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照護管理 · MEDIUM · MCQ

在藥物管理中,下列哪項護理措施正確體現了「安全」原則?

Which of the following actions by the nurse correctly utilizes the principle of 'Safety' in a medication administration context?

  • AIdentifying the patient using the room number
    以房號識別病人
  • BAdministering the medication before scanning the wristband
    在掃描手環前給藥
  • CChecking the medication label against the MAR three times✓ 正解
    將藥物標籤與醫囑記錄單(MAR)核對三次
  • DLeaving the medication at the bedside for the patient
    將藥物留置於床邊供病人服用
Explanation · 中文詳解

給藥安全的核心在於「五對」原則(Five Rights)與身分確認。核對藥物標籤與醫囑紀錄(MAR)至少三次(取藥時、準備時、給藥前),是降低藥物錯誤(Medication Error)的標準防護機制。房間號碼非唯一辨識標誌,且病人可能移動,故不可作為身分識別依據。給藥時必須確保病人服下後再離開,以防漏給或誤服。臨床上,安全優先級應為:正確病人、正確藥物、正確劑量、正確途徑、正確時間。

Medication safety is built on the Five Rights and proper patient identification. Checking the medication label against the Medication Administration Record (MAR) at least three times (when retrieving the drug, when preparing it, and before administering it) is the standard safeguard against medication errors. Room numbers are not unique identifiers because clients may be moved, so they cannot be used to verify identity. The nurse should also ensure that the client takes the medication before leaving the bedside, to prevent missed or accidental doses. Clinically, the safety priorities are: right patient, right drug, right dose, right route, and right time.

✦ 台美臨床差異

美國醫院全面推行條碼給藥系統(BCMA),掃描病人腕帶與藥物條碼是強制流程,若無此步驟將視為違反安全規範;台灣部分醫療機構雖有引入,但臨床落實程度與強制性依各院而異。

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