一位兒科病房支援護理師被調派至成人加護病房 (Adult ICU)。下列哪一位病患代表了最安全且合規的指派？
A float nurse from the pediatric floor is deployed to the Adult Intensive Care Unit (ICU). Which client represents the safest and most legally compliant delegation assignment for this floated nurse?
- AA male post-craniotomy exhibiting fluctuating intracranial pressures on an external ventricular drain.顱腦手術後男性病人，經腦室外引流顯示顱內壓波動。
- BA male severely recovering from acute asthma, currently weaning off oxygen and requiring nebulizers.✓ 正解嚴重急性氣喘恢復期男性病人，目前正脫離氧氣並需要霧化吸入治療。
- CA mechanically intubated, comatose male receiving four simultaneous vasopressor infusions.機械通氣、昏迷男性病人，同時接受四種血管收縮劑靜脈滴注。
- DA female admitted for DKA completely managed on an active regular insulin intravenous drip.因糖尿病酮酸中毒入院的女性病人，完全由活性常規胰島素靜脈滴注管理。
本題測驗跨科別支援護士 (Float RN) 的指派規則。分配的金律是『給支援人員最穩定、且最接近其原單位的病患』。這其中選項 B 是脫離危險期、只要顧氣管擴張劑吸入藥物的哮喘病人。哮喘的病症與兒科病房每天做的完全一樣，不需要成人 ICU 的重度高危險設備，這最符合跨科技能轉移。
This question tests delegation rules for cross-unit float nurses (Float RN). The golden rule of assignment is 'assign the most stable patient, and the one closest to the float nurse's home unit competencies.' Option B—an asthma patient who has emerged from the danger zone and only requires bronchodilator nebulizer treatment—fits this principle. Asthma management is identical to what is performed daily on the pediatric floor; it does not require the high-acuity, high-risk equipment of the adult ICU and represents the best cross-unit skill transfer.
Float Nurse 永遠挑原專業最貼近，或者是全場病情最穩定的輕症給他照顧。