護理師發現自己給錯藥物,第一優先的行動為何?
A nurse identifies an error in medication administration. What is the priority action?
- ANotify the nurse manager通知護理長
- BAssess the client's condition✓ 正解評估病人狀況
- CCall the physician to inform them of the error致電醫師告知錯誤
- DComplete an incident report填寫事故報告
在發生給藥錯誤(Medication Error)時,NCLEX 的核心邏輯永遠是「病人安全(Patient Safety)優先於行政流程」。給藥錯誤可能導致嚴重的生理反應,因此護理師必須立刻採取行動以評估病人是否出現不良反應(Adverse reaction)。評估(Assessment)是護理程序(Nursing Process)的第一步,在獲得病人目前的生理數據之前,無法判斷緊急程度,也無法進行有效的後續處置。
The priority action after identifying a medication error is to assess the client's condition to ensure patient safety and identify any adverse reactions. Administrative tasks such as notifying the manager, calling the physician, or completing incident reports are performed only after the client has been stabilized.
在美國臨床環境中,發生給藥錯誤後,除了評估病人與通知醫師外,必須依照醫院政策(Policy)填寫事故報告(Incident Report/Variance Report)。該報告屬於病人安全品質管理的一部分,嚴禁放入病歷(Medical Record)中,且在美國強調『不責難文化(Just Culture)』,鼓勵主動通報錯誤以進行系統性改善。