— 降低風險 · EASY · SATA —
護理師準備給藥，下列哪些措施符合安全給藥原則？（選所有適合的）
A nurse is preparing to administer medications to a client. Which of the following actions best follows the principles of safe medication administration? (Select all that apply.)
- AVerify the client's identity using two identifiers before every dose✓ 正解在每次給藥前，使用兩項辨識項目來確認客戶身分。
- BCheck the medication against the MAR at the bedside✓ 正解在床邊將藥物與護理醫囑記錄表（MAR）進行核對。
- CAsk the client to state their name and birth date✓ 正解請客戶口述其姓名和出生日期。
- DRecap needles immediately after injection to prevent injury注射後立即回套針頭以防受傷。
- EDocument the medication immediately after administration✓ 正解給藥後立即記錄藥物。
— Explanation · 中文詳解 —
安全給藥需確認兩項身分認證（如姓名、生日或病歷號）。床邊給藥核對醫囑（MAR）是防止給藥錯誤的關鍵。給藥後必須立即簽名紀錄，避免重複給藥。錯誤選項 D：不可回套針頭，因針扎風險極高，正確做法為直接丟入銳器回收盒。
Safe medication administration requires verifying the client's identity using two distinct identifiers, checking the medication against the MAR at the bedside, and documenting immediately after administration. Recapping needles is unsafe and increases the risk of needlestick injuries, so sharps should be disposed of directly into a puncture-resistant container.
✦ 台美臨床差異
美台皆推廣電子條碼給藥（BCMA），台灣醫院評鑑亦嚴格要求兩項辨識及給藥後簽名。