護理師準備給藥,下列哪些行為符合給藥安全的「六大權利」原則?(選所有適合的)
A nurse is preparing to administer medication to a client. Which actions demonstrate adherence to the 'Six Rights' of medication safety? (Select all that apply.)
- AChecking the client's name and date of birth against the ID band✓ 正解將病人姓名與出生日期與手環核對
- BVerifying the medication order with the physician for every dose每次給藥時與醫師確認藥物醫囑
- CChecking the medication label against the MAR three times✓ 正解三次查對藥物標籤與藥物記錄單(MAR)
- DConfirming the dose, route, and time with the client before administration✓ 正解給藥前與病人確認劑量、途徑與時間
- EDocumenting the medication immediately after administration✓ 正解給藥後立即紀錄藥物
給藥安全六大原則包含:病人、藥物、劑量、途徑、時間與記錄。A 核對身分、C 三讀五對、D 最後確認、E 即時給藥紀錄皆是標準程序。B 選項錯誤,護理師應核對的是醫囑單(MAR),而非「每次」都去詢問醫師,這樣會造成臨床作業中斷且不必要。
The Six Rights of medication safety include: right patient, right drug, right dose, right route, right time, and right documentation. Verifying identity (A), using the three-check rule (C), confirming with the client (D), and documenting after administration (E) are standard steps. Option B is incorrect—the nurse verifies orders against the MAR rather than contacting the physician for every dose, which would disrupt clinical workflow unnecessarily.
美國多依賴條碼給藥系統(BCMA);台灣雖已普及,但部分單位仍仰賴人工核對與雙人查核機制。