— 照護管理 · HARD · MCQ —
護理師目睹同事將管制藥品放入口袋，而非丟入回收桶。護理師應如何處理？
A nurse witnesses a colleague placing a controlled substance in their pocket instead of the medication disposal bin. What should the nurse do?
- AWait to see if they dispose of it later等待觀察他們稍後是否會處理
- BIgnore it if the colleague is a good nurse如果同事是優秀的護理師就忽略它
- CConfront the colleague privately私下與同事對質
- DReport the observation to the nurse manager✓ 正解向護理經理報告所見情況
— Explanation · 中文詳解 —
目睹藥物挪用（Drug Diversion）屬於嚴重的專業倫理與法律問題，護理師的首要義務是保障病人安全。藥物遭竊可能導致病人無法獲得止痛治療，或因同仁成癮導致照護能力下降，造成醫療過失。護理師必須依照機構的「違規回報系統（Chain of Command）」向主管報告，這是確保病人安全並啟動適當人力介入（如員工協助計畫）的必要程序。私下處理或忽視均會使護理師本身面臨共犯或隱匿的法律風險。
The nurse must report the colleague's behavior to the nurse manager immediately, as drug diversion poses a significant risk to patient safety and is a legal violation. Delaying action or handling it privately fails to protect patients and exposes the nurse to liability for negligence.
✦ 台美臨床差異
在美國，藥物挪用（Drug Diversion）受聯邦藥物管制局（DEA）嚴格監管。護理師若知情不報，不僅涉及醫療過失，還可能面臨法律刑事責任，與台灣較偏向內部行政懲處的氛圍相比，美國對此類事件的處理更為嚴肅且具強制性。