護理師觀察到同事在接觸病人傷口敷料後未執行手部衛生，應優先採取的行動為何？
A nurse observes a staff member failing to perform hand hygiene after touching a client's wound dressing. What is the nurse's priority action?
- AReport the colleague to the nurse manager immediately立即向護理經理報告該同事
- BDiscuss the issue during the next staff meeting在下一次員工會議中討論此問題
- CRemind the colleague to perform hand hygiene✓ 正解提醒該同事執行手部衛生
- DDocument the incident in the client's medical record將此事件記錄於病人病歷中
NCLEX 考試中，處理潛在感染控制違規的優先順序為「立即介入以防止傷害發生」。若觀察到同事未執行手部衛生，第一優先行動是提醒同事執行，以中斷病原體傳播。這屬於即時的品質監測（Quality Improvement）與安全防護。若直接通報主管（A）則會延誤即時補救，且應先給予機會教育，除非該同事有持續違反規範的行為才考慮行政程序。
In NCLEX, the priority in handling a potential infection-control violation is 'immediate intervention to prevent harm.' If a colleague fails to perform hand hygiene, the first-priority action is to remind the colleague to perform it, interrupting pathogen transmission. This falls under real-time quality improvement and safety practice. Directly reporting to the manager (A) would delay immediate corrective action; opportunity for teaching should be given first unless the colleague repeatedly violates standards, in which case administrative procedures may be considered.
在美國臨床環境中，強調「非懲罰性文化」（Non-punitive culture），鼓勵護理人員直接且友善地互相提醒（Peer-to-peer feedback），這被視為專業職責的一部分，而非「告密」。