— 照護管理 · MEDIUM · MCQ —
護理師監督一名新人護理師準備靜脈給藥，哪項行為需要介入指導？
A nurse is supervising a newly licensed nurse who is preparing to administer IV medications. Which action by the new nurse requires intervention?
- ALabeling a syringe with the drug name and dosage after leaving the room✓ 正解離開房間後才標註注射筒內的藥物名稱與劑量
- BTurning off the infusion pump to check patency before flushing沖管前先關閉輸注幫浦以確認管路通暢
- CUsing two patient identifiers before administration給藥前使用兩種病人身分辨識
- DChecking the medication label against the MAR將藥物標籤與醫囑紀錄表 (MAR) 核對
— Explanation · 中文詳解 —
給藥安全準則規定，所有藥物準備完成後必須在床邊立即標示，防止藥物混淆。在離開房間後才進行標示，會增加藥物調換或給予錯誤病人的極高風險，違反給藥安全程序。其餘選項皆符合給藥安全機制，如雙重核對與確認給藥途徑的通暢性。
Labeling a syringe after leaving the preparation area violates medication safety protocols and significantly increases the risk of medication errors or administration to the wrong patient. All medications must be labeled immediately upon preparation while still at the bedside or in the preparation area to ensure accurate identification. This action requires immediate intervention by the supervising nurse.
✦ 台美臨床差異
美國 Joint Commission 強調「床邊即時給藥準則」；台灣臨床常見因工作壓力而有類似缺失，但法規與護理執業標準均強調需嚴格遵守。