護理師準備為病人進行肌肉注射。下列哪項措施是安全考量的首要重點?
A nurse is preparing to administer an intramuscular injection to a client. Which action is the priority for safety?
- AVerifying the client's identity using two identifiers✓ 正解使用兩項識別資料確認客戶身分
- BChecking the expiration date of the medication檢查藥物有效期限
- CCleaning the skin with an alcohol swab in a circular motion以環形動作用酒精棉片清潔皮膚
- DSelecting a 1-inch needle for an average adult為一般成人選擇1英吋針頭
在執行任何醫療行為前,病人安全(Patient Safety)永遠是護理師的首要考量,其中「給藥安全」更是重中之重。根據美國國家病人安全目標(NPSG),給藥前必須使用至少兩種識別方式(如全名、出生日期)來核對病人身份,這是防止給藥錯誤(Medication Error)最基礎且關鍵的防線。雖然藥物效期、針頭長度與消毒技術同樣重要,但若藥給錯了對象,後果將最為嚴重。
Before performing any medical intervention, patient safety is always the nurse's foremost concern, and medication safety in particular is paramount. According to the National Patient Safety Goals (NPSG), at least two identifiers (such as full name and date of birth) must be used to verify the client's identity prior to medication administration. This is the most fundamental and critical defense against medication errors. Although checking the expiration date, needle length, and skin disinfection technique are also important, administering the medication to the wrong patient would carry the most serious consequences.
美國醫院廣泛使用條碼給藥系統(BCMA),護理師在給藥前必須掃描病人腕帶與藥物條碼,這已成為確認身份的標準流程。