護理師在評估病人時,發現前一班可能有給藥錯誤。護理師的優先行動為何?
A nurse is assessing a client and notices a potential medication error made by the previous shift. What is the nurse's priority action?
- ADiscuss the error with the previous nurse與前一班護理師討論該錯誤
- BAssess the client for any adverse reactions✓ 正解評估病人是否有任何不良反應
- CNotify the physician of the error通知醫師該錯誤
- DComplete an incident report填寫不良事件報告
護理的核心是病人安全。發現藥物錯誤時,首要行動必須是評估病人有無出現不良生理反應,以採取急救或補救措施。 incident report(事件報告)與通知醫師、討論錯誤,皆屬於後續的行政與溝通流程,雖然必要,但相較於病人當下的生命安全,這些不是優先步驟。護理師應先確保病人穩定,再進行後續調查與程序。
The core of nursing is patient safety. When a medication error is discovered, the first action must be to assess the client for adverse physiologic reactions in order to initiate rescue or corrective measures. Filing an incident report, notifying the physician, and discussing the error all belong to subsequent administrative and communication processes; although necessary, they are not the priority compared with the client's immediate safety. The nurse should first stabilize the client and then carry out the subsequent investigation and procedures.