— 照護管理 · HARD · MCQ —
護理師發現給藥錯誤，首要行動為何？
A nurse identifies an error in a medication administration. What is the priority nursing action?
- ANotify the nursing manager通知護理長
- BFile an incident report填寫不良事件報告
- CCall the pharmacy for verification致電藥局進行核對
- DAssess the client's current status✓ 正解評估病人目前狀況
— Explanation · 中文詳解 —
在發生給藥錯誤時，保護病人的安全是首要任務。護理師必須立刻評估病人的生命徵象與臨床狀況，以判斷錯誤給藥是否造成急性生理影響，並採取必要的急救或補救措施。incident report 與通報主管皆為事後行政流程，病人的安全評估與穩定量測絕對是第一優先。
Patient safety is the absolute priority when a medication error occurs. The nurse must immediately assess the client’s vital signs and clinical status to determine if acute physiological harm has resulted from the error. Administrative tasks such as filing incident reports or notifying managers are secondary to ensuring the client’s stability.
✦ 台美臨床差異
兩地均強調『不懲罰性報告』（No-punishment reporting culture），但美國醫療機構推廣速度較快，重視系統性改善大於究責個人。