— 安全與感染控制 · EASY · MCQ —
護理師準備給藥，下列哪項行動最能體現護理師遵守安全給藥原則？
A nurse is preparing to administer medication to a client. Which action best demonstrates the nurse's adherence to safety protocols?
- AAsk the client to state their name and birth date✓ 正解請個案唸出自己的姓名和出生日期
- BUse the client's room number to identify them使用個案的病房號碼來辨識身份
- CDelegate the medication administration to a student nurse將給藥工作委派給實習護理師
- DCheck the medication label against the chart once僅核對一次藥單與標籤
— Explanation · 中文詳解 —
根據 JCAHO 病人安全目標，給藥前需進行兩個識別身分的方法（如姓名、出生年月日）。B 錯誤：病房號碼不可作為識別方式；D 錯誤：需遵守三讀五對原則；C 錯誤：護理師應親自核對給藥過程，不可忽視責任轉移安全。
Per Joint Commission National Patient Safety Goals, two patient identifiers (e.g., full name AND date of birth) must be verified before medication administration. Room number is unreliable—patients move beds. Medication labels must be checked against the MAR at least three times (when retrieving, preparing, and at the bedside). Delegating administration to a student nurse does not relieve the RN of responsibility for safe administration.
✦ 台美臨床差異
台灣與美國臨床給藥皆強制要求至少兩項識別符，但在核對條碼給藥系統（BCMA）普及度上美國通常較高。