— 照護管理 · HARD · MCQ —
護理師目睹同事在藥物儲藏室挪用管制藥品。護理師的首要處置為何？
A nurse witnesses a colleague diverting narcotics from the medication room. What is the nurse's first action?
- AIgnore the event if the colleague is a friend若同事是朋友則忽略此事
- BWait until the next shift to monitor the colleague等到下一班再監控該同事
- CConfront the colleague privately私下與該同事對質
- DReport the observation to the nurse manager✓ 正解向護理經理報告所見
— Explanation · 中文詳解 —
護理專業人員具有舉報違法及不安全行為的義務。挪用管制藥品（drug diversion）危害病人安全且涉及法律問題，不可私下處理或選擇性忽視。必須遵循機構的通報流程，直接向護理主管或適當的行政層級反映，以保障病人的照護品質。
Nurses have an obligation to report illegal and unsafe behavior. Diverting controlled substances endangers patient safety and is a legal issue—it cannot be handled privately or selectively ignored. The nurse must follow institutional reporting procedures and notify the nurse manager or appropriate administrative level to safeguard the quality of patient care.
✦ 台美臨床差異
美國法規對護理人員藥物濫用處罰極重；台灣處理此類事件多由院方人事或護理部介入，法律責任追究方式略有不同。