護理師準備給藥,哪些行為展現了遵循給藥正確原則?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions demonstrate the nurse is following the rights of medication administration? (Select all that apply.)
- AConfirming the client's name and date of birth before administration✓ 正解給藥前確認病人的姓名和出生日期
- BChecking the medication label against the MAR three times✓ 正解三次查對藥物標籤與用藥紀錄表(MAR)
- CVerifying the medication dose with another nurse if the dose is high-alert✓ 正解若為高警訊藥物,與另一位護理師核對藥物劑量
- DAdministering the medication as soon as it is prepared準備好藥物後立即給藥
- EDocumenting the medication in the MAR immediately after administration✓ 正解給藥後立即在用藥紀錄表(MAR)上記錄
安全給藥包含正確病人、正確藥物、正確劑量、正確途徑、正確時間與正確記錄。核對身份、MAR 與藥名、雙重簽核高警訊藥物、及時記錄均為標準。D 錯誤:藥物準備好後需儘速給予,但關鍵在於給藥前的最後確認,而非匆忙給藥。
Safe medication administration involves the right patient, right drug, right dose, right route, right time, and right documentation. Verifying identity, checking the MAR against the drug, performing an independent double-check for high-alert medications, and timely documentation are all standard. Option D is incorrect: medications should be given promptly after preparation, but the key is final verification immediately before administration, not haste.
美國醫院廣泛使用條碼掃描給藥(BCMA),台灣目前亦已在大部分醫學中心導入此系統以取代人工核對。