護理師正給予病人靜脈注射藥物。為預防藥物錯誤,哪項措施是必要的?
A nurse is administering an IV push medication to a client. Which action is essential to prevent medication errors?
- AUse the same IV line for all medications.使用同一條靜脈輸注管路給藥
- BVerify the medication, dose, route, and client before administration.✓ 正解給藥前核對藥物、劑量、途徑及病人
- CAdminister the medication at room temperature.以室溫給藥
- DAdminister the medication rapidly to minimize client discomfort.快速給藥以減少病人不適
給藥前的「6R」原則(Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right Documentation)是預防藥物錯誤的核心。靜脈推注前須再次核對藥物、劑量、途徑與病人身份,確保用藥安全。其他選項:D. 快速給藥可能引起不良反應,速率需依藥物特性而定;B. 不同藥物可能交互作用,需專用管路或先沖洗;D. 部分藥物有特定保存溫度,並非皆為室溫。
The six rights of medication administration (Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right Documentation) are central to preventing medication errors. Before IV push, the nurse must re-verify the drug, dose, route, and client identity to ensure medication safety. The other options: A. Rapid administration may cause adverse reactions; the rate must be determined by the drug's pharmacology. B. Different medications may interact, so a dedicated line or flushing between drugs is required. D. Some medications have specific storage temperatures and are not all stored at room temperature.
美國強調護理師在用藥安全上的主體責任,有更嚴謹的雙人核對制度;台灣則有健保系統輔助,但仍需護理師嚴格把關。