護理師照護一位準備轉入復健機構的病人。為了確保照護的連續性（Continuity of care），護理師執行哪項行動最重要？
A nurse is caring for a client who is being prepared for a transfer to a rehabilitation facility. Which action is most important for the nurse to perform to ensure continuity of care?
- AAssisting the client to pack their personal belongings.協助病人打包個人物品
- BEnsuring the client's insurance authorization is completed.確保病人的保險授權已完成
- CGiving the client's family a list of local rehabilitation centers.提供當地復健中心清單給病人家屬
- DProviding a detailed verbal and written report to the receiving nurse.✓ 正解向接收護理師提供詳細的口頭與書面報告
照護連續性（Continuity of Care）的核心在於資訊的無縫接軌。當病人轉院或轉單位時，最關鍵的步驟是提供準確、全面且即時的「轉介報告」（Hand-off report）。這份報告應包含：目前的診斷、最新的生理徵象、用藥情形、特殊的護理需求、以及尚未完成的治療計畫。選項 C 是轉院前的準備，而非連續性的保障；選項 A 是庶務工作；選項 B 屬於行政管理。臨床上，資訊傳遞錯誤是造成醫療事故的首要原因，因此口頭與書面的交班報告是護理專業的首要任務。
Continuity of care depends on accurate and timely information transfer between healthcare providers. The nurse must provide a comprehensive verbal and written hand-off report to the receiving facility, including current diagnoses, vital signs, medications, and pending treatments. Administrative tasks like packing belongings or processing insurance are secondary to ensuring clinical safety during the transition.
美國非常強調 SBAR 溝通模式在轉院報告中的應用，且有嚴格的轉院文件（Transfer Summary）規範。台灣在轉診時雖有轉診單，但臨床護理師之間的「電話詳盡交班」程度因醫院而異，NCLEX 標準則極度強調此步驟的必要性。