— 照護管理 · EASY · MCQ —
護理長正在進行人力分配。下列哪位病人應分配給新進註冊護理師？
A charge nurse is planning assignments. Which client should be assigned to the newly hired registered nurse?
- AA client admitted yesterday for an uncomplicated pneumonia✓ 正解昨天因單純性肺炎入院之病人
- BA client recovering from a total hip arthroplasty with PCA接受全髖關節置換術後恢復中且使用病人自控止痛泵 (PCA) 之病人
- CA client experiencing acute alcohol withdrawal經歷急性酒精戒斷之病人
- DA client with a new colostomy requiring teaching需要衛教之新造口病人
— Explanation · 中文詳解 —
人力分配原則為「病人病情越穩定，越適合交給經驗不足的護理師」。肺炎病人臨床路徑通常穩定，適合初級護理師；新造口衛教（D）、術後 PCA 監測（B）及酒精戒斷（C）均具高度護理複雜度或高風險，需由資深護理師負責。
The principle of assignment is: 'The more stable the client, the more appropriate it is to assign them to a less experienced nurse.' Clients with pneumonia generally follow a stable clinical pathway and are suitable for a novice nurse. New ostomy teaching (D), postoperative PCA monitoring (B), and acute alcohol withdrawal (C) all involve high nursing complexity or high risk and require an experienced nurse.
✦ 台美臨床差異
美國護理師多採 primary nursing，責任制明顯；台灣多為功能性分組，新手較易由老手帶領。