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安全與感染控制 · EASY · MCQ

當護理師發現病人病房的廢紙簍起火時,應優先採取哪項行動?

Which action should the nurse take first when a fire is discovered in a client's wastebasket?

  • AExtinguish the fire with a portable extinguisher
    使用手提滅火器撲滅火災
  • BClose the door to contain the fire
    關上房門以控制火勢
  • CRescue the client from the room✓ 正解
    將病人從房間救出
  • DActivate the fire alarm
    啟動火災警報
Explanation · 中文詳解

在醫療院所內發現火災時,護理師的首要任務是確保病人的安全。核心概念是遵循「RACE」火災應變原則,其中「R」代表 Rescue (救援) 是第一步。這意味著將處於直接危險中的人員立即移至安全區域。廢紙簍起火雖然看似小火,但若病人在房間內,其生命安全受到威脅,必須立即將其撤離。臨床思路強調在任何緊急情況下,生命安全永遠是最高優先級。護理師必須迅速評估情況,並果斷執行救援行動,確保病人脫離火源與煙霧的威脅,再進行其他火災應變措施。

When a fire is discovered in a healthcare facility, the nurse's first priority is to ensure client safety. The core concept is the RACE fire-response acronym, in which 'R' (Rescue) is the first step: immediately move anyone in direct danger to a safe area. Even though a wastebasket fire may seem small, if a client is in the room their life is threatened and they must be evacuated immediately. In any emergency, life safety is always the highest priority. The nurse must rapidly assess and act decisively to remove the client from fire and smoke before carrying out other fire-response measures.

✦ 台美臨床差異

美國與台灣的醫療機構火災應變流程均嚴格遵循 RACE 原則(Rescue, Alarm, Contain, Extinguish)。「救援」永遠是第一優先。在緊急情況下,確保病人生命安全是所有護理師的共同職責。兩地在火災演練和員工培訓上都非常重視這個原則,要求所有醫護人員熟練掌握。

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