一位 ICU 護理師被支援（Floating）到內外科病房。下列哪位病人的分配最適合這位護理師？
An RN is floating from the intensive care unit (ICU) to a medical-surgical unit. Which client assignment is most appropriate for this nurse?
- AA client who is being discharged to a long-term care facility after a hip replacement一位髖關節置換術後轉介至長期照護機構的病人
- BA client newly diagnosed with Type 1 Diabetes requiring extensive education新診斷第一型糖尿病且需要大量衛教的病人
- CA client scheduled for an elective cholecystectomy later today預計今日稍後進行擇期膽囊切除術的病人
- DA client with a new onset of congestive heart failure requiring frequent vital sign monitoring✓ 正解新發充血性心衰竭且需頻繁監測生命徵象的病人
支援護理師（Float Nurse）的任務分配原則是：分配與其原專業技能最接近、或最穩定且不需過多病房特定流程經驗的病人。ICU 護理師擅長的是生理監測（Monitoring）、生命徵象評估與急性病患管理。選項 D 的心衰竭病人需要頻繁監測與急性評估，這與 ICU 技能高度重疊。而選項 B 需要大量的出院衛教，A 涉及繁瑣的轉介出院流程，C 涉及特定病房的術前準備流程，這些對於不熟悉內外科病房常規流程的支援人員來說反而更具挑戰。
When assigning a float nurse from the ICU to a medical-surgical unit, the nurse should be assigned a stable client whose care relies heavily on acute assessment and monitoring skills. Option D is appropriate because the ICU nurse possesses strong competencies in hemodynamic monitoring and vital sign assessment, which are essential for managing new-onset congestive heart failure. Other options involve complex discharge planning, extensive patient education, or unit-specific surgical protocols that may exceed the float nurse's familiarity with the current unit.
美國護理界對於支援護理（Floating）有明確的法律保護，護理師可拒絕超越其能力的分配。台灣則較強調「全能」，護理師支援時常被期望能快速接手任何病人，但安全原則與美國一致。