— 照護管理 · MEDIUM · MCQ —
護理長在觀察一位新進護理師的工作，下列哪項行為需要立即介入處理？
A nurse manager is observing a new nurse. Which action by the new nurse requires immediate intervention?
- ARecapping a needle after administering an intramuscular injection✓ 正解注射肌肉製劑後重新套上針頭保護套
- BAsking for assistance when repositioning a heavy, dependent client在重新安置沉重且依賴性高的病人時尋求協助
- CDocumenting nursing interventions immediately after performing them在執行護理介入措施後立即記錄
- DUsing two patient identifiers before performing a wound dressing change在進行傷口敷料更換前使用兩種病人識別方式
— Explanation · 中文詳解 —
針扎預防是護理安全的核心。重新回套針蓋（recapping）是導致針扎受傷的主因之一，違反職業安全衛生原則，必須立即糾正。D、C、B 皆為符合病人安全目標（National Patient Safety Goals）與護理實務標準的正向行為。
Needlestick prevention is central to nursing safety. Recapping needles is a major cause of needlestick injury, violates occupational health and safety principles, and must be corrected immediately. Options D, C, and B are positive behaviors consistent with the National Patient Safety Goals and standards of nursing practice.
✦ 台美臨床差異
美台對針扎預防規範一致，台灣醫院近年亦強力推行安全針頭及禁止回套政策。