護理師將工作指派給執業護士(LPN/LVN)時,哪些行為符合授權原則?(選所有適合的)
Which of the following actions by a nurse demonstrates appropriate delegation to a licensed practical nurse (LPN)? (Select all that apply.)
- AAssigning the LPN to administer oral medications to stable clients✓ 正解指派 LPN 為病情穩定的病人給予口服藥物
- BAsking the LPN to perform the initial assessment of a new admission要求 LPN 對新入院病人進行初次評估
- CDelegating the dressing change for a client with a chronic, stable wound✓ 正解將慢性穩定傷口的換藥工作委派給 LPN
- DInstructing the LPN to develop a new plan of care for a complex client指示 LPN 為複雜病人制定新的照護計畫
- ERequesting the LPN to monitor the blood glucose of a stable diabetic client✓ 正解要求 LPN 監測病情穩定的糖尿病患血糖
在護理團隊中,註冊護士(Registered Nurse, RN)需要將任務有效地委派(Delegate)給其他護理人員,如執業護士(Licensed Practical Nurse, LPN/LVN),以確保照護效率和品質。委派的關鍵在於確保任務符合 LPN 的執業範圍,且病人情況穩定,不需 RN 的高度臨床判斷。 核心原則是 LPN 可執行「穩定病人」的「常規性」護理任務,包括給藥、傷口護理、生命徵象監測等,但複雜的評估、初期診斷評估、制定護理計畫、執行侵入性高風險操作等,則屬於 RN 的職責。 正確答案 A, C, E 均符合 LPN 的執業範圍。口服藥物給予(A)對穩定病人是常見任務;穩定傷口的換藥(C)也屬於 LPN 的技能範疇;監測血糖(E)是常見的數據收集任務。選項 B(新入院病人的初期評估)需要 RN 進行全面的臨床評估和初步診斷判斷。選項 D(為複雜病人制定新照護計畫)涉及複雜的病理生理分析和護理策略制定,是 RN 的核心職責。
Appropriate delegation to an LPN involves assigning routine tasks for stable clients, such as administering oral medications, performing dressing changes on chronic wounds, and monitoring blood glucose levels. Initial assessments, developing care plans for complex conditions, and other high-judgment activities remain within the RN's scope of practice.