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安全與感染控制 · MEDIUM · MCQ

準備轉送一位帶有抗藥性菌株(MDRO)感染的病人時,最重要的護理介入為何?

When preparing to transport a client with a multidrug-resistant organism (MDRO) infection, what is the most important nursing intervention?

  • AEnsuring the client uses a private elevator
    確保病人使用專用電梯
  • BDressing the client in a gown and mask
    為病人穿上隔離衣和口罩
  • CNotifying the receiving department about the isolation status✓ 正解
    通知接收部門關於隔離狀態
  • DDisinfecting the wheelchair before transport
    在轉送前消毒輪椅
Explanation · 中文詳解

針對多重抗藥性菌株(MDRO)感染病人的轉送,核心目標是「阻斷傳播鏈」。這不僅是病人的防護,更涉及接收單位(如放射科、物理治療室)的環境準備。提前通知接收單位至關重要,因為這能讓他們提前準備隔離防護設備(如備妥接觸隔離所需的隔離衣、手套)以及在病人離開後進行必要的終端清潔,從而確保醫療環境的安全性。

When transporting a patient with a multidrug-resistant organism (MDRO) infection, the core goal is to break the chain of transmission. This involves not only protecting the patient but also preparing the receiving area (e.g., radiology, physical therapy). Notifying the receiving unit in advance is critical because it allows them to prepare isolation equipment (such as gowns and gloves needed for contact precautions) and to perform appropriate terminal cleaning after the patient leaves, thereby maintaining a safe healthcare environment.

✦ 台美臨床差異

美國醫療機構針對 MDRO(如 MRSA, VRE, CRE)的轉送非常強調「溝通機制(Communication)」。在美國,轉送病人時必須使用標準化的交班工具(如 SBAR),明確告知隔離狀態是護理師的責任,這在美國 Joint Commission 的安全目標中被嚴格要求。

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