
    請未註冊護理人員(UAP)為糖尿病患者進行床邊血糖檢測
  • DDelegating the discharge teaching of a new insulin regimen to a UAP
    將新胰島素療法的出院衛教委派給未註冊護理人員(UAP)
  • EAsking an LPN to administer oral medications to stable patients✓ 正解
    請執業護理師(LPN)為穩定病人給予口服藥物
Explanation · 中文詳解

委派原則包括:不委派護理評估(Admission assessment)、教育(Teaching)或不穩定的病人照護。LPN 可執行常規給藥,UAP 可測量生命徵象、血糖檢查(若機構允許)。B 選項入院評估應由 RN 完成;D 選項衛教屬專業護理師職責,不可交由 UAP 執行。

Effective delegation follows the principle that RNs retain responsibility for assessment, teaching, and unstable patients, while LPNs manage stable clients and routine medication administration, and UAPs handle standardized tasks like vital signs and blood glucose checks. Therefore, assigning admission assessments or discharge teaching to non-RNs is inappropriate, whereas delegating vital signs, glucose checks, and oral meds to UAPs and LPNs respectively aligns with their scopes of practice.

✦ 台美臨床差異

美國有 RN 與 LPN 分工;台灣護理師證照均為 RN,分工多以年資與經驗作為臨床任務分配基準。

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