護理師準備給藥時,哪些行為落實了「正確病人」的安全規範?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions demonstrate the implementation of 'Right Patient' safety protocol? (Select all that apply.)
- AAsking the client to state their full name and date of birth✓ 正解請病人自報全名與出生日期
- BChecking the room number against the medication administration record對照藥單上的房間號碼
- CComparing the wristband information with the medication record✓ 正解將手圈資訊與藥單比對
- DAsking the client, 'Are you Mr. Smith?'詢問病人:『您是史密斯先生嗎?』
- EScanning the client's barcode on their identification wristband✓ 正解掃描病人識別手圈上的條碼
給藥安全是護理的核心。為落實「正確病人(Right Patient)」規範,必須使用兩種以上識別符(Identifiers)。在美國臨床環境中,要求病人主動告知姓名與生日(Date of birth)是標準作法,並需對照識別手圈(Wristband)與電子藥單(MAR)。條碼掃描(Barcode scanning)則是現代科技預防給藥錯誤的最有效手段。
Medication administration safety is central to nursing practice. To implement the 'Right Patient' standard, two or more identifiers must be used. In the U.S. clinical setting, asking the client to actively state their name and date of birth is standard practice, and the wristband must be cross-checked against the medication administration record (MAR). Barcode scanning is the most effective modern technological safeguard against medication errors.
美國醫院全面實施「床邊條碼給藥系統(BCMA)」,台灣雖亦有推行,但在美國執業中,護理師若未掃描條碼或未進行雙重核對,會被視為嚴重的違反安全規範(Safety violation),這在 NCLEX 考試中是絕對不能妥協的項目。