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照護管理 · MEDIUM · SATA

護理師可以委派哪些任務給 LPN/LVN?(選所有適合的)

Which of the following tasks can the nurse appropriately assign to an LPN/LVN? (Select all that apply.)

  • AAdministering oral medications to a stable client✓ 正解
    對穩定病人給予口服藥物
  • BPerforming a sterile dressing change on a chronic wound✓ 正解
    對慢性傷口進行無菌敷料更換
  • CDeveloping a nursing care plan for a newly admitted client
    為新入院病人擬定護理計畫
  • DMonitoring the status of a blood transfusion
    監測輸血狀態
  • EReinforcing patient education previously provided by the RN✓ 正解
    強化由註冊護理師先前提供的病人衛教
Explanation · 中文詳解

護理委派(Delegation)遵循『五大權利』,其中 RN 負責評估、診斷、規劃與評值(Nursing Process)。LPN/LVN 可在 RN 的指導下執行穩定的常規照護,但涉及複雜評估、初期評估(Admission assessment)與判斷性任務(如輸血監測)則必須由 RN 自行執行。

LPNs/LVNs can appropriately administer oral medications to stable clients, perform sterile dressing changes on chronic wounds, and reinforce patient education previously provided by the RN. These tasks fall within their scope of practice for routine care, whereas care planning, initial assessments, and monitoring complex procedures like blood transfusions require the RN's professional judgment.

✦ 台美臨床差異

在美國,LPN/LVN 的執業範圍(Scope of Practice)依各州法律規定差異極大。例如在某些州,LPN 若經過特殊認證(IV certification)可執行特定靜脈給藥,但在其他州則不行。NCLEX 考試標準通常以『最保守、最安全』的原則來定義其職責。

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