準備輸血前,必須執行的行動為何?
A nurse is preparing to administer a blood transfusion. Which action is required before initiation?
- AVerify the blood type with another nurse✓ 正解與另一位護理師共同核對血型
- BPerform a physical exam進行身體檢查
- CStart the transfusion immediately upon delivery送達後立即開始輸血
- DWarm the blood to room temperature將血液加溫至室溫
輸血屬於高風險醫療處置,最嚴重的併發症為溶血性輸血反應(Hemolytic transfusion reaction),通常由人為辨識錯誤(如輸錯血型)引起。為符合國家病人安全目標(National Patient Safety Goals),輸血前必須進行嚴格的雙人核對(Double-check),確認病人身分與血液袋資訊一致。
Blood transfusion is a high-risk procedure, with hemolytic transfusion reaction being the most serious complication; this is usually caused by human identification error such as transfusing the wrong blood type. To meet National Patient Safety Goals, rigorous double-check verification must occur before transfusion to confirm that the patient's identity and the blood unit information match.
美國醫院規定極為嚴格,通常要求兩名護理師在床邊共同核對(Bedside verification),並使用條碼掃描系統(BCMA)輔助。台灣同樣要求雙人核對,但部分單位在資源限制下執行強度與電子化程度略有不同。