— 照護管理 · EASY · MCQ —
護理長正在進行排班。哪一位病人應該分配給剛入職的畢業護理師照護？
A charge nurse is planning assignments. Which client should be assigned to the newly hired graduate nurse?
- AA client with a complex wound requiring negative pressure wound therapy需要負壓傷口治療的複雜傷口病人
- BA client awaiting transfer to the intensive care unit for unstable status因狀況不穩定而 awaiting 轉入加護單位的病人
- CA client scheduled for a complicated neurosurgical procedure預定接受複雜神經外科手術的病人
- DA client with a new colostomy requiring pouch change and skin care✓ 正解需要更換造口袋及皮膚護理的新造口病人
— Explanation · 中文詳解 —
初級護理師應負責病情穩定、護理常規且預測性高的病人。造口護理屬於基本的護理技能，且病人臨床狀況穩定，適合剛入職人員進行臨床經驗積累。其他選項皆為病情複雜、不穩定或需高度專業監測的個案，應由資深護理師負責。
A novice nurse should be assigned clients who are stable, require routine nursing care, and have predictable courses. Ostomy care is a fundamental nursing skill, and the client is clinically stable, making it appropriate for a newly hired nurse to gain clinical experience. The other options involve complex, unstable, or highly specialized monitoring and should be assigned to experienced nurses.
✦ 台美臨床差異
台美兩國對於新進人員（Preceptee）的保護政策相似，皆傾向由臨床導師（Preceptor）帶領執行常規護理。