護理師在緊急情況下接獲醫師口頭醫囑,應採取什麼行動?
Which action should the nurse take when receiving a verbal order from a physician during an emergency?
- AWait for the physician to enter the order into the computer system.等待醫師將醫囑輸入電腦系統。
- BWrite down the order, then read it back to the physician to verify.✓ 正解記錄醫囑,然後向醫師覆誦以進行核對。
- CRecord the order immediately and perform the action.立即記錄醫囑並執行操作。
- DAsk another nurse to perform the action while you write it down.請另一位護理師執行操作,同時由你記錄。
在緊急情況下,護理師接獲口頭醫囑(Verbal Order)必須嚴格遵守「Write down, Read back」程序。此機制旨在透過確認(Verification)來排除聽覺上的誤解或藥物劑量單位錯誤,確保醫囑傳達的準確性與安全性。護理師必須在執行前完成覆誦,並請醫師確認無誤後,於合法時限內完成補簽。
In an emergency, when the nurse receives a verbal order, the 'write down, read back' procedure must be strictly followed. This mechanism uses verification to eliminate auditory misunderstandings or errors in medication dose units, ensuring the accuracy of the order. The nurse must complete the read-back before carrying out the order, obtain the provider's confirmation that it is correct, and ensure that the order is signed within the legally required time frame.
在美國,這類程序受《聯合委員會(The Joint Commission)》嚴格監管,醫院政策通常要求口頭醫囑僅限於緊急情況。台灣臨床做法雖大致相同,但美國對「補簽」的時間限制(如 24 小時內)與記錄規範通常更加嚴格且具法律強制性。