護理師觀察到學生護理師重新蓋上針頭（Recapping），應優先採取什麼行動？
A nurse observes a student nurse recap a used needle. Which action is the priority?
- AReport the student to the instructor向指導老師報告該學生
- BComplete an incident report填寫意外報告
- CDocument the incident in the client chart在病人病歷中記錄該事件
- DImmediately intervene and stop the student✓ 正解立即介入並制止該學生
在臨床環境中，預防針扎（Needlestick injury）是感染控制的核心。重新蓋上針頭（Recapping）是導致針扎的主要危險行為。根據疾病管制與預防中心（CDC）的標準，護理師的首要義務是保障病人與自身安全，當觀察到危險行為時，必須採取「立即制止」（Immediate intervention）策略以防止傷害發生。行政流程（如報告）屬於後續處理，非當下的安全優先事項。
In the clinical setting, preventing needlestick injuries is a cornerstone of infection control. Recapping needles is the primary dangerous behavior leading to needlesticks. According to the Centers for Disease Control and Prevention (CDC) standards, the nurse's foremost duty is to safeguard the client and the nurse. When a dangerous behavior is observed, the nurse must immediately intervene to prevent harm. Administrative steps such as reporting belong to subsequent follow-up actions and are not the immediate safety priority.
在美國臨床實務中，對於針扎預防的規範極為嚴格（OSHA 標準）。護理師擁有「Stop the line」的權力與義務，即便對方是學生或資深同事，只要發現違反安全規範，必須立即制止，這被視為專業護理師的核心責任。