護理師發現同事私自挪用管制藥品，首要行動為何？
A nurse witnesses a colleague diverting narcotics. What is the priority action?
- AReport the observation to the charge nurse or manager✓ 正解向護理長或主管報告此觀察結果
- BConfront the colleague privately私下與同事對質
- CDocument the incident in the client's chart在病人病歷中記錄此事件
- DWait to see if it happens again等待觀察是否再次發生
護理師發現同事挪用管制藥品（Drug diversion）時，這不僅是違法行為，更嚴重威脅病人安全與專業誠信。根據美國護理專業標準，護理師有義務舉報此類行為，必須直接向護理長（Charge nurse）或管理層報告，以利啟動調查程序。私下對質可能導致證據被銷毀或對方採取防衛行為，甚至讓病人持續處於危險中。
When a nurse discovers a colleague diverting controlled substances (drug diversion), this is not only an illegal act but also a serious threat to patient safety and professional integrity. According to U.S. nursing professional standards, the nurse has a duty to report such behavior and must report directly to the charge nurse or management to initiate the investigation process. Private confrontation may result in destruction of evidence or defensive behavior by the offender, and may continue to place patients at risk.
美國醫院對於藥品挪用的調查非常嚴格，通常會立即啟動人力資源與法律部門介入。台灣臨床對此類事件的處理有時較為傾向內部協調，但在美國執業必須嚴格遵守舉報程序。