護理師看到同事將使用過的針頭重新套上針蓋，應採取什麼行動？
A nurse observes a colleague recap a used needle. What is the most appropriate action?
- AReport the colleague to the nursing supervisor immediately立即向護理主管報告該同事
- BProperly dispose of the needle yourself自行妥善處置該針頭
- CIgnore the action if the colleague is experienced若該同事經驗豐富則忽略此行為
- DInform the colleague about the danger and safe disposal protocols✓ 正解告知該同事相關危險及安全處置程序
針頭回套（Recapping）是導致醫護人員發生針扎意外（Needlestick injury）的主要行為，被 OSHA 強烈禁止。護理師應採取「立即介入」原則，優先以教育方式導正不安全行為。若同事屢勸不聽或已發生意外，才需依照院內政策進行呈報（Incident report）。此題強調的是透過即時溝通來降低風險，確保職場安全環境。
Recapping needles is the primary behavior leading to needlestick injury among health care workers and is strongly prohibited by OSHA. The nurse should apply the 'immediate intervention' principle and first use education to correct the unsafe behavior. If the colleague repeatedly ignores warnings or an injury has already occurred, then escalation through facility policy (incident report) is needed. This item emphasizes reducing risk through real-time communication to ensure a safe workplace.
美國醫院受職業安全衛生管理局（OSHA）嚴格監管，針扎防護被視為極其嚴肅的法律議題。台灣臨床上雖然也有相關規範，但美國更強調『Zero Tolerance』的態度，且針扎發生後的追蹤流程（如 HIV/HBV 篩檢與 PEP 給藥）在美國有極為標準化的程序。