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照護管理 · EASY · MCQ

外科護理師使用 SBAR 交接病患狀況。下列哪項具體陳述正確地隸屬於『建議 (Recommendation)』區段?

A surgical nurse uses the SBAR communication framework to report a critical change to the physician. Which specific statement belongs correctly in the 'Recommendation' portion of the SBAR handover?

  • A“I think he is experiencing a massive acute myocardial infarction.”
    「我認為他正在經歷大規模急性心肌梗塞。」
  • B“I am calling because the client developed severe chest pain.”
    「我致電是因為病患出現嚴重胸痛。」
  • C“The client is a 65-year-old male admitted yesterday.”
    「病患是昨天入院的 65 歲男性。」
  • D“Could you please come evaluate the client and order an ECG?”✓ 正解
    「您能否前來評估病患並開立心電圖 (ECG) 檢查?」
Explanation · 中文詳解

本題旨在評估護理師對標準化溝通工具 SBAR (Situation, Background, Assessment, Recommendation) 框架的理解和應用能力。SBAR 是一種結構化的溝通方式,旨在減少醫療錯誤,特別是在病患交接或向醫師報告緊急情況時。它能確保所有關鍵資訊被清晰、簡潔、有條理地傳達。其中,「建議 (Recommendation)」部分是護理師基於其評估,向醫師提出具體的行動建議或請求,這可以是立即的處置、進一步的檢查或醫師親自評估病患。正確使用 SBAR 對於提升病患安全至關重要。

The Recommendation component of the SBAR framework involves stating clearly what action is needed or requesting a specific intervention from the provider. Asking the physician to evaluate the client and order an ECG provides a direct, actionable step based on the nurse's assessment. Other options describe the situation, background, or assessment phases rather than the recommended course of action.

✦ 台美臨床差異

Recommendation 是 SBAR 最後一步,向對方提出你希望的行動。

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