— 照護管理 · EASY · MCQ —
護理師目擊同事竊取藥物，首要行動為何？
A nurse witness a colleague stealing medication. What is the nurse's priority action?
- AIgnore it to avoid conflict忽略以避免衝突
- BConfront the colleague privately私下與同事對質
- CReport the observation to the nurse manager✓ 正解將觀察結果報告給護理經理
- DWait until it happens again to be sure等到再次發生以確定事實
— Explanation · 中文詳解 —
病人安全與專業倫理高於同儕關係。目擊藥物濫用（Drug Diversion）必須立即向上級（護理長）報告，確保病患用藥安全。私下對質可能導致證據銷毀或個人報復風險，無視則涉及失職，且應由單位主管啟動標準調查程序。
Patient safety and professional ethics take precedence over collegial relationships, requiring immediate reporting of suspected drug diversion to the nurse manager. This action ensures the issue is addressed through formal channels to protect patients from harm, whereas private confrontation or ignoring the behavior compromises safety and may lead to evidence destruction.
✦ 台美臨床差異
美國有嚴格的護理師藥物濫用通報機制（如 Peer Assistance Program）；台灣在藥物管理通報上多屬院內行政調查，需更完善的系統保障通報者。