— 照護管理 · HARD · SATA —
護理長正在分配班表，下列哪些病人應指派給最有經驗的護理師？（選所有適合的）
A charge nurse is planning assignments for the shift. Which client should be assigned to the most experienced nurse? (Select all that apply.)
- AA client recently admitted with acute myocardial infarction receiving heparin drip✓ 正解因急性心肌梗塞剛入院且接受肝素輸注的病人
- BA client who is two days post-operative hip replacement and is stable術後兩天髖關節置換術且狀況穩定的病人
- CA client exhibiting signs of unstable arrhythmias and requiring frequent titrations✓ 正解出現不穩定心律不整徵象且需要頻繁調整藥物劑量的病人
- DA client being discharged who needs final paperwork review正在出院且需要最終文件審查的病人
- EA client with multi-organ system failure and complex wound care needs✓ 正解有多重器官系統衰竭及複雜傷口護理需求的病人
— Explanation · 中文詳解 —
經驗豐富的護理師應負責病況不穩定、需精密監測與複雜護理介入的病人。A、C、E 皆屬於高危險族群，需高度臨床判斷力與危機處理能力。B 與 D 情況穩定，適合交由較資淺或一般護理師照護，以優化人力資源配置。
Experienced nurses should be assigned to clients with unstable conditions requiring complex assessments and critical interventions. Clients with acute myocardial infarction, unstable arrhythmias, and multi-organ system failure present high risks for rapid deterioration. These cases demand advanced clinical judgment and vigilant monitoring to ensure patient safety.
✦ 台美臨床差異
美國依據照護複雜度（Acuity）分派；台灣多依病房屬性分派，較少針對個別病況複雜度彈性調整人力。