下列何者展現正確的無菌手套穿戴技術?
Which of the following actions demonstrates the correct technique for sterile gloving?
- ATouching only the inside of the second glove with the sterile hand僅用無菌手觸碰第二隻手套的內側
- BAllowing the gloves to touch the outer packaging讓手套接觸外包裝外側
- CKeeping hands above waist level✓ 正解保持雙手高於腰部水平
- DGrabbing the inside of the glove with the dominant hand用優勢手抓取手套內側
無菌手套穿戴是維持無菌操作的關鍵步驟,旨在保護病人免受感染。核心概念在於維持手套的無菌性,避免其接觸非無菌區域或物品。正確的穿戴技術確保了無菌屏障的完整性,尤其是在進行侵入性操作前。 正確答案 C 體現了無菌操作的重要原則:所有無菌物品(包括穿戴中的手套)必須維持在腰部以上且在視線範圍內。這是因為低於腰部或背對的區域被視為非無菌,任何接觸都可能導致污染。因此,在穿戴過程中保持雙手在高於腰部的範圍,是避免意外污染的關鍵。 選項 D 錯誤,因為在穿戴第一隻手套時,應使用非優勢手(通常是較不靈活的手)拉住手套的內側袖口,而不是優勢手(較靈活的手),這樣才能避免污染優勢手。選項 A 錯誤,因為當無菌手已戴上手套後,它就成為無菌區域的一部分。用這隻手接觸第二隻手套的內側(即將接觸病人身體的部分)會污染第二隻手套,使其不再無菌。選項 B 錯誤,手套的外包裝雖然是無菌的,但一旦打開,其外側就變為非無菌。手套本身不應接觸外包裝的邊緣,以免污染手套的外部,而外部的污染意味著無法安全地接觸病人。
Donning sterile gloves is a key step in maintaining aseptic technique and is intended to protect the client from infection. The core concept is to preserve the sterility of the gloves and to avoid contact with non-sterile areas or items. Proper technique ensures the integrity of the sterile barrier, particularly before invasive procedures. Correct answer C reflects an essential principle of asepsis: all sterile items, including gloves being donned, must be kept above waist level and within the operator's line of sight. Areas below the waist or behind the operator are considered non-sterile, and any contact with such areas can cause contamination. Therefore, keeping the hands above waist level during gloving is critical to avoid inadvertent contamination. Option D is incorrect because, when donning the first glove, the non-dominant hand (typically the less dexterous hand) should grasp the inner cuff of the glove rather than using the dominant hand, in order to avoid contaminating the dominant hand. Option A is incorrect because once the first glove is in place, that hand becomes part of the sterile field. Using this sterile hand to touch the inside of the second glove (the surface that will eventually contact the patient) would contaminate the second glove, rendering it non-sterile. Option B is incorrect because, although the outer packaging is sterile, once it is opened, its outer surface becomes non-sterile; the gloves themselves must not contact the edge of the outer wrapping, to avoid contaminating the outer surface, since external contamination prevents safe contact with the patient.