— 照護管理 · MEDIUM · MCQ —
當發現給藥錯誤時，護理師應採取哪項行動最恰當？
Which action is most appropriate for a nurse to take when identifying a medication error?
- AAsk the pharmacist how to counteract the medication詢問藥師如何中和該藥物
- BImmediately document the error in the medical record立即在病歷中記錄此錯誤
- CAssess the client's physical status✓ 正解評估病人的生理狀況
- DNotify the nurse manager and file an incident report通知護理長並填寫不良事件報告
— Explanation · 中文詳解 —
給藥錯誤發生時，首要任務是確保病人安全，即評估病人有無出現不良反應。護理記錄需詳實呈現給藥細節與後續觀察，而非直接寫入護理紀錄； incident report 屬於行政系統文件，非醫療紀錄；評估後才進行通知與修正。
When a medication error occurs, the first priority is to ensure patient safety by assessing the client for adverse reactions. The nursing record should accurately reflect the medication administration details and subsequent observations rather than directly noting an 'error.' An incident report is an administrative document, not a clinical record. Notification and corrective action follow assessment.
✦ 台美臨床差異
美國鼓勵『不究責文化』（Just Culture），重視流程檢討；台灣現亦推廣同類概念，但醫護人員對通報仍常存有擔憂心理。