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安全與感染控制 · EASY · MCQ

護理師準備給藥時,哪項動作最能體現病人給藥安全標準?

A nurse is preparing to administer medication. Which action best reflects the standard of care for client safety?

  • AVerify the client's identity using two identifiers✓ 正解
    使用兩種識別資訊驗證病患身分
  • BCheck the medication label against the MAR three times
    將藥物標籤與給藥記錄單核對三次
  • CAsk the client their name before giving the drug
    給藥前詢問病患姓名
  • DReview the drug's side effects with the client
    與病患討論藥物副作用
Explanation · 中文詳解

給藥安全的核心是確保藥物給予正確的病人(Right Patient)。根據病人安全目標(National Patient Safety Goals),護理師在給藥前必須使用兩種識別符(Two Identifiers),例如姓名與出生日期,並與病人佩戴的識別手圈進行核對。單純詢問姓名容易因病人意識模糊或同名同姓導致錯誤,而核對 MAR(藥物給藥紀錄)雖是流程之一,但若未確保對象正確,仍無法防止給藥錯誤。

Verifying the client's identity using two distinct identifiers, such as name and date of birth, is the standard of care to ensure the right patient receives the medication. Relying solely on asking the client's name is insufficient due to potential confusion or similar names, and while checking labels is part of the process, correct identification is the primary safety barrier.

✦ 台美臨床差異

台灣醫院目前也積極推廣兩項識別,但美國醫院對於識別手圈的核對要求極為嚴格,通常會使用條碼掃描系統(Bar Code Medication Administration, BCMA)進行電子核對,護理師需具備熟練操作設備的能力。

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