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安全與感染控制 · EASY · SATA

護理師準備給藥時,下列哪些行動能落實「正確病人」的安全目標?(選所有適合的)

A nurse is preparing to administer a medication to a client. Which actions demonstrate the implementation of the 'Right Patient' safety goal? (Select all that apply.)

  • AAsk the client to state their full name and date of birth✓ 正解
    請病人自報全名和出生日期
  • BCompare the medication label with the Medication Administration Record (MAR)
    將藥物標籤與藥物給藥紀錄 (MAR) 進行比對
  • CCheck the name band against the MAR✓ 正解
    將腕帶姓名與 MAR 進行比對
  • DAsk the roommate to identify the client
    請房友確認病人身分
  • EScan the client’s barcode identification bracelet✓ 正解
    掃描病人身上的條碼識別手環
Explanation · 中文詳解

根據病人安全目標(Patient Safety Goals),給藥時必須使用至少兩種識別方式(Two-patient identifiers),且不能包含病房號碼。正確的做法是請病人說出姓名與出生日期,並與病歷紀錄(MAR)及腕帶(ID band)進行比對。現代醫療中,條碼掃描(Barcode scanning)是目前最有效預防給藥錯誤的技術手段。

According to patient safety goals, at least two patient identifiers must be used during medication administration, and the room number is not an acceptable identifier. The correct approach is to ask the client to state their name and date of birth and to compare these against the medication administration record (MAR) and the identification (ID) band. In modern health care, barcode scanning is currently the most effective technological safeguard against medication errors.

✦ 台美臨床差異

美國多數醫院已全面實施 BCMA(Barcode Medication Administration),護理師若未掃描條碼即給藥會被視為嚴重違規。

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