— 藥理與非經腸給藥 · EASY · SATA —
護理師準備給藥，哪些行動體現了安全的給藥原則？（選所有適合的）
A nurse is preparing to administer medications. Which actions demonstrate safe medication administration? (Select all that apply.)
- AChecking the medication label against the MAR three times✓ 正解三次查對藥物標籤與護理記錄單
- BVerifying the client's identity using two identifiers✓ 正解使用兩種識別方式驗證病人身分
- CAsking the client to state their name and birth date✓ 正解請病人口述其姓名與出生日期
- DDocumenting the medication after administration✓ 正解給藥後記錄藥物
- ECalculating dosages for pediatric patients independently獨立計算小兒病患之劑量
— Explanation · 中文詳解 —
安全給藥的核心在於「三讀五對」。三讀即拿藥時、給藥前、放回藥櫃時核對；兩項識別符（如姓名、生日）是防止給錯病人的標準措施。給藥後立即記錄是為了避免重複給藥，而獨立計算兒科劑量通常需經過第二位護理師核對以確保安全。
Safe medication administration requires verifying the client's identity using two identifiers and checking the medication label against the MAR three times. Documentation should occur immediately after administration to prevent double-dosing, while pediatric dosages should be independently verified by another nurse rather than calculated solely by one provider.
✦ 台美臨床差異
台灣醫院評鑑中，對於雙重核對（Double check）機制在兒科或高警訊藥物有嚴格規範，與美國規範相當接近。