脫除個人防護裝備時,護理師應採取什麼行動以確保安全?
When removing PPE, which action should the nurse take to ensure safety?
- ARemove the mask before the gown在脫除隔離衣前先脫除口罩
- BTouch the outside of the gown during removal脫除過程中觸碰隔離衣外側
- CLeave the room before removing any gear在脫除任何裝備前先離開房間
- DRemove gloves first✓ 正解先脫除手套
個人防護裝備(PPE)的脫除(doffing)順序與穿戴順序同樣重要,甚至更關鍵,因為這直接關係到醫護人員是否會自我污染。脫除PPE的目標是最大限度地減少受污染表面與醫護人員身體或衣物的接觸。一般而言,脫除順序應從最受污染且最容易安全移除的裝備開始,逐步脫除,避免將病原體傳播到潔淨區域或自身的非暴露部位。遵循標準化的脫除流程,是預防醫療相關感染(healthcare-associated infections, HAIs)的重要環節,確保醫護人員在完成照護後能夠安全地離開隔離環境,保護自身與他人的健康。
Gloves are removed first during PPE doffing because they are the most heavily contaminated items due to direct patient contact. This sequence minimizes the risk of self-contamination by ensuring that the hands are cleaned immediately after glove removal, before touching less contaminated items like the gown or mask.
個人防護裝備(PPE)的脫除順序在台灣與美國的臨床實務中,皆遵從美國疾病管制與預防中心(CDC)的建議,將手套列為首個脫除的裝備,以最大程度地減少自我污染風險。兩地護理師在感染控制訓練中,都會強調脫除步驟的正確性與重要性,確保醫護人員在執行完照護後能安全地離開隔離環境,這屬於全球通用的感染控制標準。