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檢視跨專業交班時間軸，並判斷護理師應如何在責任轉移前，解決尚未處理的安全缺口。

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Time	Data
1400	Potassium is 2.9 mEq/L. IV replacement begins. The order requires a repeat potassium level after the infusion.鉀離子為 2.9 mEq/L。開始靜脈補充。醫囑要求輸液後重複檢測鉀離子濃度。
1515	The transfer note says 'potassium replacement in progress' but does not identify who will review the repeat result or when to escalate.轉送紀錄載明「鉀離子補充進行中」，但未指明誰將檢視重複結果，或何時應通報。
1530	During verbal handoff, the receiving nurse checks back: 'I hear that replacement is running, but who owns the repeat result?' No clinician is assigned yet.口頭交班時，接收護理師複誦確認：「我了解補充輸液正在進行，但誰負責重複結果？」目前尚未指派任何臨床人員。

Q1. What safety problem is revealed by the timeline?時間軸揭示了什麼安全問題？

An accountability gap for a time-sensitive pending result具時效性之待決結果存在當責缺口 A need to omit laboratory information so the handoff remains brief需省略檢驗資訊以使交班保持簡短 A reason to cancel all transfers involving IV medications需取消所有涉及靜脈藥物之轉送

Q2. What should the sending nurse do before transfer?轉送前，送出單位護理師應採取何項行動？

Rely on the electronic note because any clinician can review the result依賴電子紀錄，因為任何臨床人員皆可檢視結果 Tell the receiving nurse to ask the provider after arrival告知接收護理師於抵達後詢問醫師 Identify and confirm the accountable clinician, expected review time, action threshold, and escalation plan確認並指派當責臨床人員、預期檢視時間、處置閾值及通報計畫

Q3. Which statement best demonstrates closed-loop handoff?哪一項陳述最能展現閉環交班？

The result will probably be normal after replacement補充後結果可能正常 Everything important is in the chart所有重要事項皆在病歷中 Someone on step-down can handle it降階單位有人可以處理 You will review the repeat potassium at 1600, call the provider for the stated threshold, and notify me now if that responsibility cannot be accepted您將於 1600 檢視重複鉀離子結果，達到指定閾值時致電醫師，若無法接受此責任，請立即告知我

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