— 照護管理 · HARD · SATA —
當護理師接到醫師的電話口頭醫囑時,應採取哪些行動?(選所有適合的)
Which actions should a nurse take when receiving a telephone prescription from a physician? (Select all that apply.)
- ARead back the prescription to the provider✓ 正解向醫師覆誦處方內容
- BRecord the prescription in the client's medical record✓ 正解將處方記錄在病人病歷中
- CAsk another nurse to witness the phone call請另一位護理師見證電話通話
- DEnsure the provider signs the order within the facility's timeframe✓ 正解確保醫師在機構規定時間內簽署醫囑
- EDocument the time and the name of the physician✓ 正解記錄時間和醫師姓名
— Explanation · 中文詳解 —
電話醫囑程序必須嚴謹以防醫療錯誤。正確流程包含:完整記錄(B)、覆誦核對(A)、記錄醫師姓名與時間(E)、要求醫師在規定時間內補簽(D)。C 選項非必要步驟,除非特定醫院政策要求,否則一般情境下只需護理師執行「覆誦」即可。
When receiving a telephone prescription, the nurse must document the order, read it back to the provider for verification, and record the physician's name and time of the call. Additionally, the nurse must ensure the provider signs the order within the facility's mandated timeframe to validate the directive.
✦ 台美臨床差異
台美醫院皆嚴格要求醫囑覆誦制度,但在電子病歷系統中補簽的時間規範略有差異。