— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師執行受管制藥物給藥。哪項操作是強制性的？
A nurse is administering a controlled substance. Which action is mandatory?
- ALeaving the medication at the bedside for later將藥物留在床邊稍後再給
- BDocumenting the drug in the patient's record only僅在病人病歷中記錄藥物
- CGiving the drug before checking the patient's ID在檢查病人身份前給藥
- DCounting the remaining stock with another nurse✓ 正解與另一位護理師共同點算剩餘庫存
— Explanation · 中文詳解 —
受管制藥物（Controlled substances）的管理具有嚴格的法律規範。護理師在給予受管制藥物（如鴉片類止痛藥）時，必須與另一位合格護理師共同清點庫存，並在記錄上雙重簽名（Waste/Count verification）。這不僅是為了防止藥物濫用（Diversion），也是為了確保藥物使用的完整記錄與法律責任的歸屬。
The management of controlled substances is governed by strict legal regulations. When administering a controlled substance (such as an opioid analgesic), the nurse must count the remaining stock with another licensed nurse and co-sign the record (waste/count verification). This is not only to prevent drug diversion but also to ensure a complete record of medication use and assignment of legal responsibility.
✦ 台美臨床差異
美國醫院對管制藥品（Narcotic/Controlled substance）的控管極為嚴格，通常需透過電子藥櫃（如 Pyxis）進行雙重核對與指紋識別，台灣臨床則多採用人工登記與雙人清點。