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安全與感染控制 · MEDIUM · MCQ

護理師正在穿脫個人防護裝備(PPE)。下列哪種移除順序是正確的?

A nurse is removing personal protective equipment (PPE). What is the correct order of removal?

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

移除個人防護裝備(PPE)的原則是「將污染降至最低」。手套是接觸病人最直接、污染最嚴重的部分,故應首先移除。接著是隔離衣(Gown),因為其外部可能已污染。護目鏡(Goggles)隨後移除,最後才是口罩(Mask),因為口罩能持續保護呼吸道,避免在脫除過程中不慎吸入懸浮於空氣中的病原體。整個過程需嚴格執行手部衛生,確保安全。

The principle for removing personal protective equipment (PPE) is to 'minimize contamination.' Gloves are in the most direct, heavily contaminated contact with the patient, so they should be removed first. Next is the gown, since its exterior may be contaminated. Goggles are removed next, and finally the mask, because the mask continues to protect the respiratory tract and prevents inadvertent inhalation of airborne pathogens during the removal process. Hand hygiene must be strictly performed throughout to ensure safety.

✦ 台美臨床差異

台美在 PPE 穿脫順序上基本遵循 CDC 標準。在美國臨床單位中,若使用動力空氣淨化呼吸器(PAPR),脫除順序會根據設備類型有特定規範,但基本原則仍是先脫最髒的裝備。

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