— 安全與感染控制 · MEDIUM · MCQ —
護理師應採取何項行動以預防針扎傷害？
Which action should the nurse take to prevent a needle-stick injury?
- ARecap the needle immediately after injection注射後立即回套針頭
- BUse double-handed technique to recap使用雙手技術回套針頭
- CAsk a colleague to hold the needle for you請同事幫我拿著針頭
- DDispose of the needle in a puncture-resistant container✓ 正解將針頭丟入防穿刺容器
— Explanation · 中文詳解 —
預防針扎傷害（Needle-stick injury）的核心在於減少暴露機會。根據美國職安健署（OSHA）的血源性病原體標準，禁止回套針頭（No Recapping）是預防針扎最關鍵的策略。若必須回套，則需使用單手回套技術（One-handed scoop technique），但最佳做法仍是將針頭直接丟入銳器回收盒（Sharps container）。
The core of preventing needlestick injury is reducing exposure opportunities. According to OSHA's Bloodborne Pathogens Standard, prohibiting needle recapping is the most critical strategy for preventing needlestick injury. If recapping is required, a one-handed scoop technique must be used; however, the best practice is to dispose of the needle directly into a sharps container.
✦ 台美臨床差異
台灣醫院目前已全面推動「不回套」政策，但在某些舊臨床習慣中仍見單手回套。美國臨床環境對此規範極嚴，違反者會被視為嚴重違規。