護理師在操作結束後處置受污染的廢棄物。下列哪項物品必須放入防刺穿的針筒收集罐中？
The nurse is disposing of contaminated waste after a procedure. Which item must be placed in a puncture-resistant sharps container?
- AA used pair of examination gloves一雙使用過的檢查用手套
- BAn empty glass medication ampule✓ 正解一個空的玻璃安瓿瓶
- CA disposable plastic syringe without a needle一支不含針頭的拋棄式塑膠注射器
- DA blood-soaked 4x4 gauze sponge一塊沾血的4x4紗布
廢棄物分類管理是維持醫療環境安全的基礎。針筒收集罐（Sharps container）的設計目的是防止醫護人員或清潔人員被「尖銳且可能帶有血源性病原體」的物品刺傷。核心概念是只要物品有稜角、尖銳或可能破碎產生銳利邊緣，就必須進入硬殼罐。玻璃安瓿（Ampule）在折斷後會產生銳利的玻璃碎片，屬於尖銳物品（B）。沾血紗布（D）應放入生物醫療廢棄物袋（紅色袋）；不帶針頭的塑膠針筒（C）在許多指引中可視為一般感染性廢棄物（除非當地政策規定連同針筒一起丟入尖銳盒）；手套（A）則屬於一般醫療廢棄物。臨床思路上，護理師應直覺地判斷「這東西會不會刺破袋子」，若會，就必須進硬殼罐。
Proper waste segregation is fundamental to a safe medical environment. The sharps container is designed to prevent health care workers or housekeeping staff from being punctured by 'sharp objects that may carry bloodborne pathogens.' The core concept is that any object with edges or sharp points, or that may break into sharp fragments, must go into a hard-walled container. A glass ampule, once snapped open, creates sharp glass shards and qualifies as a sharp (B). A blood-soaked gauze (D) belongs in a biohazard (red) bag; a disposable plastic syringe without the needle attached (C) may, by many guidelines, be considered general infectious waste (unless local policy directs that the entire syringe be discarded in a sharps container); examination gloves (A) are general medical waste. Clinically, the nurse should intuitively ask, 'Could this object pierce a bag?' If the answer is yes, it must go in the hard-walled container.
美國 OSHA 對尖銳物的定義包含玻璃碎片、安瓿與針頭。台灣實務上，部分醫院將無針針筒也要求丟入針盒以減少分類錯誤，但在 NCLEX 考試中，必須明確辨認出「尖銳」才是進盒的主因。