護理長正在規劃排班，哪位病人適合分配給新進護理師照顧？
A charge nurse is planning assignments for the shift. Which client is appropriate to assign to a newly licensed nurse?
- AA client with stable chronic hypertension requiring oral medications✓ 正解一位病情穩定的慢性高血壓患者，需服用口服藥物
- BA client experiencing acute myocardial infarction with unstable vitals一位急性心肌梗塞且生命徵象不穩定的患者
- CA client being prepared for an urgent thoracentesis一位準備進行緊急胸腔穿刺術的患者
- DA client requiring complex wound debridement and IV titration一位需要複雜傷口清創及靜脈輸液滴定的患者
護理長在規劃班表時，將病人分配給新進護理師（newly licensed nurse）是管理照護（Management of Care）中的關鍵決策。核心原則是確保病人安全，並為新進護理師提供學習和成長的機會。因此，應將病況穩定、預後可預測、護理需求相對單純且標準化的病人分配給新進護理師。 新進護理師通常缺乏獨立處理複雜或不穩定病情的經驗，他們需要時間來鞏固基礎知識、發展臨床判斷力及時間管理技能。將穩定病人分配給他們，可以在有資深護理師監督下，安全地練習基本護理技能，逐步建立信心和能力。若分配不當，不僅可能危及病人安全，也可能對新進護理師造成過度壓力，影響其專業發展。
Assigning patients to a newly licensed nurse is a key decision in management of care for the charge nurse. The core principle is to ensure patient safety while providing the new nurse with learning opportunities. Therefore, patients who are stable, with predictable prognoses and relatively simple, standardized nursing needs, should be assigned to new graduates. Newly licensed nurses typically lack experience in independently managing complex or unstable situations; they need time to consolidate foundational knowledge and develop clinical judgment and time management. Assigning stable patients allows them to safely practice basic nursing skills under the supervision of experienced nurses, gradually building confidence and competence. Inappropriate assignments may not only jeopardize patient safety but also place undue stress on the new nurse and impair professional development.
在美國和台灣，護理長進行病人分配的原則是高度相似的，都強調依據病人的穩定性、護理需求的複雜度，以及護理師的經驗與能力來指派。新進護理師（在美國常稱為Newly Licensed Nurse或Novice Nurse）會被分配到病情相對穩定、可預測的病人，以確保病人安全並促進新進護理師的專業成長。這是全球通用的護理管理最佳實踐。