關於輸血,下列哪些是護理師的職責?(選所有適合的)
Which of the following are nursing responsibilities regarding the administration of blood transfusions? (Select all that apply.)
- AVerify the blood product with another nurse✓ 正解與另一位護理師共同核對血液製品
- BUse a filter to remove micro-aggregates✓ 正解使用濾網去除微聚集物
- CInfuse with 0.9% Normal Saline only✓ 正解僅以0.9%生理食鹽水輸注
- DMonitor vital signs every 5 minutes during the first 15 minutes✓ 正解在前15分鐘內每5分鐘監測生命徵象
- EWarm the blood to room temperature using a microwave使用微波爐將血液加熱至室溫
輸血是高風險醫療程序。職責包括與另一位護理師進行雙重核對(床邊、血袋、血型)、使用過濾器、僅能搭配 0.9% 生理食鹽水(避免溶血)以及前 15 分鐘密切觀察生命徵象,以利早期偵測急性溶血反應。切勿使用微波爐加熱血液,這會導致蛋白質變性及溶血。
Blood transfusion is a high-risk procedure. Nursing responsibilities include performing a two-nurse verification (bedside check of the patient, blood bag, and blood type), using a filter, administering only with 0.9% normal saline (to avoid hemolysis), and closely monitoring vital signs during the first 15 minutes for early detection of acute hemolytic reactions. Blood must never be warmed using a microwave, as this denatures proteins and causes hemolysis.
美國醫院多有電子條碼核對系統(e-MAR),台灣部分醫學中心亦已導入,但雙人確認原則依舊是法律保障的要求。