— 安全與感染控制 · MEDIUM · SATA —
下列護理師的哪幾項行為需要護理長立即介入?(選所有適合的)
Which of the following activities by a staff nurse requires immediate intervention by the charge nurse? (Select all that apply.)
- ARecapping a used needle before discarding it into the sharps container✓ 正解在將使用過的針頭丟入銳器盒之前重新蓋上針帽
- BWearing clean gloves while performing a sterile dressing change✓ 正解執行無菌敷料更換時佩戴清潔手套
- CPlacing a specimen label on a tube before collecting the blood sample在採集血液樣本之前將標本標籤貼在試管上
- DRemoving personal protective equipment before leaving an isolation room在離開隔離室之前脫除個人防護裝備
- ECarrying soiled linens close to the uniform for disposal✓ 正解將髒污床單緊貼制服攜帶以進行丟棄
— Explanation · 中文詳解 —
護理長介入的原則為病患安全(Patient safety)與感染控制(Infection control)。回套針頭極易導致針扎(Needlestick injury),違反標準防護措施;無菌處置需嚴格執行無菌技術(Aseptic technique),戴清潔手套會污染傷口;攜帶髒污被單過於靠近身體會造成交叉感染。這些皆屬於危險行為,需立即制止。
The principles guiding intervention by the charge nurse are patient safety and infection control. Recapping needles greatly increases the risk of needlestick injuries and violates standard precautions; sterile procedures require strict aseptic technique, so wearing clean gloves would contaminate the wound; carrying soiled linens close to the body risks cross-contamination. All of these are dangerous practices and must be stopped immediately.