— 照護管理 · MEDIUM · SATA —
病房護理長應將下列哪些病人分派給剛結束訓練的資淺護理師？（選所有適合的）
Which of the following clients should the charge nurse assign to a newly licensed nurse who just finished orientation? (Select all that apply.)
- AA client with an uncomplicated appendectomy who is ready for discharge✓ 正解未併發症的闌尾切除術後且準備出院的客戶
- BA client with a fractured hip requiring stable pain management✓ 正解需要穩定疼痛控制的股骨骨折客戶
- CA client who is experiencing active alcohol withdrawal syndrome經歷活躍酒精戒斷綜合症的客戶
- DA client with newly diagnosed type 2 diabetes needing basic education✓ 正解新診斷為第二型糖尿病且需要基本衛教的客戶
- EA client receiving continuous intravenous vasoactive medications via a central line透過中心靜脈導管接受連續靜脈血管活性藥物輸注的客戶
— Explanation · 中文詳解 —
分配病人給新進人員時，應選擇病情穩定、護理常規且預測性高的個案。酒精戒斷與使用血管升壓藥物者，病情變化快速且風險高，需由經驗豐富的護理師照護。其餘個案均為穩定且護理重點清晰的類型，適合資淺護理師培養獨立處理能力。
Newly licensed nurses should be assigned stable clients with predictable outcomes, such as those preparing for discharge after surgery or requiring standard pain management and basic education. Clients with complex, unstable conditions like active alcohol withdrawal or vasoactive medication infusions require the advanced skills of experienced nurses.
✦ 台美臨床差異
美國採取的 PNs 分配原則強調「穩定性」，台灣則常考量年資與科別經驗，但兩者對高風險藥物給予經驗資深者是相同的。