— 照護管理 · HARD · MCQ —
下列哪種情況，護理師必須向州護理委員會通報？
Which of the following situations should a nurse report to the state board of nursing?
- AA nurse who is observed diverting controlled substances✓ 正解被觀察到挪用管制藥物的護理師
- BA nurse taking a 30-minute lunch break instead of 45 minutes請30分鐘午餐假而非45分鐘的護理師
- CA nurse failing to update the care plan in a timely manner未能及時更新護理計畫的護理師
- DA nurse arriving 5 minutes late for the shift report交班遲到5分鐘的護理師
— Explanation · 中文詳解 —
護理師若發生藥物濫用、挪用管制藥品（Diverting substances）等行為，嚴重威脅病人安全，屬於強制通報範圍。其他選項如午休時間縮短、未及時更新護理計畫或遲到，屬於院內管理範疇，由行政主管進行懲處或改善即可，不需直接通報至州護理委員會。
Substance diversion is a serious licensure violation and potential criminal act that poses an immediate threat to patient safety, requiring mandatory reporting to the state board of nursing. Minor infractions such as tardiness, documentation delays, or break duration issues are typically handled internally by facility administration rather than regulatory bodies.
✦ 台美臨床差異
美國護理師委員會對執照管轄極為嚴格，此類違規會導致立即停職；台灣則多由醫院依內部規定處置或勞基法規範。