護理師準備給藥,哪些屬於給藥安全「三讀五對」或正確給藥原則?(選所有適合的)
A nurse is preparing to administer medication. What are the 'Rights of Medication Administration'? (Select all that apply.)
- ARight Patient✓ 正解正確的病人
- BRight Medication✓ 正解正確的藥物
- CRight Time✓ 正解正確的時間
- DRight Room正確的房間
- ERight Dose✓ 正解正確的劑量
給藥安全是 NCLEX 管理照護領域的核心。給藥「五對」(Rights of Medication Administration)包含正確病人、藥物、劑量、途徑與時間。護理師必須執行「三讀」,並透過至少兩種身分識別方式(如病患姓名、出生日期、病歷號)確認病人,以防止給藥錯誤。房間號碼是動態資訊,不屬於標準識別程序,若以此作為依據極易導致醫療疏失。
Medication safety is a core focus of the management of care category on the NCLEX. The "five rights" of medication administration include the right patient, drug, dose, route, and time. The nurse must perform the "three checks" and use at least two patient identifiers (such as the patient's name, date of birth, or medical record number) to verify the patient and prevent medication errors. Room number is dynamic information and is not part of the standard identification procedure; relying on it can easily lead to medical errors.
美國醫院全面推行條碼給藥系統(Barcode Medication Administration, BCMA)。護理師必須掃描病人的腕帶與藥物條碼,這是最有效的防錯機制。台灣雖也普及電腦化,但部分地區仍高度依賴人工核對,兩者核心原則一致,但美國法規對給藥步驟的遵循度要求極為嚴格。