— 照護管理 · MEDIUM · SATA —
護理師準備給藥，哪些行為符合安全給藥原則？（選所有適合的）
A nurse is preparing to administer medication. Which actions are consistent with safe medication administration? (Select all that apply.)
- ACheck the medication against the MAR three times✓ 正解三次查對藥物與醫囑記錄表(MAR)
- BAsk the client to state their name and birth date✓ 正解請病人自報姓名和出生日期
- CDocument the medication administration immediately after giving it✓ 正解給藥後立即記錄
- DVerify allergies with the client before administration✓ 正解給藥前向病人確認過敏史
- ELeave the medication at the bedside if the client is busy若病人忙碌，將藥物留在床邊
— Explanation · 中文詳解 —
安全給藥的核心在於確認病人身分、藥物正確性與即時紀錄。核對三步驟（MAR 與實物）、雙重身分核對（姓名、出生年月日）、即時紀錄與過敏史確認皆為標準化作業。將藥物留於床邊（E）會導致給藥錯誤或藥物遺失風險，絕對禁止。
Safe medication administration requires strict adherence to verification protocols to prevent errors. This includes checking the medication against the Medication Administration Record (MAR) three times, verifying two patient identifiers, confirming allergies, and documenting administration immediately. Leaving medications at the bedside is unsafe and prohibited as it risks incorrect administration or loss.
✦ 台美臨床差異
台灣部分醫院推行給藥推車條碼系統（BCMA），流程更嚴謹，但在執行上仍需人工核對以防系統漏洞。