— 照護管理 · MEDIUM · SATA —
護理長正在督導新進護理師，下列哪些行為需要護理長立即介入？（選所有適合的）
A charge nurse is supervising a newly licensed nurse. Which actions require immediate intervention by the charge nurse? (Select all that apply.)
- AThe nurse documents an incident report in the client's medical record✓ 正解護理師在病人病歷中記錄事件報告
- BThe nurse shares her personal password with a nursing student✓ 正解護理師將個人密碼分享給護理學生
- CThe nurse clarifies an illegible physician order before administering medication護理師在給藥前澄清 illegible（難以辨認）的醫師醫囑
- DThe nurse leaves a client's chart open on the computer screen unattended✓ 正解護理師將病人病歷表留在無人看守的電腦螢幕上
- EThe nurse assists a client with ambulation using a gait belt護理師使用步態帶協助病人步行
— Explanation · 中文詳解 —
醫療疏失報告（Incident report）應存於行政管理系統，嚴禁寫入病人病歷，否則將成為法律訴訟證據。分享密碼與未登出電腦皆違反 HIPAA 病人隱私保護條款。C 與 E 為正確的護理行為，無需介入。
Incident reports are administrative documents and must be kept strictly out of the client's medical record; otherwise they may become legal evidence in litigation. Sharing passwords and leaving an unattended computer screen open both violate HIPAA privacy protections. Options C and E represent correct nursing behaviors and do not require intervention.
✦ 台美臨床差異
美國對隱私權與法律文件有極高要求，Incident Report 具高度隱密性；台灣護理紀錄有時會出現報告內容，法規意識逐漸提升中。