護理師督導新進護理師執行傷口護理，下列哪項動作需要立即介入？
A nurse is supervising a newly licensed nurse performing wound care. Which action by the new nurse requires immediate intervention?
- ACleaning the wound from the center outward由傷口中心向外側清潔
- BApplying the new dressing without washing hands before opening the sterile kit✓ 正解打開無菌包前未洗手即貼上新敷料
- CUsing clean gloves instead of sterile gloves for a chronic pressure ulcer對於慢性壓瘡使用清潔手套而非無菌手套
- DIrrigating the wound with normal saline使用正常食鹽水沖洗傷口
無菌技術（Sterile Technique）是護理安全的核心。在進行無菌操作前，必須先執行手部衛生（Hand hygiene），否則會將病菌帶入無菌場域，導致醫源性感染。選項 B 的行為嚴重違反無菌原則，護理師必須立即介入，因為這直接威脅病人的傷口癒合與安全。在 NCLEX 考試中，任何導致無菌場域污染的操作都需立即停止。
Sterile technique is central to nursing safety. Hand hygiene must be performed before any sterile procedure; otherwise, pathogens will be introduced into the sterile field and cause iatrogenic infection. The action in option B seriously violates aseptic principles, and the nurse must intervene immediately, since it directly threatens wound healing and patient safety. On the NCLEX exam, any action that contaminates the sterile field must be stopped immediately.
美國醫院對無菌技術的執行非常嚴格，護理師若目睹同行違反無菌原則（如未洗手即開啟無菌包），必須立即介入糾正（Stop the line），這在美國護理文化中被視為維護病人安全（Patient Safety）的職責。