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回归基础:用药安全。

Back to Basics: Medication Safety.

作者信息

Spruce Lisa

出版信息

AORN J. 2020 Jan;111(1):103-112. doi: 10.1002/aorn.12891.

Abstract

Perioperative nurses administer some medications but are primarily responsible for obtaining, preparing, and documenting medications. Unlike personnel in many other patient care areas, perioperative personnel may not have immediate access to a pharmacist; this lack of pharmacy support can complicate medication administration processes. A variety of medication errors occur in the perioperative setting and can negatively affect patients and personnel. Perioperative nurses should review regulatory information and professional organization guidance documents when they work with other health care team members to address medication safety issues. Some recommendations include submitting clear medication orders, using aseptic technique when transferring medications to the sterile field, and using standardized labeling. In addition, perioperative nurses should obtain only one patient's medications from a dispensing unit at a time and prepare one medication at a time. After reviewing this article and the supporting literature, perioperative nurses should have increased knowledge about medication safety.

摘要

围手术期护士会给药,但主要负责获取、准备和记录药物。与许多其他患者护理领域的人员不同,围手术期人员可能无法立即联系到药剂师;缺乏药房支持会使给药过程变得复杂。围手术期会发生各种用药错误,会对患者和工作人员产生负面影响。围手术期护士在与其他医疗团队成员合作解决用药安全问题时,应查阅监管信息和专业组织的指导文件。一些建议包括提交清晰的用药医嘱、将药物转移到无菌区域时使用无菌技术以及使用标准化标签。此外,围手术期护士每次应仅从配药单位获取一名患者的药物,并且每次准备一种药物。在阅读本文及相关文献后,围手术期护士应增加对用药安全的了解。

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