— 照護管理 · MEDIUM · SATA —
護理師照顧多位病人時,哪些任務可以委派給護理師(LPN/LVN)執行?(選所有適合的)
A nurse is caring for multiple clients. Which of the following tasks can be appropriately delegated 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 an initial assessment on a new admission對新入院病人進行初步評估
- CReinforcing teaching about insulin administration✓ 正解強化關於胰島素給药的衛教
- DInserting a urinary catheter for a client with retention✓ 正解對有尿滯留的病人插入導尿管
- EDeveloping the plan of care for a client with complex wounds為複雜傷口病人擬定照護計畫
— Explanation · 中文詳解 —
LPN/LVN 的執業範圍包括執行常規給藥、協助衛教強化、以及執行侵入性常規處置(如導尿)。然而,初次評估(Initial Assessment)與擬定照護計畫(Plan of Care)屬於註冊護理師(RN)的專業護理判斷核心,不可委派。
LPNs/LVNs can administer oral medications, reinforce existing teaching, and insert urinary catheters as these fall within their standard scope of practice. However, initial assessments and developing care plans require the advanced clinical judgment reserved for registered nurses.
✦ 台美臨床差異
美國 LPN 職責明確;台灣醫療體系中護理師均為 RN,無直接對應之 LPN 層級,此概念對台灣考生較具挑戰。