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安全與感染控制 · MEDIUM · MCQ

護理師照護傷口感染病人,下列何者為正確的脫卸防護裝備(PPE)順序?

A nurse is caring for a client with a wound infection. Which PPE removal sequence is correct?

  • AGown, gloves, goggles, mask
    隔離衣、手套、護目鏡、口罩
  • BGloves, goggles, gown, mask
    手套、護目鏡、隔離衣、口罩
  • CGloves, gown, mask, goggles✓ 正解
    手套、隔離衣、口罩、護目鏡
  • DGoggles, gown, gloves, mask
    護目鏡、隔離衣、手套、口罩
Explanation · 中文詳解

脫卸個人防護裝備(PPE)的順序至關重要,旨在防止污染擴散。核心原則是「最髒的先脫」,即手套通常接觸病人體液或傷口,污染最嚴重,故應優先脫除。接著依序脫下隔離衣(Gown)、護目鏡(Goggles/Face shield)與口罩(Mask)。操作過程中必須避免污染自身皮膚或衣服。若順序錯誤,容易在移除過程中造成交叉污染,增加醫護人員感染風險。

The sequence of removing personal protective equipment (PPE) is critical to prevent the spread of contamination. The core principle is 'remove the dirtiest first.' Gloves usually contact patient body fluids or wounds and are the most contaminated, so they should be removed first. Next, the gown, goggles/face shield, and mask are removed in sequence. During the procedure, contamination of one's own skin or clothing must be avoided. An incorrect sequence can easily lead to cross-contamination during removal, increasing infection risk for healthcare personnel.

✦ 台美臨床差異

美國 CDC 對 PPE 脫卸順序有明確標準指引(Standard Precautions),台灣醫院感染管制標準亦多參照此指引,操作邏輯與國際接軌,無顯著差異。

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