檢傷護理師評估一名來自安養院的 82 歲虛弱女性。救護人員報告，因人手不足，安養院員工將她整晚鎖在儲藏室中。基於專業倫理要求，護理師必須執行什麼明確步驟？
An ER triage nurse evaluates an 82-year-old frail female arriving from a skilled nursing facility. EMS reports the nursing home staff found her locked in a storage closet overnight due to understaffing. Based on professional ethical mandates, what distinct step must the nurse execute?
- ADischarge the client rapidly back to the exact same facility immediately.迅速將病人出院並立即送回原來的機構
- BAggressively document a formal incident report directly to Adult Protective Services.✓ 正解積極記錄正式事故報告並直接通報成人保護服務單位
- CInstruct the family to sue the nursing facility without hospital involvement.指示家屬提起訴訟，無需醫院介入
- DRefuse to treat the client until the nursing home manager arrives to explain the event.拒絕治療病人，直到安養院經理到場解釋事件為止
本題測驗強制通報虐待法則 (Elder Abuse Mandatory Reporting)。將老人鎖在儲藏室是極端嚴格的『虐待與非法拘禁 (Elder abuse & False imprisonment)』。RN 是美國與台灣法律規定的「強制通報者」，看見虐待/懷疑受虐就必須立即通報成人保護機構 (Adult Protective Services)。選項 D 拒絕治療違反道德，選項 A 把受害人送回施虐機構違背不傷害原則。
Registered nurses have a legal and ethical mandate to report suspected elder abuse or neglect to Adult Protective Services immediately. Discharging the client back to the unsafe environment or refusing treatment would violate professional standards and patient safety principles.
發現被虐待，唯一的第一步就是通報 APS / CPS (社工通報)。不能自行辦案或要家屬提告。