— 照護管理 · HARD · MCQ —
護理師目擊外科醫師在未取得知情同意書的情況下進行手術。護理師的優先行動為何？
A nurse witness a surgeon performing a procedure without informed consent. What is the nurse's priority action?
- AIntervene and stop the procedure immediately✓ 正解介入並立即停止手術程序
- BDiscuss the situation with the surgeon privately私下與外科醫師討論此情況
- CDocument the incident in the client's medical record在病人病歷中記錄此事件
- DReport the incident to the nursing manager向護理經理報告此事件
— Explanation · 中文詳解 —
病人安全永遠是優先事項。在法律與倫理框架下，未經病人同意進行侵入性治療屬於侵權行為。護理師有權利且有義務立即介入並停止操作，以保障病人權益與安全。後續再進行內部通報與文件記錄，但當下停止程序是保護病人的首要防線。
The nurse's priority action is to intervene and stop the procedure immediately, as performing surgery without informed consent violates the client's legal and physical rights. Patient safety and autonomy are paramount, and while documentation and reporting are necessary later, the immediate cessation of the unauthorized procedure is the critical first step.
✦ 台美臨床差異
台美醫療法規皆強調知情同意。在美國，護理師更積極參與病人權益維護；台灣護理師受限於臨床階層結構，直接介入醫師行為壓力較大，但專業義務是一致的。