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降低風險 · MEDIUM · SATA

護理師準備執行輸血。執行前應核對哪些項目?(選所有適合的)

A nurse is preparing to give a blood transfusion. What should the nurse verify before starting? (Select all that apply.)

  • AClient identification with two identifiers✓ 正解
    使用兩種識別方式核對個案身份
  • BBlood component compatibility with physician orders✓ 正解
    確認血液成分與醫師醫囑相容
  • CExpiration date of the blood product✓ 正解
    檢查血液產品的有效期限
  • DPatient's baseline temperature✓ 正解
    測量病人的基線體溫
  • EThe integrity of the blood bag seals✓ 正解
    檢查血袋封口的完整性
Explanation · 中文詳解

輸血屬於高風險醫療操作,護理師必須嚴格遵守「三讀五對」原則,並在床邊進行雙人核對(Double-check)。這些步驟的核心在於防止輸血錯誤(Wrong blood in tube / Wrong patient)及輸血反應(Transfusion reaction)。所有列出的選項均為標準輸血前安全程序,任何疏忽都可能導致嚴重的溶血反應或敗血症。

Blood transfusion is a high-risk medical procedure, and the nurse must strictly adhere to the "three checks and five rights" principle and perform a two-person double-check at the bedside. The core purpose of these steps is to prevent transfusion errors (wrong blood in tube / wrong patient) and transfusion reactions. All of the listed options are standard pre-transfusion safety procedures, and any omission may result in a severe hemolytic reaction or sepsis.

✦ 台美臨床差異

美國醫院對於輸血的核對流程極為嚴格,通常需兩位合格護理師(或一位護理師與一位醫師/技術員)在床邊同時核對,且必須使用掃描條碼系統(Barcode scanning)進行確認,台灣部分醫院雖也推行條碼,但臨床執行強度與法律責任追究在美國更為嚴謹。

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