— 照護管理 · MEDIUM · MCQ —
護理師負責一群病人。下列哪項任務適合委派給執業護理師（LPN/LVN）？
A nurse is responsible for a group of clients. Which task is appropriate to delegate to a Licensed Practical Nurse (LPN/LVN)?
- AProviding discharge education for a complex patient為複雜病人提供出院衛教
- BDeveloping a plan of care for a postoperative patient為術後病人制定照護計畫
- CAdministering oral medications for a stable client✓ 正解為穩定病人口服給藥
- DPerforming an initial admission assessment for a new patient為新病人進行初次入院評估
— Explanation · 中文詳解 —
委派（Delegation）必須符合護理師執業範圍（Scope of Practice）。LPN/LVN 可以執行常規、穩定病人的護理工作，例如給藥、常規生命徵象測量與基礎傷口照護。而「護理過程」（Nursing Process）中涉及複雜判斷的項目，如首次入院評估、規劃照護計畫及複雜個案的衛教，必須由 RN 執行，不可委派。
Administering oral medications to a stable client is within the scope of practice for an LPN/LVN, as it involves routine tasks rather than complex clinical judgment. Tasks requiring comprehensive assessment, care planning, or complex patient education must be performed by the registered nurse.
✦ 台美臨床差異
在美國，LPN/LVN 的執業範圍依各州護理委員會（Board of Nursing）規定略有不同，但「護理過程」的評估與規劃絕對是 RN 的核心職責。