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照護管理 · MEDIUM · SATA

護理長應考量讓哪些病人出院,以騰出床位給突發的創傷病人?(選所有適合的)

Which clients should the charge nurse consider for discharge to accommodate a sudden influx of trauma patients? (Select all that apply.)

  • AA client 48 hours post-appendectomy with stable vital signs✓ 正解
    闌尾切除術後48小時且生命徵象穩定的病人
  • BA client with stage 3 heart failure awaiting a cardiac biopsy
    第三期心衰竭 awaiting 心臟活檢的病人
  • CA client admitted yesterday for diagnostic evaluation of chronic back pain✓ 正解
    昨日因慢性背痛診斷評估而入院的病人
  • DA client 2 days post-op from a hip replacement receiving IV antibiotics
    髖關節置換術後兩天接受靜脈注射抗生素的病人
  • EA client admitted for observation after a minor concussion, now asymptomatic✓ 正解
    因輕微腦震盪入院觀察,目前無症狀的病人
Explanation · 中文詳解

在災難或大量傷患情況下,優先釋放穩定、且可轉為門診追蹤的病人。A(闌尾切除後穩定)、C(慢性病檢查)、E(輕微腦震盪且無症狀)皆符合穩定狀態。心衰竭(B)及需持續靜脈抗生素治療(D)的病人,病情較複雜或需持續監測,不宜貿然出院。

In disaster or mass casualty situations, prioritize releasing clients who are stable and can be transitioned to outpatient follow-up. Option A (stable post-appendectomy), C (chronic illness workup), and E (minor concussion, asymptomatic) all meet stable status. Clients with heart failure (B) and those requiring continuous IV antibiotic therapy (D) have more complex conditions or require ongoing monitoring, and should not be discharged hastily.

✦ 台美臨床差異

美國醫院針對大量傷患處理有明確的 triage 流程,台灣醫院在床位緊縮時,通常由護理長與醫師共同評估後決定。

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