護理經理正在評估單位安全。哪些觀察結果顯示員工需要進一步教育？（選所有適合的）
A nurse manager is evaluating the safety of a hospital unit. Which observation indicates a need for further staff education? (Select all that apply.)
- AStaff leaving the side rails down for a client with a history of falls✓ 正解有跌倒史的病患床欄保持放低狀態
- BSharps container being emptied when it reaches the fill line利器盒裝至標線時清空
- CA client with a diagnosis of C. difficile placed in a room without contact precautions✓ 正解診斷為難辨梭狀芽孢桿菌感染的病患未採取接觸隔離措施
- DMedication carts left unattended in the hallway✓ 正解藥車無人看管放置在走廊
- EStaff using hand sanitizer instead of soap and water for C. difficile✓ 正解護理人員對難辨梭狀芽孢桿菌感染者使用酒精搓手液而非肥皂和水洗手
A：跌倒高風險病人應保持床欄升起。C：難辨梭狀芽孢桿菌（C. diff）需接觸隔離。D：藥車無人看管違反藥物安全。E：C. diff 孢子需用肥皂洗手移除，酒精無法殺滅。B：利器盒在七分滿即應更換，此選項正確，因此非需要教育的點。
A: Clients at high risk for falls should have the bed in a low position with side rails appropriately up. C: Clostridioides difficile (C. diff) requires contact isolation. D: Leaving the medication cart unattended violates medication safety. E: C. diff spores must be removed with soap and water, as alcohol does not kill them. B: Sharps containers should be replaced when about three-quarters (around 7/10) full, so this option is correct and therefore does not require teaching.
美國對 JCAHO 安全目標要求極高；台灣醫院評鑑亦重視感染管制與藥物安全，但執行面常因人力不足而打折扣。