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照護管理 · HARD · SATA

護理長應將哪些病人指派給剛結束訓練的新進護理師?(選所有適合的)

Which of the following clients should the charge nurse assign to a newly hired registered nurse who just finished orientation? (Select all that apply.)

  • AA client requiring complex dressing changes for a pressure ulcer
    需要複雜敷料更換的壓瘡病人
  • BA client who is stable and preparing for discharge teaching✓ 正解
    狀況穩定並準備接受出院衛教的患者
  • CA client with an acute myocardial infarction and unstable hemodynamics
    急性心肌梗塞且血流動力學不穩定的病人
  • DA client with a new onset of respiratory distress
    新發呼吸窘迫的病人
  • EA client receiving IV antibiotics for a cellulitis infection✓ 正解
    接受靜脈抗生素治療蜂窩性組織炎的病人
Explanation · 中文詳解

指派原則應根據病人的穩定程度與護理人員的能力。新進護理師應負責狀況穩定、常規護理需求明確的病人。選項 B 與 E 的病情較穩定且風險低,適合新進人員;A 涉及複雜傷口處理需經驗;C 與 D 屬於高危險、不穩定狀態,需資深護理師照護。

The principle of assignment should be based on the patient's level of stability and the nurse's competency. A newly hired nurse should care for patients who are stable with clearly defined routine care needs. Options B and E represent stable patients with low risk and are appropriate for a new nurse; option A involves complex wound management requiring experience; options C and D represent high-risk, unstable conditions that require senior nursing care.

✦ 台美臨床差異

美方醫院常有正式新進人員護理學苑(Nurse Residency),指派會參考其適應狀況;台灣則視單位人力缺口與資深學長姐指導制度。

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