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照護管理 · MEDIUM · SATA

護理長應採取哪些措施以確保交班過程中照護的安全性?(選所有適合的)

Which actions should the charge nurse take to ensure a safe transition of care during hand-off report? (Select all that apply.)

  • AUse a standardized tool like SBAR for communication✓ 正解
    使用標準化工具如 SBAR 進行溝通
  • BAllow the incoming nurse to ask clarifying questions✓ 正解
    允許接班護理師提出澄清問題
  • CInclude the client in the bedside report when appropriate✓ 正解
    在適當情況下讓病人參與床邊交班
  • DPerform the report in the busy, high-traffic hallway to save time
    為節省時間在繁忙、人流眾多的走廊進行交班
  • EEnsure all critical data, such as recent lab values, are included✓ 正解
    確保包含所有關鍵資料,例如最近的實驗室數值
Explanation · 中文詳解

交班(Hand-off report)是醫療照護中資訊傳遞的關鍵環節,旨在確保病人安全與照護連續性。有效的交班必須具備結構化溝通、雙向互動及病人參與。使用標準化工具(如 SBAR)能確保關鍵資訊不遺漏;床邊交班(Bedside report)則能即時評估病人狀況並提升病人參與感;而給予接班護理師提問機會是確保資訊正確接收的必要步驟。在繁忙且公共的區域交班會嚴重違反病人隱私,並因環境干擾增加醫療疏失風險。

Using standardized communication tools like SBAR ensures critical information is conveyed accurately and reduces errors. Allowing the incoming nurse to ask questions facilitates clarification, while including the client in bedside reporting enhances safety and engagement. Reports should never be conducted in noisy hallways to protect patient privacy and minimize distractions.

✦ 台美臨床差異

美國非常強調「Bedside Shift Report」,這是 Joint Commission(聯合委員會)病人安全目標的一部分。在台灣,交班多在護理站進行,較少執行床邊交班,但在美國醫院這是常規要求,護理長需特別注意隱私維護。

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