護理長觀察到一位護理師操作程序錯誤，首要行動為何？
A charge nurse observes a staff nurse performing a procedure incorrectly. What is the priority action?
- ADiscuss the incident at the next staff meeting.於下次員工會議中討論此事件
- BIntervene immediately to ensure client safety.✓ 正解立即介入以確保病人安全
- CReport the nurse to the manager.向護理經理報告該護理師
- DWait until the procedure is finished to provide feedback.待程序結束後再提供回饋
在護理管理中，病患安全（Patient Safety）是最高優先級原則。當護理長觀察到操作錯誤，首要目標是防止該錯誤造成實際傷害。立即介入是為了中止錯誤行為，保護病人免受潛在的醫療過失影響。事後的回報與教育屬於後續的品質改善（Quality Improvement）與員工管理範疇，不能凌駕於即時的病人保護之上。
In nursing management, patient safety is the highest priority. When the charge nurse observes an incorrect procedure, the first goal is to prevent the error from causing actual harm. Immediate intervention stops the erroneous behavior and protects the client from potential medical malpractice. Subsequent reporting and education fall within the realm of quality improvement and staff management and must not take precedence over immediate patient protection.
在美國臨床環境中，護理長（Charge Nurse）對單位內的執行標準有高度監管責任。若發生嚴重過失，除立即介入外，還需依據機構政策填寫「事件報告（Incident Report/Occurrence Report）」，這在美國是法律保障的品質改進工具，而非單純的懲罰手段。