— 安全與感染控制 · MEDIUM · SATA —
護理師準備給藥,下列哪些措施符合正確病人辨識的安全規範?(選所有適合的)
A nurse is preparing to administer medication. Which actions demonstrate the correct use of safety identifiers? (Select all that apply.)
- AVerify the name on the ID bracelet with the MAR✓ 正解將識別手環上的姓名與藥物記錄表(MAR)核對
- BAsk the client to state their name and date of birth✓ 正解請病人自述姓名和出生日期
- CUse the room number as a primary identifier使用房間號碼作為主要識別依據
- DCompare the ID number with the chart將識別號碼與病歷比較
- EScan the barcode on the client's wristband✓ 正解掃描病人手腕帶上的條碼
— Explanation · 中文詳解 —
病人辨識安全規範要求使用至少兩種非依賴性(Non-dependent)的識別方式。床號絕對不可作為辨識依據,因為會更換。正確做法是核對手圈資訊、口頭詢問病人資訊(姓名、生日),以及利用電子條碼掃描確認,確保「對的人」獲得「對的藥」。
Patient-identification safety standards require the use of at least two non-dependent identifiers. The bed number must never be used as an identifier because it can change. The correct approach is to verify the wristband, ask the client verbally to state their information (name and date of birth), and confirm with electronic bar-code scanning, ensuring that the right medication is given to the right person.
✦ 台美臨床差異
美國普遍落實條碼給藥(BCMA);台灣醫療環境雖推廣,但在繁忙時仍有部分單位傾向口頭詢問,需加強落實。