下列哪些病人應分配給單位內經驗最豐富的護理師?(選所有適合的)
Which of the following clients should be assigned to the most experienced nurse in the unit? (Select all that apply.)
- AA client receiving a blood transfusion for the first time.✓ 正解首次接受輸血的病人
- BA client with an unstable cardiac arrhythmia on a continuous drip.✓ 正解持續靜脈滴注治療且心律不穩定的病人
- CA client post-op day 3 awaiting discharge.術後第三天待出院的病人
- DA client experiencing sudden acute respiratory distress.✓ 正解出現突發急性呼吸窘迫的病人
- EA client requiring routine morning hygiene and dressing change.需要常規晨間清潔與換藥的病人
高風險、不穩定或需要高度評估與急救能力的病人,應由資深護理師負責。輸血具有過敏反應風險、心律不整需嚴密監測心電圖與藥物調整、急性呼吸窘迫則需即時判斷與搶救。術後穩定個案或routine護理則適合新進或較無經驗人員。
Patients who are high-risk, unstable, or who require advanced assessment and resuscitation skills should be assigned to experienced nurses. Blood transfusions carry a risk of allergic reactions, cardiac arrhythmias require close ECG monitoring and medication titration, and acute respiratory distress demands rapid clinical judgment and resuscitation. Stable postoperative clients or those requiring routine care are appropriate for less experienced staff.
美方稱此為 Charge Nurse 進行的分派(Assignment);台灣多由護理長分配,但實務上常依據病房分組照護,資深護理師通常負責重症區。