— 照護管理 · MEDIUM · SATA —
在內外科病房，下列哪些任務適合交由實務護理師（LPN）執行？（選所有適合的）
Which tasks are appropriate for a licensed practical nurse (LPN) working in a medical-surgical unit? (Select all that apply.)
- APerforming the initial admission assessment執行初次入院評估
- BAdministering oral medications to stable clients✓ 正解對狀況穩定的病人給予口服藥物
- CPerforming sterile dressing changes✓ 正解執行無菌換藥
- DReinforcing teaching about insulin administration✓ 正解強化關於胰島素注射的衛教
- EDeveloping the nursing care plan擬定護理照護計畫
— Explanation · 中文詳解 —
LPN（實務護理師）的職責範圍（Scope of Practice）通常為執行穩定病人的常規護理、給藥與傷口護理。RN（註冊護理師）則負責評估、診斷、規劃照護計畫及複雜的衛教。初始評估（Admission assessment）與照護計畫擬定（Care plan development）屬於 RN 的專屬權責，不可委派。
Licensed practical nurses (LPNs) manage stable clients and perform routine tasks such as administering oral medications, changing sterile dressings, and reinforcing previously established teaching plans. Initial assessments, developing nursing care plans, and primary patient education require the advanced clinical judgment and licensure of a registered nurse (RN).
✦ 台美臨床差異
美國各州對於 LPN/LVN 的執業範圍規定不同（Scope of Practice Act），但 RN 負責評估、教學與規劃的原則在全美皆通用。