護理師準備給藥,下列哪些做法符合「給藥六大原則」(Six Rights)?(選所有適合的)
A nurse is preparing to administer medications to a client. Which of the following indicate the nurse is following the Six Rights of Medication Administration? (Select all that apply.)
- AVerifying the client's identity using two identifiers✓ 正解使用兩種識別方式驗證病人身分
- BChecking the medication label against the MAR three times✓ 正解將藥物標籤與藥物處方記錄表核對三次
- CAdministering the medication exactly at the time indicated on the order在處方指示的確切時間給予藥物
- DDocumenting the medication administration immediately after giving it✓ 正解給藥後立即記錄藥物給藥情形
- EClarifying the dosage with the pharmacist before questioning the provider在質疑醫師前,先與藥師澄清劑量
給藥六大原則包含:正確病人、正確藥物、正確劑量、正確途徑、正確時間、正確紀錄。A、B、D 分別對應正確病人、正確藥物與正確紀錄。C 項在臨床給藥常有給藥視窗(如給藥時間前後 30 分鐘內),並非絕對時刻;E 項若對醫囑有疑慮,應優先詢問開立醫囑的醫療提供者(醫師/NP)。
The Six Rights of medication administration are: right patient, right medication, right dose, right route, right time, and right documentation. A, B, and D correspond to right patient, right medication, and right documentation, respectively. Option C is incorrect because clinical administration typically has a time window (often within 30 minutes before or after the scheduled time) rather than an exact moment. Option E is incorrect because if there is doubt about an order, the prescribing provider (physician/NP) should be contacted first.
美國非常強調護理師的自主判斷,對醫囑有疑慮時有權拒絕給藥並要求 clarification,台灣職場文化中護理師較傾向先與醫師確認。