護理師準備給藥,採取哪項行動最能有效防止用藥錯誤?
A nurse is preparing to administer medication to a client. Which action is most effective in preventing medication errors?
- AAsking the client to state their name請個案自報姓名
- BChecking the medication supply cart檢查藥物供應車
- CComparing the medication label with the MAR at the bedside✓ 正解在床邊將藥物標籤與 MAR(病人用藥紀錄)進行核對
- DReviewing the physician's order in the chart檢視病歷中的醫師醫囑
給藥安全是 NCLEX 的核心考點,核心概念為「安全給藥的三讀五對」。在床邊進行核對(Bedside verification)是防止給藥錯誤的最後一道、也是最重要的防線。透過將實體藥物標籤與給藥紀錄表(MAR)核對,能確保藥物的正確性、劑量、給藥途徑與時間,並能再次確認病人的過敏史。臨床思路應優先選擇能直接與病人互動且能核對藥物實體的選項,以達到最高安全係數。
Medication safety is a core NCLEX content area, and the central concept is the three checks and five rights of safe medication administration. Bedside verification is the final and most important line of defense against medication errors. Comparing the physical medication label with the medication administration record (MAR) ensures correctness of drug, dose, route, and time, and provides another opportunity to confirm allergies. The clinical reasoning is to choose the option that involves direct interaction with the client and physical verification of the medication, providing the highest level of safety.
美國醫院強烈要求必須使用兩個唯一識別碼(Two patient identifiers),通常是姓名與出生日期(DOB),並強烈建議使用條碼給藥系統(BCMA)輔助。