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安全與感染控制 · MEDIUM · SATA

護理師觀察到同事違反標準防護措施,下列哪些行為屬於違規?(選所有適合的)

A nurse observes a colleague violating standard precautions. Which of the following actions indicates a violation? (Select all that apply.)

  • ARecapping a contaminated needle using a one-handed scoop method
    使用單手技巧重新套上受污染的針頭護套
  • BWearing gloves when providing mouth care to a client
    為個案提供口腔護理時戴手套
  • CRecapping a contaminated needle using two hands✓ 正解
    使用雙手重新套上受污染的針頭護套
  • DFailing to change gloves between contaminated and clean tasks on the same client✓ 正解
    未在同一個案的污染與清潔工作之間更換手套
  • ERemoving gloves and washing hands after leaving the room✓ 正解
    離開房間後脫除手套並洗手
Explanation · 中文詳解

標準防護目的是阻止血液與體液傳染。違規包含:C. 雙手蓋回污染針頭極易造成針扎;D. 同病人身上由污染區移至清潔區未更換手套會造成交叉感染;E. 手套與洗手須在離開病室前完成,離開後才做會污染公共區域。A. 單手 scoop 法為正確技術;B. 口腔護理戴手套為正確操作。

The purpose of standard precautions is to prevent the transmission of bloodborne and body fluid infections. Violations include: C. Recapping a contaminated needle with two hands greatly increases the risk of needlestick injury; D. On the same client, failing to change gloves when moving from a contaminated area to a clean area causes cross-contamination; E. Glove removal and hand hygiene must be completed before leaving the room; performing them after leaving contaminates public areas. Option A (one-handed scoop method) is the correct technique; option B (wearing gloves during oral care) is correct practice.

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