護理長正在分配班表任務。下列哪些任務適合指派給執業護理師(LPN/LVN)?(選所有適合的)
A charge nurse is planning the assignments for the shift. Which tasks are appropriate to delegate to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AAdministering oral medications✓ 正解給予口服藥物
- BPerforming a sterile dressing change✓ 正解進行無菌傷口換藥
- CDeveloping the initial plan of care for a new admission為新入院病人擬定初始護理計畫
- DReinforcing teaching provided by the RN✓ 正解強化護理師提供的衛教內容
- EMonitoring client response to IV morphine✓ 正解監測病人對靜脈注射 morphine 的反應
指派(Delegation)職責必須符合 LPN/LVN 的執業範圍(Scope of practice)。LPN 可執行常規護理程序、給藥、換藥及監測病人對治療的反應。然而,擬定初始護理計畫(Initial care plan)、執行完整的護理評估(Assessment)以及護理診斷,皆屬於 Registered Nurse (RN) 的專屬專業職權,不可委派。
LPNs can administer oral medications, perform sterile dressing changes, reinforce patient teaching, and monitor client responses to treatments like IV morphine. However, developing the initial plan of care requires the advanced assessment and judgment skills reserved for the RN.
在美國各州,LPN/LVN 的執業範圍略有不同,但共通點是「評估(Assessment)」、「診斷(Diagnosis)」、「計畫(Planning)」與「評價(Evaluation)」這護理過程(Nursing Process)的關鍵步驟,法律規定必須由 RN 執行。台灣護理師在美執業時,務必熟悉所屬州別的 Nurse Practice Act。