— 照護管理 · HARD · MCQ —
護理師觀察到同事在更換中心靜脈導管敷料時未遵守無菌技術。護理師的首要適當行動為何？
A nurse observes a colleague failing to follow sterile technique during a central line dressing change. What is the nurse’s most appropriate initial action?
- ADiscuss the observation with the colleague during the lunch break在午餐休息時間與同事討論該觀察結果
- BDocument the incident in the client’s medical record將此事件記錄於病患的病歷中
- CReport the colleague to the nurse manager after the shift在輪班結束後向護理經理報告該同事
- DIntervene immediately to stop the procedure✓ 正解立即介入以停止該程序
— Explanation · 中文詳解 —
護理倫理的核心是保護病人安全（Client Safety）。當發現任何違反無菌技術導致感染風險的行為時，必須立即阻止，以防止併發症發生。這是即時的風險管理，勝過事後通報或私下討論，後兩者屬於後續的行政或溝通程序。
The core of nursing ethics is client safety. When any breach of aseptic technique that creates a risk of infection is observed, it must be stopped immediately to prevent complications. This is real-time risk management and takes precedence over after-the-fact reporting or private discussion, both of which are subsequent administrative or communication processes.
✦ 台美臨床差異
美國醫護職場強調「即時制止」以維護病人安全，台灣職場受限於人情文化，常較難直接阻止同事，但專業倫理上應採取相同行動。