— 照護管理 · MEDIUM · MCQ —
護理長在評估單位安全性，下列哪項發現需要立即處理？
A nurse manager is evaluating the safety of the unit. Which finding requires immediate action?
- AMedication carts left unattended in the hallway✓ 正解藥物車無人看管放置在走廊上
- BExpired supplies in a locked storage closet上鎖儲藏室中有過期的物資
- CStained carpet in a break room休息室的地毯有污漬
- DA sharps container that is three-quarters full利器盒裝至四分之三滿
— Explanation · 中文詳解 —
藥車無人看管屬於嚴重的安全漏洞，可能導致病人藥物遺失、誤用或盜竊，直接影響用藥安全（Medication Safety）。過期物資需清理，但非當下危險；銳器盒 3/4 滿應換新，但不及藥車無人看管的急迫性；休息室地毯髒污非病患安全重點。
Unattended medication carts in the hallway create immediate risk of unauthorized access, medication diversion, or error and directly threaten medication safety. Expired supplies in a locked closet and a 3/4-full sharps container should be addressed but are not immediate dangers; a stained break room carpet is an environmental rather than patient-safety issue.
✦ 台美臨床差異
美國醫院對用藥安全（Joint Commission）考核極嚴，台灣醫院評鑑亦重視藥物控管，原則一致。