— 照護管理 · MEDIUM · MCQ —
護理師在輸血前應執行哪項措施？
Which action should the nurse take before administering blood products?
- AStart the transfusion immediately without verification未經核對立即開始輸血
- BWarm the blood to room temperature manually手動將血液加熱至室溫
- CMonitor the patient once an hour during transfusion輸血期間每小時監測患者一次
- DVerify the blood type with another nurse✓ 正解與另一位護理師核對血型
— Explanation · 中文詳解 —
輸血是高風險護理程序，必須嚴格遵循「雙人核對」（Two-nurse verification）原則，以防止錯誤配血（Wrong blood in patient）導致致命的溶血反應。核對內容包括病人姓名、出生日期、病歷號、血型、血液編號及有效期限。這是確保病人安全（Patient Safety）的必要防線，不可簡化。
Blood transfusion is a high-risk nursing procedure, and the principle of two-nurse verification must be strictly followed to prevent wrong blood in patient errors that can result in fatal hemolytic reactions. Verification includes the patient's name, date of birth, medical record number, blood type, blood unit number, and expiration date. This is a necessary safeguard for patient safety and cannot be simplified.
✦ 台美臨床差異
美國醫院通常要求兩名註冊護理師（RN）同時在床邊進行核對，並在電子病歷上進行雙重簽核（Double sign-off）。