護理師正在指導學生使用個人防護裝備 (PPE)。根據 CDC 規範，移除 (Doffing) PPE 的順序為何？
The nurse is educating a student about the use of personal protective equipment (PPE). In which order should PPE be removed (doffing) according to the CDC?
- AGloves, Goggles, Gown, Mask✓ 正解手套、護目鏡、隔離衣、口罩
- BGloves, Mask, Goggles, Gown手套、口罩、護目鏡、隔離衣
- CMask, Goggles, Gown, Gloves口罩、護目鏡、隔離衣、手套
- DGown, Gloves, Goggles, Mask隔離衣、手套、護目鏡、口罩
移除個人防護裝備 (Doffing PPE) 的核心原則是「從最污染的部分開始，並避免污染自身」。根據美國 CDC 規範，正確答案 A 的順序為：手套 (Gloves) -> 護目鏡 (Goggles/Face shield) -> 隔離衣 (Gown) -> 口罩 (Mask)。手套通常是最髒的，應最先移除；口罩則保護呼吸道，應在離開病房後最後移除。臨床思路上，每移除一項裝備後，若手部可能受污，應立即執行手部衛生。
The principle for doffing PPE is to start with the most contaminated item while avoiding self-contamination. Per the CDC, the correct sequence is: Gloves -> Goggles/Face shield -> Gown -> Mask. Gloves are usually most soiled and are removed first; the mask, which protects the airway, is removed last after leaving the patient room. Hand hygiene should be performed immediately if hands become contaminated during removal.
美國 CDC 對於 Doffing 有兩套認可順序，但 NCLEX 最常考的是「Gloves first, Mask last」。台灣臨床實務有時會先脫隔離衣（若與手套連動），但在 NCLEX 考試中，必須嚴格遵守 CDC 官方建議的標準步驟。