護理師準備給藥,下列哪些行為符合預防給藥錯誤的安全措施?(複選題)
A nurse is preparing to administer medications to a client. Which actions demonstrate proper safety measures to prevent medication errors? (Select all that apply.)
- AVerify the client's identity using two patient identifiers✓ 正解使用兩項病人識別資訊驗證客戶身份
- BCompare the medication order with the MAR at the bedside✓ 正解在床邊將藥物處方與護理記錄單(MAR)進行比較
- CAsk the client to state their medication name before administration在給藥前請客戶說出藥物名稱
- DDocument the medication immediately after administration✓ 正解給藥後立即記錄藥物
- ECheck the medication label against the MAR three times✓ 正解將藥物標籤與護理記錄單(MAR)進行三次核對
確保給藥安全的核心在於落實三讀五對。使用雙辨識(姓名、生日/病歷號)是防止給錯病人的第一道防線。核對醫囑與給藥紀錄(MAR)需在床邊進行,給藥後立即記錄以防重複給藥。雖然詢問病人名字有幫助,但直接問「藥名」並非標準流程,且病人可能因病情不清楚名稱,故非最佳辨識依據。
Safe medication administration requires the 'three checks and five rights.' Using two identifiers (name + DOB/MRN) is the first defense against wrong-patient errors. Comparing the order with the MAR must occur at the bedside, and immediate documentation prevents double-dosing. Asking the client to state the drug name (C) is not standard—patients may not know the names, so it is not a reliable verification step.
美國醫院廣泛採用條碼給藥系統(BCMA),台灣目前大部分醫學中心亦已導入,安全機制趨於一致。