Dickens Geoff, Stubbs Jean, Haw Camilla
St Andrew's Hospital, Northampton.
Nurs Stand. 2008;22(22):35-40. doi: 10.7748/ns2008.02.22.22.35.c6356.
To examine the delegation of medication administration, including the frequency of delegation, whether delegation was to a care worker or a registered nurse (RN) and whether care workers were directly supervised when administering medication.
Administration of 1313 medication doses was observed on two inpatient psychiatric wards for older people.
Administration was delegated by the nurse preparing the medication for four out of every five doses, usually to another registered nurse (78% of delegated doses), but also to care workers (22%). Care workers were more likely to administer medications to confused and aggressive patients than were registered nurses.
Care workers who undertake delegated medication administration should receive regular training to ensure safety. Nurses remain accountable for delegated medication administration.
研究药物管理的委托情况，包括委托的频率、委托对象是护理人员还是注册护士（RN），以及护理人员在给药时是否受到直接监督。
在两个老年住院精神科病房观察了1313剂药物的给药情况。
每五剂药物中就有四剂是由准备药物的护士委托给药的，通常委托给另一名注册护士（委托剂量的78%），但也委托给护理人员（22%）。与注册护士相比，护理人员更有可能给意识模糊和有攻击性的患者给药。
承担委托给药任务的护理人员应接受定期培训以确保安全。护士仍需对委托给药负责。
