— 照護管理 · MEDIUM · SATA —
進行傷口換藥時，哪些措施能有效落實感染控制？（選所有適合的）
Which actions demonstrate effective infection control during a dressing change? (Select all that apply.)
- APerforming hand hygiene before and after the procedure✓ 正解在手術前後執行手部衛生
- BUsing clean gloves to remove the soiled dressing✓ 正解使用清潔手套移除髒污敷料
- CCleaning the wound from the cleanest area to the dirtiest area✓ 正解從最乾淨區域向最髒區域清潔傷口
- DDisposing of contaminated gauze in a regular trash bin將受污染的紗布丟入一般垃圾桶
- EMaintaining a sterile field when applying the new dressing✓ 正解在敷設新敷料時維持無菌區域
— Explanation · 中文詳解 —
感染控制原則在於阻斷傳播鏈。手部清潔是防疫核心；戴乾淨手套移除髒敷料可避免直接接觸；由內往外清潔能避免細菌回流；維持無菌區則是防止外源性感染的關鍵。廢棄物應根據醫療廢棄物分類進行處理，不可隨意丟棄於一般垃圾桶。
The principle of infection control is to interrupt the chain of transmission. Hand hygiene is the core of infection prevention; wearing clean gloves to remove a soiled dressing avoids direct contact; cleaning from the inside outward prevents bacterial backflow; and maintaining a sterile field is essential to prevent exogenous infection. Waste should be disposed of according to medical-waste classification and must not be thrown into a regular trash can.
✦ 台美臨床差異
美台對醫廢處理規範相似，但美國對手部衛生的查核（Auditing）極為嚴格，常有專人監測。