護理師準備為個案輸血時，應執行哪些步驟？（選所有適合的）
Which actions should the nurse perform when preparing to administer blood products to a client? (Select all that apply.)
- AVerify the blood type and crossmatch with another nurse✓ 正解與另一位護理師核對血型與交叉配血
- BStart the transfusion within 60 minutes of receiving the blood from the bank自血庫領取血液後 60 分鐘內開始輸血
- CObtain baseline vital signs before beginning the transfusion✓ 正解在開始輸血前取得基礎生命徵象
- DUse an infusion pump for all blood components對所有血液成分使用輸注幫浦
- EStay with the client for the first 15 minutes of the infusion✓ 正解在輸血開始的前 15 分鐘內陪伴個案
輸血屬於高風險作業，需嚴格核對。必須兩位護理師確認病人與血品資料（A）、輸血前測量生命徵象以利對比（C）、前 15 分鐘必須在旁監測過敏反應（E）。B 選項應在 30 分鐘內開始；D 選項並非所有成分皆需輸血幫浦，視機構規範而定。
Blood transfusions are high-risk procedures requiring strict verification protocols, including two-nurse confirmation of blood type and crossmatch. Nurses must obtain baseline vital signs to monitor for changes and stay with the client for the first 15 minutes, as most transfusion reactions occur during this initial period. Blood administration should begin within 30 minutes of retrieval to prevent bacterial growth, and infusion pumps are used based on specific component requirements.
台美皆嚴格執行雙人核對，但在電子病歷（BCMA）系統整合上，美國醫院普遍已達到條碼掃描確認流程。