護理師在接獲病人的新電話醫囑時，首先應執行下列哪項行動？
Which of the following actions should the nurse perform first when receiving a new prescription for a client over the phone?
- ARepeat the prescription back to the healthcare provider.✓ 正解向醫療提供者朗讀復述醫囑內容
- BAsk another nurse to listen to the phone call for verification.請另一位護理師聆聽電話以進行核對
- CWrite the prescription down in the client's medical record.將醫囑記錄在病人的病歷中
- DAdminister the medication immediately if it is marked as emergency.若標記為緊急，立即給予藥物
電話醫囑（Telephone Orders）與口頭醫囑（Verbal Orders）是臨床安全的高風險環節。為了防止聽錯、發音相近藥物誤用或劑量錯誤，美國聯合委員會（The Joint Commission）制定了「讀回（Read-back）」程序。護理師在接獲訊息後，必須「寫下（Write down）」然後「讀回（Read back）」給給予醫囑者，並獲得對方的「確認（Confirm）」。雖然寫在病歷（C）是必要的，但若沒先讀回確認，寫下的資訊可能是錯誤的。緊急給藥（D）若基於錯誤的聽取會造成悲劇。找第二人聽（B）雖可增加準確度，但非標準的首要步驟。讀回程序是確保溝通閉環（Closed-loop communication）最簡單且有效的安全防禦手段。
Telephone orders and verbal orders are high-risk components of clinical safety. To prevent mishearing, confusion between sound-alike medications, and dosing errors, The Joint Commission has established the read-back procedure. After receiving the message, the nurse must write down the order, then read it back to the prescriber and obtain confirmation. Although documenting in the medical record (C) is necessary, the information recorded may be incorrect if it has not first been read back for confirmation. Administering an emergency medication (D) based on a misheard order could be catastrophic. Having a second person listen (B) can improve accuracy but is not the standard primary step. Read-back is the simplest and most effective safety safeguard for ensuring closed-loop communication.
美國對於讀回（Read-back）有極其嚴格的醫院評鑑要求，護理師必須在病歷上註明「V.O.R.B」（Verbal Order Read Back）。台灣醫院同樣推行「三讀五對」與讀回制度，但在急診或急救現場，口頭醫囑的執行有時會因節奏過快而省略讀回，這在 NCLEX 考試中是不被允許的錯誤行為。