護理師對醫囑不確定時,應採取何種正確行動?
Which nursing intervention is appropriate when the nurse is unsure about a medication order?
- AGive the medication as common practice依常規給藥
- BAsk a colleague for their opinion詢問同事的意見
- CGuess the dose based on patient history根據病人病史猜測劑量
- DContact the prescribing physician for clarification✓ 正解聯絡開立醫囑的醫師以釐清疑義
護理師對於醫囑(Medication order)有疑慮時,應遵循「病人安全優先」原則。醫療行為必須建立在明確且正確的醫囑之上,任何臆測或依循不明確的習慣給藥,均會增加給藥錯誤(Medication error)的機率,嚴重危害病人安全。護理師有法律責任(Legal responsibility)確認醫囑的正確性,若對劑量、途徑或頻率不確定,直接聯繫開立醫師(Prescribing physician)是唯一符合護理倫理與臨床標準的程序。
When a nurse is uncertain about a medication order, patient safety is the priority, and guessing or relying on common practice increases the risk of medication errors. Nurses have a legal responsibility to verify the accuracy of orders, so contacting the prescribing physician for clarification is the only appropriate action to ensure the correct dose and administration.
在美國,護理師對於不清楚的醫囑具有高度的專業自主權與責任,必須直接聯繫醫師(或透過藥師),若醫師態度強硬但醫囑仍有疑慮,護理師有權拒絕給藥並呈報護理主管(Chain of command),這在美國是受護理執業法保護的權利。