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照護管理 · HARD · SATA

為騰出急診病房空間以應對災害大量傷患,下列哪些病人適合考慮出院或轉院?(選所有適合的)

Which clients are appropriate for a nurse to include in a triage list for potential discharge or transfer to make room for a disaster influx? (Select all that apply.)

  • AA client who is 2 days post-op from a routine laparoscopic cholecystectomy✓ 正解
    常規腹腔鏡膽囊切除術後兩天的病人
  • BA client admitted for observation with stable vital signs✓ 正解
    因生命徵象穩定而入院觀察的病人
  • CA client requiring continuous IV infusion of vasopressors
    需要持續靜脈輸注血管加壓劑的病人
  • DA client who is 24 hours post-stroke with worsening neurological deficits
    中風後24小時且神經學缺損惡化的病人
  • EA client with a controlled chronic condition waiting for a follow-up test✓ 正解
    慢性病況受控並等待追蹤檢查的病人
Explanation · 中文詳解

災害應變(Triage for discharge)的原則是將有限的住院資源留給最危急的病人。評估標準為:病情穩定、無需急性醫療介入、且不會因出院而導致病情迅速惡化者。術後恢復良好者、觀察中且生命徵象穩定者、或是慢性病穩定待檢者,均屬於低風險個案,適合優先轉院或出院。反之,需使用強心升壓劑(Vasopressors)或神經學惡化的病人,屬於急性不穩定狀態,必須留在急性照護病房。

The principle of disaster triage for discharge is to reserve limited inpatient resources for the most critical clients. Assessment criteria include: stable condition, no need for acute medical intervention, and no likelihood of rapid deterioration after discharge. Clients recovering well postoperatively, those under observation with stable vital signs, or those with stable chronic disease awaiting workup are low-risk cases suitable for priority transfer or discharge. Conversely, clients requiring vasopressors or those with neurologic deterioration are in an acute, unstable state and must remain in the acute care unit.

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