護理師準備給藥,下列哪些措施符合安全給藥原則?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions indicate safe medication administration? (Select all that apply.)
- AComparing the medication label with the MAR at the bedside✓ 正解在床邊將藥物標籤與MAR(藥物給藥紀錄)進行比對
- BChecking the client's identification using two unique identifiers✓ 正解使用兩種獨特的辨識資訊來確認病人身份
- CVerifying the medication order with another nurse if unsure✓ 正解若不確定,請另一位護理師核對藥物處方
- DCrushing an extended-release tablet for a client with dysphagia將延釋錠劑碾碎給吞嚥困難的病人服用
- EAsking the client to state their name and room number before drug administration給藥前請病人自報姓名與房間號碼
安全給藥遵循「五/六項給藥原則」,包括正確的病人、藥物、劑量、途徑與時間。在給藥前,必須使用兩種獨特辨識碼(Two unique identifiers,通常為姓名與出生年月日)核對病人身分。此外,床邊核對藥物標籤與給藥記錄(MAR)是防止給藥錯誤的最後防線。若有任何疑問,必須與另一名資深護理師核對,以確保用藥安全。
Safe medication administration requires verifying the client's identity using two unique identifiers and comparing the medication label with the Medication Administration Record (MAR) at the bedside to prevent errors. If there is any uncertainty about an order, the nurse must consult another nurse to ensure accuracy. Extended-release tablets should never be crushed, and room numbers are not reliable patient identifiers.
美國醫院極度強調 Two Unique Identifiers,且絕對禁止使用房號辨識病人。台灣臨床在忙碌時有時會忽略使用出生年月日核對,改以詢問姓名,這在 NCLEX 考試中是絕對不被允許的安全缺失。