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 of the following actions are consistent with safe medication administration practices? (Select all that apply.)
- AChecking the client's identification bracelet against the Medication Administration Record (MAR)✓ 正解核對病人識別手環與給藥紀錄(MAR)
- BAsking the client to state their name and date of birth✓ 正解請病人自報姓名和出生日期
- CScanning the client's barcode on the wristband✓ 正解掃描手腕上的條碼
- DCrushing an extended-release medication for a client with dysphagia將延釋製劑研磨後給吞咽困難的病人服用
- EVerifying the medication dose with the physician's order during the preparation phase✓ 正解在準備階段核對藥物劑量與醫師醫囑
安全給藥包含確認身分(至少兩項辨識項目,如姓名、生日、條碼)以及藥物比對。Extended-release(緩釋劑型)藥物若研磨會導致藥物瞬間釋放,引發藥物過量毒性或失去療效,屬於錯誤行為。給藥過程應嚴謹核對醫囑與實體藥物。
Safe medication administration includes verifying patient identity with at least two identifiers (such as name, date of birth, or barcode) and cross-referencing the medication. Crushing an extended-release medication causes immediate release of the drug, leading to drug overdose toxicity or loss of therapeutic effect, and is therefore incorrect practice. The medication process must include rigorous verification of the order against the physical medication.
台灣醫院多已導入電子給藥系統(BCMA),流程與美國完全同步。