— 安全與感染控制 · MEDIUM · SATA —
護理師準備給藥,下列哪些措施有助於確保「給藥五權」的安全?(選所有適合的)
A nurse is preparing to administer medications to a client. Which actions help ensure the 'Five Rights' of medication safety? (Select all that apply.)
- AComparing the medication label with the MAR✓ 正解將藥物標籤與給藥紀錄(MAR)進行比較
- BAsking the client to state their name and birth date✓ 正解請病人報出自己的姓名和出生日期
- CChecking the expiration date of the medication檢查藥物的有效期限
- DVerifying the dose against the physician's order✓ 正解根據醫師醫囑核對劑量
- EAdministering the medication before documenting在記錄之前給予藥物
— Explanation · 中文詳解 —
確保給藥安全的核心在於核對醫囑(MAR)、確認病人身分(姓名與生日)、檢查藥物標籤與劑量。選項 C 是藥品效期管理,雖屬安全範疇但非給藥五權的核心步驟;選項 E 是错误的,給藥後應立即記錄以防重複給藥,而非在給藥前先行記錄。
To ensure medication safety, the nurse must compare the medication label with the Medication Administration Record (MAR) and verify the dose against the physician's order. Additionally, asking the client to state their name and birth date confirms identity using two identifiers. Checking expiration dates is important for safety but is not one of the 'Five Rights,' and documentation should occur after administration.
✦ 台美臨床差異
美國廣泛使用條碼掃描(BCMA)輔助,台灣醫療院所亦正逐漸導入此系統以提升安全性。