護理師觀察到同事在更換敷料時違反了無菌技術。護理師應採取何種行動?
A nurse observes a colleague violating a sterile technique during a dressing change. Which action should the nurse take?
- AImmediately stop the colleague and intervene to maintain sterility✓ 正解立即制止同事並介入以維持無菌狀態
- BWait to see if the patient develops an infection later等待後續觀察病人是否發展出感染
- CDocument the incident in the patient's medical record將該事件記錄在病人的病歷中
- DReport the colleague to the nurse manager after the procedure is finished在程序結束後向護理長報告該同事
當發生無菌技術缺失時,護理師的首要任務是確保病人安全,防止病原體進入傷口。根據護理倫理與病人安全原則,護理師對於同事的違規行為不能保持沈默,必須立即介入並終止該程序,以減少醫源性感染的風險。這種介入不僅是為了病人,也是為了維持專業標準。等待程序結束或事後報告,會讓傷口暴露於感染風險中,違背護理師的專業義務。
When a breach of sterile technique occurs, the nurse's first priority is to protect the client and prevent pathogens from entering the wound. Based on nursing ethics and the principle of patient safety, the nurse must not remain silent about a colleague's violation; the nurse is obligated to intervene immediately and stop the procedure to reduce the risk of a healthcare-associated infection. This intervention serves both the client and the maintenance of professional standards. Waiting until the procedure is finished or only reporting afterward exposes the wound to ongoing risk and violates the nurse's professional duty.