— 安全與感染控制 · MEDIUM · MCQ —
護理師接到醫師的電話醫囑。為確保病人安全，首要動作是什麼？
A nurse receives a telephone order from a healthcare provider. Which action is the priority for ensuring patient safety?
- ARead back the order to the provider for confirmation✓ 正解向醫師複述醫囑以確認
- BAdminister the medication immediately, then document立即給藥，然後記錄
- CWrite the order down and sign the physician's name寫下醫囑並簽署醫師姓名
- DAsk another nurse to listen to the order on a second line請另一位護理師在另一條線上聆聽醫囑
— Explanation · 中文詳解 —
電話醫囑（Telephone Order, TO）極易發生溝通錯誤。安全標準程序是「Read Back」（複讀確認）：護理師寫下醫囑後，必須向醫師逐字複讀，確認藥物名稱、劑量、途徑及頻率無誤。雖然有些單位要求雙人聽取，但「複讀」是 TJC (The Joint Commission) 規定的核心安全步驟。
To ensure patient safety when receiving a telephone order, the nurse must perform a read-back verification. This involves writing down the order and reading it back to the provider to confirm accuracy of the drug name, dose, route, and frequency. This critical step prevents communication errors and medication mistakes before administration.
✦ 台美臨床差異
美國極度強調 "Write down, Read back, and Verify" 的標準化流程；台灣雖有類似規範，但在緊急時常有先口頭給藥後補醫囑的文化，考試時應採美式標準。