護理長觀察到一位護理師在觸摸病人傷口前未洗手。優先採取的行動為何?
A charge nurse observes a staff nurse failing to perform hand hygiene before touching a client's wound. What is the priority action?
- AWrite a formal reprimand in the nurse's personnel file.在護理師的人事檔案中記錄正式申誡
- BIntervene immediately to prevent infection.✓ 正解立即介入以防止感染
- CReport the nurse to the nursing board.向護理師公會通報該護理師
- DDiscuss the issue with the nurse privately after the procedure.在操作結束後私下與該護理師討論此問題
在護理實務中,病人的安全(Patient Safety)永遠是最高優先級。當觀察到違反無菌技術(Aseptic technique)的行為,且該行為直接威脅病人安全(如觸摸傷口前未洗手),護理長必須立即介入(Stop the line),以阻止感染事件發生。事後的教育與行政程序(如正式報告)是在確保病人當下安全後的次要行動。
In nursing practice, patient safety is always the highest priority. When the nurse observes a breach of aseptic technique that directly threatens patient safety (for example, touching a wound without performing hand hygiene), the nurse manager must intervene immediately (stop the line) to prevent an infection event. Subsequent education and administrative steps (such as formal reporting) are secondary actions that occur after the immediate safety of the patient has been ensured.