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安全與感染控制 · MEDIUM · SATA

護理師準備給藥時,哪些動作可減少用藥錯誤?(選所有適合的)

A nurse is preparing to administer medication. Which actions reduce medication errors? (Select all that apply.)

  • AChecking the client's identification band using two identifiers✓ 正解
    使用兩項識別碼檢查病人的識別手環
  • BAllowing the client to state their name to confirm identity
    讓病人自報姓名以確認身分
  • CScanning the client's barcode on the wristband✓ 正解
    掃描病人手腕上的條碼
  • DVerifying the medication order against the MAR✓ 正解
    將醫囑與給藥紀錄單(MAR)進行核對
  • EDocumenting the medication after administration✓ 正解
    給藥後記錄藥物
Explanation · 中文詳解

用藥安全是 NCLEX 考題中的核心。減少用藥錯誤的關鍵在於建立多重防護網(Safety Net)。正確執行「給藥五或六大原則(Rights of Medication Administration)」是基本功,其中病人辨識必須使用兩個獨特識別碼(Two identifiers),而非單純詢問姓名,以避免同名同姓錯誤。條碼掃描(Barcode scanning)則是現代科技提供的最後一道防線,能有效預防錯誤給藥。

Medication safety is a core topic in NCLEX questions. The key to reducing medication errors is building a multilayered safety net. Correctly applying the Five or Six Rights of Medication Administration is foundational. Patient identification must use two unique identifiers rather than relying solely on the patient stating their name, in order to avoid errors involving patients with similar or identical names. Barcode scanning is a modern technological safeguard that serves as a final line of defense against medication errors.

✦ 台美臨床差異

美國醫院全面推行電子給藥系統(eMAR)與條碼給藥(BCMA),幾乎所有給藥流程都強制要求掃描,台灣部分醫院雖已推行但普及程度不一,赴美執業需習慣這套嚴格的電子化給藥流程。

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