— 照護管理 · HARD · SATA —
發生災害導致大量傷患湧入，護理師應優先評估哪些病人可安排出院？（選所有適合的）
Which clients are appropriate for a nurse to recommend for discharge to make room for an influx of disaster victims? (Select all that apply.)
- AA client who had a hip replacement 3 days ago and is ambulating well✓ 正解三天前接受髖關節置換術且行走良好的病人
- BA client admitted yesterday for observation after a mild concussion因輕微腦震盪於昨日入院觀察的病人
- CA client who is scheduled for minor diagnostic procedures tomorrow✓ 正解明天預定進行小型診斷性檢查的病人
- DA client receiving intravenous antibiotics for cellulitis接受靜脈注射抗生素治療蜂窩性組織炎的病人
- EA client awaiting cardiac catheterization for stable angina等待因穩定型心絞痛進行心導管檢查的病人
— Explanation · 中文詳解 —
災害應變的「清床」原則是將病情穩定、出院計畫已成熟或僅需門診追蹤的病人優先安置。髖關節置換術後三天且活動功能良好者，以及僅需進行小型檢查的病人符合標準。腦震盪觀察者、靜脈輸液治療者及心導管檢查者，在病情或治療需求上仍需持續監控，不宜立即出院。
Disaster bed-clearing principle: prioritize stable patients near discharge or those needing only outpatient follow-up. Hip replacement 3 days post-op who is ambulating well, and a patient scheduled only for minor diagnostic procedures, meet the criteria. Concussion observation, IV antibiotic treatment, and pending cardiac catheterization patients still require monitoring or treatment and should not be discharged.
✦ 台美臨床差異
台灣大型災難清床多由醫院指揮中心依醫療法規範調度，護理師需快速更新床位資訊以利決策。