卸除個人防護裝備（PPE）時，護理師應先執行哪一個步驟？

卸除個人防護裝備（PPE）的核心原則在於防止傳染因子汙染護理師的皮膚或衣物。手套是接觸病人汙染物最直接的屏障，因此最為髒汙。依照 CDC 指引，卸除順序為：手套 → 護目鏡或面罩 → 隔離衣 → 口罩或呼吸防護器。此順序遵循「由髒到乾淨」的邏輯，確保在卸除最後可能接觸呼吸道的口罩時，護理師的手部已清潔，大幅降低交叉汙染風險。

The core principle of PPE removal is to prevent contamination of the nurse's skin or clothing with infectious agents. Gloves are the most direct barrier to contact with patient contamination and are therefore the most soiled. According to CDC guidelines, the removal sequence is: gloves -> goggles or face shield -> gown -> mask or respirator. This sequence follows the logic of 'dirtiest to cleanest,' ensuring that when the nurse removes the mask (which may have contacted the respiratory tract last), the hands have already been cleaned, greatly reducing the risk of cross-contamination.

美國醫院極度強調 PPE 卸除順序的標準化，常於隔離病房外張貼圖示指引。護理師需熟練此順序以符合 OSHA 及感染管制部門規範，與台灣臨床標準一致。