— 照護管理 · MEDIUM · MCQ —
護理長正在處理病房安全議題。下列哪種情況需要護理長立即介入？
A charge nurse is managing a client safety issue. Which situation requires immediate intervention by the charge nurse?
- AA nursing student is documenting vital signs in the EHR護理學生正在電子病歷系統中記錄生命徵象。
- BA UAP is performing a sterile dressing change✓ 正解護理助理人員正在進行無菌敷料更換。
- CAn RN is reviewing discharge instructions with a client註冊護理師正在向病患說明出院指示。
- DA nurse is verifying a blood transfusion with another nurse護理師正與另一位護理師共同核對輸血。
— Explanation · 中文詳解 —
護理長（Charge nurse）的責任在於確保病人安全與護理品質。無菌敷料更換（Sterile dressing change）涉及侵入性風險，必須由具備專業執照的護理師（RN/LPN）執行，以維持無菌技術。UAP缺乏執行無菌技術的培訓，由其執行會增加感染風險，因此護理長必須立即介入並停止該行為。
The charge nurse is responsible for ensuring patient safety and the quality of nursing care. A sterile dressing change involves invasive risk and must be performed by licensed nursing staff (RN/LPN) who can maintain sterile technique. UAPs lack training in sterile technique, and performing the procedure would increase the risk of infection. Therefore, the charge nurse must intervene immediately and stop the behavior.