護理師發現醫囑中存在藥物劑量錯誤。護理師的首要行動為何？
A nurse identifies an error in a medication order. What is the nurse's priority action?
- AAdminister the medication and complete an incident report給藥並填寫不良事件報告
- BContact the pharmacist to verify the dosage聯絡藥師以核對劑量
- CFollow the facility's standing order for standard dosages遵循機構針對標準劑量的既定指示
- DClarify the order with the prescribing physician✓ 正解與開立醫囑的醫師釐清醫囑
藥物安全的核心原則是「懷疑則不給藥」。當護理師發現醫囑有疑問或劑量錯誤時，絕對不能執行該醫囑。護理師的專業義務是聯繫開立醫囑的醫師進行確認（Clarification）。這不僅是為了病人安全，也是護理師維護執業執照（Licensure）與專業責任的必要行動。聯繫藥師雖有助於釐清，但藥物醫囑的修正權限在於醫師，直接聯繫醫師最有效率。
The core principle of medication safety is 'when in doubt, do not administer.' When the nurse finds a questionable or erroneous medication order, the order must never be carried out. The nurse's professional duty is to contact the prescribing physician for clarification. This is not only for patient safety but also a necessary action to maintain the nurse's licensure and professional accountability. While the pharmacist can help clarify, authority to modify the medication order belongs to the physician, so contacting the physician directly is most efficient.