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安全與感染控制 · HARD · MCQ

處理化學治療藥物時,護理師應採取哪些行動?

Which action should the nurse take when handling chemotherapy agents?

  • AUse double-gloving and protective gowns✓ 正解
    使用雙層手套與防護衣
  • BPrepare in the patient's room
    在病人房間內準備
  • CWear standard latex gloves
    戴標準乳膠手套
  • DHandle without special equipment
    不使用特殊設備處理
Explanation · 中文詳解

化療藥物具有高度細胞毒性,可能導致職業性暴露風險,包括致癌、致突變及生殖毒性。根據職業安全衛生署(OSHA)與腫瘤護理學會(ONS)標準,處理化療藥物時必須採取嚴格的個人防護裝備(PPE),包括雙層手套(Double-gloving)與具備防滲透功能的防護衣(Protective gowns)。配藥過程必須在生物安全櫃(Biological Safety Cabinet)中進行,以防止藥物氣霧化或潑濺。在病房內直接處理會增加污染風險,危害醫療人員與病人的安全。

Chemotherapy agents are highly cytotoxic and pose risks of occupational exposure, including carcinogenic, mutagenic, and reproductive toxicity. According to OSHA and Oncology Nursing Society (ONS) standards, strict personal protective equipment (PPE) must be used when handling chemotherapy agents, including double-gloving and protective gowns with impermeable barriers. Drug preparation must take place inside a Biological Safety Cabinet to prevent aerosolization or spills. Handling these agents directly in the patient's room increases the risk of contamination and endangers the safety of both staff and clients.

✦ 台美臨床差異

在美國,化療藥物配製流程極為嚴格,通常由藥師在藥局的無菌配藥室(IV Room)完成。護理師僅負責給藥,且需穿戴專用PPE,台美臨床規範在職業安全保護原則上高度一致。

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