— 降低風險 · EASY · MCQ —
護理師準備為病人給予靜脈注射抗生素，下列哪項措施對確保病人安全最重要？
A nurse is preparing to administer an intravenous antibiotic to a client. Which action is the most important to ensure patient safety?
- ACalculate the infusion rate based on the client's weight根據個案體重計算輸注速率
- BVerify the medication against the MAR using two client identifiers✓ 正解使用兩項個案識別資訊與藥物清單核對藥物
- CEnsure the antibiotic is compatible with the IV fluids確保抗生素與靜脈輸注液相容
- DCheck the IV site for signs of phlebitis檢查靜脈注射部位是否有靜脈炎跡象
— Explanation · 中文詳解 —
病人安全是護理工作的最高準則，用藥安全（Medication safety）更是重中之重。根據安全目標（NPSG），在進行任何醫療處置前，必須執行「兩個辨識指標」（Two patient identifiers），如姓名與出生日期，以核對病人的身分與 MAR（用藥紀錄單）是否吻合，確保「給對人」。這是防止給錯藥物最有效、最不可取代的措施。
Patient safety is the highest priority in nursing, particularly regarding medication administration. Verifying the medication against the Medication Administration Record (MAR) using two patient identifiers, such as name and date of birth, is the Joint Commission's gold standard to ensure the correct patient receives the correct drug.