— 照護管理 · MEDIUM · MCQ —
護理師接到一個錯誤的藥物醫囑，首要採取的行動為何？
A nurse receives an incorrect order for a medication. What is the nurse's priority action?
- AAsk the charge nurse for advice徵詢護理長建議
- BClarify the order with the physician✓ 正解與醫師確認醫囑
- COmit the dose and document it省略該劑量並記錄
- DFollow the order and document the concern執行醫囑並記錄疑慮
— Explanation · 中文詳解 —
當護理師發現醫囑有誤時，根據病人安全原則，首要行動是防止錯誤發生。盲目執行錯誤醫囑會造成醫療疏失，且法律責任由執行者與醫師共同承擔。護理師應直接與開立醫囑的醫師聯繫（Clarify），釐清醫囑內容或修正錯誤。這是護理師作為病人權益倡導者（Advocate）的重要職責，必須在確認醫囑準確無誤後，才能進行給藥。
When the nurse identifies an incorrect medication order, the priority action is to prevent the error. Blindly executing an erroneous order constitutes negligence, with shared liability between the prescriber and the nurse. The nurse should directly contact the prescriber to clarify or correct the order. This is a core advocacy responsibility—the nurse must verify accuracy before administering.