— 照護管理 · HARD · SATA —
護理長正在處理人力不足的問題。下列哪些策略應採取以確保病人照護安全？（選所有適合的）
A charge nurse is managing staff shortages. Which of the following strategies should the nurse implement to ensure safe client care? (Select all that apply.)
- APrioritize care based on acuity rather than order of arrival✓ 正解根據病情嚴重度而非到訪順序來優先安排照護
- BAssign non-essential tasks to administrative support staff✓ 正解將非必要任務分配給行政支援人員
- CAllow staff to skip documentation to save time允許員工省略紀錄以節省時間
- DCommunicate the situation to the hospital administrator✓ 正解將情況通報醫院管理階層
- ECollaborate with other departments for temporary cross-training support✓ 正解與其他部門合作提供臨時跨領域培訓支援
— Explanation · 中文詳解 —
人力短缺時，維持安全是核心。護理管理者應依病情嚴重度（Acuity）重新分派資源，將非專業性行政工作交由行政人員（B），向上級通報人力風險（D），並尋求跨部門支援（E）。絕對不可要求護理師省略紀錄（C），因為這是醫療照護與法律的基礎。
During staffing shortages, the charge nurse must maintain safety. Prioritize care by acuity rather than arrival order, delegate non-clinical tasks (e.g., administrative work) to support staff, notify administration so institutional resources can be mobilized, and coordinate with other departments for cross-trained support. Skipping documentation is never acceptable—it breaks clinical communication and creates significant legal risk.
✦ 台美臨床差異
美國護理長有較大的行政彈性；台灣護理長常需透過各層級回報，行政流程較繁瑣。