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照護管理 · MEDIUM · SATA

護理師發現給藥錯誤,應優先採取哪些行動?(選所有適合的)

A nurse identifies an error in the administration of medication. Which actions should the nurse prioritize? (Select all that apply.)

  • AAssess the client's current status and vital signs✓ 正解
    評估病人的目前狀況與生命徵象
  • BNotify the healthcare provider immediately✓ 正解
    立即通知醫療提供者
  • CDocument the error in the client's medical record
    在病人病歷中記錄該錯誤
  • DComplete an incident report for the facility
    完成機構內的事故報告
  • EInform the patient of the error and the corrective steps✓ 正解
    告知病人該錯誤及補救步驟
Explanation · 中文詳解

發生給藥錯誤時,首要考量是病患安全。應先評估生命徵象(A),若有狀況立即通知醫師(B),並誠實告知病患(E)。Incident report(D)為內部行政作業,不應在病歷中(C)直接提到 Incident report 的存在,以免引起法律爭議,病歷應只記錄事實與處理過程。

When a medication error occurs, the priority is patient safety. The nurse should first assess vital signs (A), notify the physician immediately if there is any change (B), and honestly inform the patient (E). The incident report (D) is an internal administrative process and should not be referenced within the patient's chart (C), to avoid legal disputes; the chart should record only the facts and the actions taken.

✦ 台美臨床差異

美國嚴格區分病歷紀錄與品質報告(Incident Report);台灣醫療院所對錯誤揭露(Disclosure)的流程正逐步接軌國際。

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