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護理長審查中心靜脈營養輸注作業。哪些觀察需要立即追蹤？請標示出使給藥不安全的觀察。

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Record section紀錄項目	Observed administration practice觀察到的給藥措施
Verification核對	Two qualified clinicians compare the label, client, route, and rate兩位合格臨床人員比對標籤、個案、途徑及速率
Final label最終標籤	Bag potassium concentration differs from the active pharmacy-verified order輸注袋上的鉀離子濃度與藥局已核對的有效醫囑不符
Asepsis無菌操作	Nurse disinfects the needleless connector before attaching sterile tubing護理師在接上無菌輸注管前，以酒精棉片消毒無針接頭
Admixture添加藥物	Nurse injects an additional medication into the compounded bag at bedside護理師在床邊將額外藥物注入已調配好的輸注袋中
Pump輸注幫浦	Electronic pump is programmed at the prescribed hourly infusion rate電子幫浦依醫囑設定的每小時輸注速率運作
Monitoring監測	Bedside glucose checks occur at the times listed in the care plan依照護計畫所列的時間點進行床邊血糖檢測
Access管路使用	Intermittent antibiotics share the same central lumen during nutrition infusion間歇性抗生素在營養輸注期間共用同一中心靜脈管腔
Delay response延遲處理	Infusion rate is increased to catch up after the bag arrives late輸注袋延遲送達後，調高速率以趕上進度
Tubing輸注管	Ordered filter remains intact and the connection is secured without leakage醫囑指定的過濾器保持完整，且連接處無滲漏

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