護理長正在分配病患照護工作,下列哪位病人應分配給經驗豐富的護理師,而非新進護理師?
A charge nurse is planning assignments for a group of clients. Which client should be assigned to an experienced RN rather than a newly licensed nurse?
- AA client with a primary diagnosis of stable iron-deficiency anemia主要診斷為穩定型缺鐵性貧血的病人
- BA client requiring titration of intravenous vasoactive medications✓ 正解需要調整靜脈血管活性藥物的病人
- CA client with type 2 diabetes mellitus awaiting discharge teaching等待出院衛教的第二型糖尿病病人
- DA client with stage 2 pressure ulcer needing dressing changes需要換藥的第二期壓力性損傷病人
需要滴定血管收縮藥物(如 Norepinephrine 等)的病人,其血行動力學極不穩定,需頻繁監測並根據數據調整劑量,這屬於高度危險且需高階臨床判斷的任務,必須交由資深護理師處理。其餘選項如壓瘡護理、糖尿病衛教及穩定貧血個案,皆屬較為穩定或單純的照護範疇。
A client requiring titration of vasoactive medications (such as norepinephrine) is hemodynamically unstable, requires frequent monitoring, and dose adjustments based on real-time data; this is a high-risk task requiring advanced clinical judgment and must be assigned to an experienced nurse. The remaining options, such as pressure ulcer care, diabetes education, and a stable anemic client, fall within more stable or straightforward care areas.
美國護理職級分明,資深護理師常擔任 Charge Nurse 指派任務,台灣則依臨床年資與單位屬性進行分配,但危急個案皆傾向優先交由資深人員。