護理師在人力短缺的單位工作，哪種優先級劃分最安全？
A nurse is working in an understaffed unit. What is the safest way to prioritize care?
- AAsk the family members to perform nursing tasks請家屬執行護理任務
- BSkip documenting non-essential activities跳過非必要活動的紀錄
- CTreat all clients as equally urgent將所有病人視為同等緊急
- DFocus on life-saving interventions and essential medications✓ 正解專注於救命介入措施與必要藥物
在人力短缺（Understaffing）的極端情況下，護理師必須進行「三角測量法（Triage）」式的優先級劃分。核心概念是區分「重要但非緊急」與「危及生命」的任務。護理師應運用 ABCs（Airway, Breathing, Circulation）原則，將有限的資源集中在維持生命體徵穩定與關鍵藥物給予上，以確保病人的核心安全。
A positive Chvostek sign indicates acute hypocalcemia resulting from accidental removal or damage to the parathyroid glands during thyroidectomy. This condition can lead to neuromuscular irritability, including laryngospasm and tetany, which poses a significant risk to the airway. Immediate notification is required to initiate calcium replacement therapy and prevent complications.
美國醫院對於人力短缺有一套明確的「危機處理標準（Crisis Standard of Care）」，護理師在法律保障下，需優先處理生命安全相關任務。台灣護理環境較常出現「全包式」工作模式，在赴美執業時，必須學會勇敢拒絕非核心護理任務的額外負擔。