— 照護管理 · HARD · MCQ —
護理師發現給藥錯誤，病人服用了兩倍劑量的晨間藥物。優先採取什麼行動？
A nurse discovers a medication error where the client received a double dose of their morning medication. What is the priority action?
- AComplete an incident report for risk management填寫異常事件報告以供風險管理
- BNotify the physician immediately立即通知醫師
- CDocument the incident in the client's medical record在病人病歷中記錄此事件
- DAssess the client's current status and vital signs✓ 正解評估病人目前的狀況及生命徵象
— Explanation · 中文詳解 —
給藥錯誤發生時，優先順序永遠是「病人安全」優先於「行政流程」。第一步必須立即評估病人的生命徵象與臨床狀況，確認藥物過量造成的影響程度。醫師通知與事件回報（Incident Report）皆為後續步驟，絕不能因為先行處理行政程序而延誤對病人潛在副作用的監測。
Patient safety is the absolute priority following a medication error; therefore, the nurse must first assess the client’s vital signs and clinical status to evaluate potential adverse effects. Administrative tasks, such as notifying the physician or completing incident reports, should only occur after the client’s physiological stability is ensured.
✦ 台美臨床差異
美台皆強調異常事件通報（No-blame culture）；但美國對於給藥錯誤後的處置流程有更嚴格的即時評估規範。