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安全與感染控制 · EASY · SATA

護理師準備給藥,下列哪些措施展現了正確的「雙重病人辨識」程序?(選所有適合的)

A nurse is preparing to administer medication. Which actions demonstrate the correct use of the two-patient identifier protocol? (Select all that apply.)

  • AAsk the client to state their full name and date of birth✓ 正解
    請病患自報全名與出生日期
  • BCheck the client's wristband against the medication administration record✓ 正解
    將病患手環資訊與給藥紀錄核對
  • CCall the client by name to ensure they respond
    呼叫病患姓名以確認其回應
  • DCompare the name on the medical record with the room number
    將病歷上的姓名與房間號碼比較
  • EVerify the patient's ID number on the bracelet with the paper order✓ 正解
    核對手環上的病患ID號碼與紙本醫囑
Explanation · 中文詳解

病人安全目標要求使用至少兩種 identifier,且不能包含病房號碼。姓名與出生年月日是標準辨識方式,核對手圈(腕帶)資訊與給藥紀錄是最終安全閥。房號不可作為辨識依據,因為病人可能會更換病房,且反應不一致(如聽力障礙)會增加錯誤風險。

Patient safety goals require the use of at least two identifiers, and the room number cannot be one of them. Name and date of birth are the standard identifiers, and matching the information on the wristband with the medication administration record is the final safety check. Room numbers cannot be used as identifiers because patients may move rooms, and inconsistent responses (for example, in clients with hearing impairment) increase the risk of error.

✦ 台美臨床差異

美台皆強調雙重辨識,台灣醫療評鑑對此要求極嚴,護理師若未執行雙重確認極易被懲處。

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