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照護管理 · HARD · SATA

護理師準備給藥,下列哪些做法符合給藥安全原則?(選所有適合的)

A nurse is preparing to administer medications. Which action demonstrates the correct interpretation of a medication order to ensure client safety? (Select all that apply.)

  • AVerifying the dose against a standard drug reference if the dosage seems unusual✓ 正解
    若劑量看似異常,應查對標準藥物參考資料以驗證劑量
  • BAccepting a verbal order from a physician during a non-emergency situation
    在非緊急情況下接受醫師的口頭醫囑
  • CClarifying with the prescriber if the medication order is incomplete or ambiguous✓ 正解
    若藥物醫囑不完整或含糊不清,應向開立者澄清
  • DUsing two patient identifiers before administering any medication✓ 正解
    在給藥前使用兩項病人身分識別
  • EAdministering the medication before documenting it in the electronic record
    在電子病歷中記錄之前先給藥
Explanation · 中文詳解

給藥安全核心在於正確識別、藥物知識確認與溝通釐清。A(確認劑量)、C(釐清醫囑)、D(雙辨識)均為防範錯誤的核心步驟。B 是錯的,因為非緊急情況應拒絕口頭醫囑,以電子醫囑為準。E 是錯的,因為應依醫院規範,通常給藥後即刻記錄,若在給藥前就先記錄會增加給藥錯誤機率。

Medication safety centers on correct identification, verification of pharmacologic knowledge, and clarifying communication. Options A (verifying the dose), C (clarifying the order), and D (using two identifiers) are core steps in preventing medication errors. Option B is incorrect, because verbal orders should be refused in non-emergency situations and electronic orders should be used instead. Option E is incorrect, because documentation should follow facility policy and is typically performed immediately after administration; documenting before administering increases the risk of medication errors.

✦ 台美臨床差異

台美皆強調給藥安全,但美國醫院電子系統強制性更高,口頭醫囑已趨近於零。

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