護理師進行給藥,下列哪些行為符合安全給藥原則?(選所有適合的)
A nurse is administering medications to a client. Which of the following actions demonstrates safe practice regarding medication administration? (Select all that apply.)
- AVerify the client's identity using two patient identifiers✓ 正解使用兩項病人識別資訊驗證病人身分
- BConfirm the medication order against the MAR before administration✓ 正解給藥前將藥物醫囑與醫囑執行單 (MAR) 核對
- CAsk the client to state their name and date of birth✓ 正解請病人自行報出姓名與出生日期
- DPrepare medications for multiple patients at once to save time一次為多位病人準備藥物以節省時間
- ECheck the medication label three times✓ 正解三讀藥物標籤
藥物給藥安全是 NCLEX 考試的核心。必須嚴格遵循「三讀五對」原則(或美國現行的 Rights of Medication Administration)。給藥前需確認兩項病人識別資訊(Patient identifiers),核對藥物醫囑(MAR),並在給藥當下進行核對,以確保給藥正確性與病人安全。
Safe medication administration requires verifying the client's identity using two identifiers, confirming the order against the Medication Administration Record (MAR), and asking the client to state their name and date of birth. Additionally, checking the medication label three times reduces errors, whereas preparing medications for multiple clients simultaneously increases the risk of administration mistakes.
美國醫院廣泛使用條碼給藥系統(Barcode Medication Administration, BCMA),護理師需掃描病人手圈與藥物條碼,這通常被視為比人工核對更嚴格的標準。