發生大量傷患災難時,護理師應考慮將哪些病人安排出院以騰出床位?(選所有適合的)
Which clients should the nurse consider for discharge to make room for a disaster mass casualty? (Select all that apply.)
- AA client who is 2 days post-appendectomy and stable✓ 正解術後第 2 天且狀況穩定的闌尾切除術個案
- BA client admitted for routine diagnostic cardiac catheterization scheduled for tomorrow✓ 正解明天預約進行常規診斷性心臟導管檢查的入院個案
- CA client with acute exacerbation of heart failure requiring IV diuretics需要靜脈利尿劑治療的心衰竭急性惡化個案
- DA client with a stable femur fracture awaiting physical therapy✓ 正解股骨骨折穩定且等待物理治療的個案
- EA client with acute myocardial infarction who is hemodynamically unstable血流動力學不穩定的急性心肌梗塞個案
在災難大量傷患(Mass casualty)情境下,床位管理採取 triage 原則,優先釋放狀況穩定、無須持續急性照護的病人。術後狀況良好者、預定檢查者或穩定待復健者,均屬可外轉或出院群體。心衰竭與心肌梗塞者屬於高風險病人,需要持續醫療監測與治療,絕對不可出院。護理師需快速準確評估,以騰出資源給更需要救治的傷患。
In a mass casualty disaster situation, bed management adopts a triage approach, prioritizing the release of clients who are stable and do not require continuous acute care. Post-operative patients in good condition, those scheduled for diagnostic tests, and stable patients awaiting rehabilitation can all be transferred or discharged. Clients with heart failure and myocardial infarction are high-risk and require continuous medical monitoring and treatment, and must never be discharged. The nurse must rapidly and accurately assess to free up resources for those most in need of life-saving care.