— 照護管理 · HARD · SATA —
護理師正在督導 LPN/LVN，下列哪些 LPN 分配出去的任務會讓護理師感到疑慮？（選所有適合的）
A nurse is supervising an LPN/LVN. Which of the following tasks, if delegated by the LPN, would concern the nurse? (Select all that apply.)
- AAssigning a UAP to perform a bedside assessment on a new admission✓ 正解指派未註冊護理人員對新入院病人進行床邊評估
- BAssigning an RN to a complex wound care patient指派註冊護理師照顧傷口護理複雜的病人
- CAssigning a UAP to obtain routine vitals指派未註冊護理人員測量常規生命徵象
- DAssigning a UAP to document a patient's reaction to morphine✓ 正解指派未註冊護理人員記錄病人對嗎啡的反應
- EAssigning an LPN to perform an initial comprehensive physical exam✓ 正解指派登記護理師進行初步全面性身體檢查
— Explanation · 中文詳解 —
LPN 不能將護理評估（Assessment）或藥物反應監控（Evaluation）委派給 UAP。初次全面身體評估（Comprehensive Exam）必須由 RN 執行，LPN 不具備此資質。將 RN 指派給複雜個案是適當的，UAP 測量生命徵象也是合理的委派。
It is inappropriate for an LPN to delegate assessment duties, such as a bedside evaluation or documenting responses to medication, to unlicensed assistive personnel, as these require professional nursing judgment. Additionally, initial comprehensive physical exams must be performed by an RN, making the LPN's assignment of this task a concern.
✦ 台美臨床差異
美國護理權責分級嚴明；台灣不論資歷皆稱護理師，但臨床上資深護理師會主導分配，需留意法律邊界。