— 安全與感染控制 · EASY · MCQ —
護理師準備給藥。下列哪種方式確認病人身份最準確?
A nurse is preparing to administer medication to a client. Which is the most accurate method to identify the client?
- AReviewing the name on the foot of the bed檢視床尾的名稱
- BChecking the room number on the door檢查門上的房間號碼
- CAsking the client to state their name請病人自報姓名
- DAsking the client to state their name and date of birth✓ 正解請病人自報姓名和出生日期
— Explanation · 中文詳解 —
根據國家病人安全目標(National Patient Safety Goals, NPSG),給藥前必須使用「至少兩種」病人識別標誌(Patient Identifiers)。姓名與出生日期(DOB)是最具識別力的組合。臨床上嚴禁使用房號或床號,因為病人隨時可能因為病情需要而轉床,依賴床號極易導致給藥錯誤。
Using two unique patient identifiers, such as name and date of birth, is the standard safety practice to ensure accurate client identification before medication administration. Relying on room or bed numbers is unsafe due to the potential for patient movement or errors.
✦ 台美臨床差異
美國醫療機構極度嚴格執行「條碼給藥系統(Barcode Medication Administration, BCMA)」,護理師必須掃描病人的腕帶與藥物條碼,這與人工核對構成雙重防護。