病房護理長正在進行人員分配。下列哪位病人應被分配給經驗最豐富的護理師照顧?
A charge nurse is managing the staffing for an inpatient unit. Which client should be assigned to the most experienced nurse on the team?
- AA client with diabetes mellitus requiring assistance with insulin self-administration需要協助自行注射胰島素的糖尿病患
- BA client who is two days post-operative for an appendectomy闌尾切除術後兩天的病人
- CA client awaiting discharge who is stable and independent in ADLs準備出院且生活自理能力穩定、獨立的病人
- DA client newly admitted with suspected pulmonary embolism✓ 正解新入院且懷疑有肺栓塞的病人
在人員分配(Staffing)時,病人的病情穩定度與護理複雜度是首要考量。肺栓塞(Pulmonary Embolism)屬於高度危險的急性病況,可能隨時惡化為呼吸衰竭或休克,需要護理師具備高度的臨床評估能力與緊急應變經驗,因此必須由資深護理師負責。其餘選項皆為穩定個案,適合資歷較淺的護理人員,以達成病房照護效能最大化。
In staffing assignments, patient stability and care complexity are the primary considerations. Pulmonary embolism is a highly dangerous, acute condition that can rapidly deteriorate into respiratory failure or shock at any time and requires a nurse with strong clinical assessment skills and emergency response experience; therefore, an experienced nurse must be assigned. The other options are stable cases that are appropriate for less experienced nurses, maximizing unit care efficiency.