護理師準備給予病人藥物，哪些行為符合安全給藥原則？（選所有適合的）
A nurse is preparing to administer several medications to a client. Which actions demonstrate safe medication administration? (Select all that apply.)
- AChecking the client's identification bracelet against the MAR✓ 正解將病人識別手環與藥物給予紀錄（MAR）進行核對
- BAsking the client to state their name and date of birth✓ 正解請病人報出自己的姓名和出生日期
- CScanning the barcode on the medication package✓ 正解掃描藥物包裝上的條碼
- DAssuming the medication is correct if it is in the client's drawer若藥物放在病人抽屜內，便假設藥物正確無誤
- EVerifying the dosage with another nurse for all medications請另一位護理師核對所有藥物的劑量
安全給藥的核心在於嚴格執行「三讀五對」。核對 ID 手圈、請病人自述姓名與出生日期、使用條碼掃描，皆是防範給藥錯誤的必要防護措施。選項 D 屬於危險的慣性行為，極易導致給藥錯誤。選項 E 雖然雙重簽核對高警訊藥物（High-alert medications）是必要的，但並非「所有」藥物皆需雙重簽核，這會造成醫療資源浪費。
Safe medication administration relies on strict adherence to the three checks and the five rights. Verifying the ID band, asking the client to state name and date of birth, and using barcode scanning are all necessary safeguards against medication errors. Option D represents a dangerous reliance on habit that easily leads to error. Although option E (independent double-check) is required for high-alert medications, it is not required for all medications and would waste resources if applied universally.
在美國，對於高警訊藥物（High-alert medications）的雙重核對（Double-check）是非常嚴格的法律與評鑑要求，執行不當會面臨嚴重處分。