護理師準備給藥,哪些行為符合安全給藥原則?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions demonstrate safe medication administration? (Select all that apply.)
- AChecking the medication label against the MAR three times✓ 正解三次核對藥物標籤與醫囑單(MAR)
- BVerifying two client identifiers before administration✓ 正解給藥前驗證兩個病人識別資訊
- CAsking the client to state their room number for identification請病人報出房號以確認身分
- DAdministering a medication prepared by another nurse給予由其他護理師準備的藥物
- EDocumenting the medication after administration✓ 正解給藥後記錄藥物
給藥安全涉及嚴謹的流程,核心原則為「三讀五對」。三讀是指在取藥、備藥、給藥前的三次核對;五對則包括病人、藥物、劑量、途徑與時間。雙重辨識(Two patient identifiers)必須是確認病人身份的固定資訊(姓名、生日),而非房號等會變動的資訊。禁止給予他人配製的藥物,以確保責任歸屬清楚。所有給藥過程均須在給藥後立即紀錄,以維持醫療品質。
Medication safety involves a rigorous process, with the core principles being the 'three checks and five rights.' The three checks refer to verifying the medication at the time of retrieval, preparation, and administration; the five rights include right patient, drug, dose, route, and time. Two patient identifiers must consist of stable patient information (name and date of birth) rather than variable information such as room number. Administering medication prepared by another nurse is prohibited, to ensure clear accountability. All medication administration must be documented immediately after the dose to maintain quality of care.