護理長發現某位護理師上班時身上有酒味，首要處理措施為何？
A charge nurse is managing a situation where a staff nurse arrives to work smelling of alcohol. What is the priority action?
- ACall the police打電話報警
- BRemove the nurse from patient care immediately✓ 正解立即讓該護理師停止病人照護工作
- CAssign the nurse to non-clinical duties for the day指派該護理師當天從事非臨床職務
- DConfront the nurse in front of colleagues在同事面前當面對質該護理師
護理人員若於執勤時出現酒精或藥物濫用跡象，首要考量為病人安全（Patient Safety）。護理長（Charge Nurse）的當務之急是立即將該護理師從直接照護崗位移除，以防止醫療疏失發生。後續處理則涉及行政呈報、藥物篩檢及員工協助計畫（EAP），但在NCLEX情境中，保護病人生命安全永遠是最高優先級。
When a nurse exhibits signs of alcohol or substance abuse while on duty, the primary concern is client safety. The charge nurse's immediate priority is to remove the nurse from direct client care to prevent medical errors. Subsequent steps involve administrative reporting, drug screening, and referral to the Employee Assistance Program (EAP); however, in NCLEX scenarios, protecting the lives and safety of clients is always the highest priority.
在美國臨床環境中，針對藥物濫用護理師，機構通常設有特定的「護理師健康計畫（Nurse Health Program）」，側重復健而非僅是懲戒，且法規對於病人的隱私與安全保護極為嚴格。