護理師應該將下列哪些活動交辦給執業護士(LPN/LVN)?(選所有適合的)
Which of the following activities should the nurse delegate to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AAdministering oral medications to a stable client✓ 正解對穩定的病人給予口服藥物
- BPerforming a sterile dressing change on a chronic wound✓ 正解對慢性傷口進行無菌換藥
- CDeveloping the initial nursing care plan for a new admission為新入院病人擬定初步護理計畫
- DMonitoring a client during a blood transfusion在輸血期間監測病人
- EReinforcing teaching on insulin administration✓ 正解強化衛教:胰島素注射
護理授權(Delegation)必須遵循「五項原則」。執業護士(LPN/LVN)受過專業訓練,可執行穩定的常規護理,如給予口服藥、無菌換藥及衛教強化。然而,護理過程(Nursing Process)中的初始評估(Assessment)、擬定計畫(Planning)及高風險處置(如輸血監測)屬於註冊護理師(RN)的專業職責,不可授權。
LPNs can safely administer oral medications to stable clients, perform sterile dressing changes on chronic wounds, and reinforce teaching previously provided by the RN. However, initial assessments, care planning, and monitoring during high-risk procedures like blood transfusions remain within the scope of practice for registered nurses.
在美國,LPN/LVN 的執照範圍(Scope of Practice)明確規範其不得執行輸血監測或初始評估,這與台灣護理師與護士的角色分工在法律執行層面上有相似性,但美國對於「Reinforcing teaching」與「Initial teaching」的界線非常嚴格,RN 必須親自進行初始衛教。