— 安全與感染控制 · MEDIUM · SATA —
護理師正準備給藥,下列哪些行為符合給藥安全原則?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions demonstrate the correct implementation of the 'Rights of Medication Administration'? (Select all that apply.)
- AChecking the client's identification band✓ 正解檢查病人的身份識別手環
- BVerifying the medication order with the pharmacy records與藥局紀錄核對藥物醫囑
- CAsking the client to state their name and date of birth✓ 正解請病人自述姓名和出生日期
- DAdministering the medication and documenting it later during the shift給藥後於班期間稍後再記錄
- EComparing the medication label with the MAR at the bedside✓ 正解在床邊將藥物標籤與藥物給藥紀錄表(MAR)進行比較
— Explanation · 中文詳解 —
給藥安全原則要求必須以正確方式辨識病人(手圈、姓名、生日),且給藥前後需嚴格核對病人手圈與給藥紀錄(MAR)。 documentation 必須立即完成以防止重複用藥。核對藥局紀錄與給藥程序無直接關聯。
Medication administration safety requires correctly identifying the client (with armband, name, and date of birth) and strictly checking the armband and medication administration record (MAR) before and after giving the medication. Documentation must be completed immediately to prevent duplicate dosing. Cross-checking with pharmacy stock records is not part of the administration process.
✦ 台美臨床差異
美台臨床皆嚴格要求給藥前核對,惟美國廣泛使用條碼給藥系統(BCMA),台灣目前亦在推廣中,但仍有部分醫院依賴傳統紙本核對。