— 照護管理 · HARD · MCQ —
護理長觀察到一位護理師採取下列行動，哪項行為需要護理長立即介入？
A charge nurse observes a staff nurse performing the following actions. Which action requires the charge nurse to intervene immediately?
- ARecapping a needle after administering an intramuscular injection✓ 正解肌肉注射後回套針頭
- BDocumenting the time and dose of medication after administration給藥後記錄藥物時間與劑量
- CCleaning the IV insertion site with alcohol prior to starting an infusion開始輸液前以酒精清潔靜脈穿刺部位
- DChecking the client’s identification wristband against the MAR將個案的身份手環與藥物給藥紀錄單 (MAR) 核對
— Explanation · 中文詳解 —
回套針頭（Recapping）是護理實務中明令禁止的高風險行為，極易導致針扎（Needlestick Injury），護理長必須立即制止。其他選項均為正確的護理規範：核對身分、正確的消毒程序以及即時記錄皆符合安全給藥標準。
Recapping needles is an explicitly prohibited high-risk practice in nursing, as it easily leads to needlestick injuries; the nurse manager must intervene immediately. The other options are all correct nursing standards: verifying client identity, using proper disinfection procedures, and timely documentation all comply with safe medication administration standards.
✦ 台美臨床差異
美國 OSHA 對預防針扎有明確懲處與通報機制；台灣雖推廣安全針具，但此類臨床行為仍需持續教育。