護理師正在檢視下一班的任務分配。哪位病人應分配給一位從加護病房 (ICU) 支援過來的資深護理師？
The nurse is reviewing the assignment for the upcoming shift. Which client should be assigned to an experienced nurse who has been floated from the intensive care unit (ICU)?
- AA client who is 24 hours postoperative following a routine appendectomy.常規闌尾切除術後24小時的病人
- BA client with diabetic ketoacidosis (DKA) receiving an insulin infusion.✓ 正解接受胰島素靜脈滴注的糖尿病酮酸中毒（DKA）病人
- CA client requiring discharge teaching about newly prescribed anticoagulants.需要關於新處方抗凝血劑之出院衛教的病人
- DA client with stable chronic renal failure receiving peritoneal dialysis.接受腹膜透析且穩定的慢性腎衰竭病人
人力分配（Assignment）的關鍵在於「適才適所」。當護理師從特殊單位（如 ICU）支援到普通病房（Float Nurse）時，應分配給他們與原專業背景最相似、或者需要高度監測技能的病人。ICU 護理師擅長處理不穩定、需要精密儀器（如輸注幫浦）及頻繁生理評估的個案。DKA 病人需要持續胰島素滴注、每小時血糖監測及嚴密的電解質追蹤，這與 ICU 護理師的核心職能完全吻合。相反，出院衛教（C）或穩定的慢性病照護（D）更適合普通病房護理師，因為他們更熟悉病房流程與資源。
A nurse floated from the ICU should be assigned to the client with diabetic ketoacidosis receiving an insulin infusion, as this patient requires complex infusion management and frequent physiological assessments similar to critical care settings. Routine postoperative care, discharge teaching, and stable chronic conditions are better suited for staff nurses familiar with general ward protocols.
美國護理管理強調 Cross-training 和 Float Pool 制度，支援護理師的分配必須考慮其「核心職能」（Core Competency）。台灣醫院支援系統中，支援者常被分配給「最簡單」的病人以便減輕其壓力，但 NCLEX 邏輯是「最能發揮其專業價值」的分配。