— 照護管理 · HARD · MCQ —
護理長在急診值班，何種情況需立即呈報護理督導？
A charge nurse is managing an emergency department shift. Which situation requires immediate escalation to the nursing supervisor?
- AAn intoxicated physician attempting to provide patient care✓ 正解一名試圖提供病人照護的酒醉醫師
- BA disagreement between a nurse and a patient's family member護理師與病人家屬之間的爭執
- CA staff nurse reporting a medication error that caused no patient harm一名職工護理師回報未造成病人傷害的給藥錯誤
- DA surge in patient volume during a shift change輪班交接期間的病人量激增
— Explanation · 中文詳解 —
當醫療人員出現酒精或藥物濫用影響臨床判斷時，涉及病人的安全與法規問題（Impaired Professional），這屬於重大違規事件，必須立即呈報督導並啟動相關流程，以保護病人權益與醫院安全。其他選項雖需要處理，但屬一般管理範疇。
An intoxicated physician attempting to provide care requires immediate escalation because an impaired clinician poses a direct and serious threat to patient safety. This situation involves legal and ethical violations that necessitate urgent intervention by the nursing supervisor to protect clients and maintain professional standards.
✦ 台美臨床差異
美國醫院對 Impaired professional 有非常嚴格的 mandatory reporting 法律規範，台灣則較常內部處理。