— 安全與感染控制 · MEDIUM · MCQ —
若發生針扎意外，護理師應採取什麼行動？
Which action should the nurse take if a needle stick injury occurs?
- ASeek medical attention after finishing the shift完成輪班後尋求醫療協助
- BWait until the end of the shift to report等到輪班結束才回報
- CWash the area thoroughly with soap and water✓ 正解用肥皂和水徹底清洗患處
- DApply antibiotic ointment immediately立即塗抹抗生素軟膏
— Explanation · 中文詳解 —
發生針扎意外（Needle stick injury）時，必須立即採取暴露後預防（Post-exposure prophylaxis, PEP）流程。第一步是物理性移除病原體，即使用肥皂與清水沖洗傷口，隨後立即通報主管並就醫評估是否需要 PEP 藥物。延誤處理會增加血液傳播疾病（如 HIV, HBV, HCV）的感染風險。
Following a needle stick injury, the post-exposure prophylaxis (PEP) protocol must be initiated immediately. The first step is to physically remove the pathogen by washing the wound thoroughly with soap and water, then immediately notifying the supervisor and seeking medical evaluation to determine whether PEP medication is needed. Any delay increases the risk of bloodborne infections such as HIV, HBV, and HCV.
✦ 台美臨床差異
美國醫院對針扎後之 PEP 流程極為嚴格，通常需在針扎後 2 小時內完成初步評估並啟動投藥程序，且必須強制完成職安通報。