— 照護管理 · HARD · MCQ —
一位高齡病人準備出院至護理之家，轉介過程中護理師最必須執行哪項行動？
An elderly client is being discharged to a skilled nursing facility. Which action is essential for the nurse to perform during the transfer process?
- AProvide a comprehensive hand-off report regarding the patient's care needs✓ 正解提供關於病人照護需求的全面交接報告
- BEnsure the client has enough supplies for 1 month確保病人擁有足夠一個月的用品
- CObtain a complete list of all medications the patient will take home取得病人回家所需服用的所有藥物完整清單
- DArrange for a private ambulance transport安排私人救護車轉運
— Explanation · 中文詳解 —
轉介過程中，最關鍵的是確保資訊傳遞無誤，特別是病人目前的護理狀況、預防措施與特殊需求，以確保連續性照護。A 為藥物調節的一部分，但非轉介時點的全貌；B、D 為附屬配套，不如 hand-off 報告對病人安全重要。
During the transfer process, the most critical task is to ensure accurate transmission of information, especially the client's current nursing status, preventive measures, and special needs, to guarantee continuity of care. Option C is part of medication reconciliation but does not represent the complete picture at the time of transfer; options B and D are supplementary arrangements and are not as critical to client safety as the handoff report.
✦ 台美臨床差異
在美國，SBAR 溝通模式在轉院（Hand-off）中被強制執行；台灣則視各醫院內規而定。