護理師照護一位抗萬古黴素腸球菌 (VRE) 病人。哪些設備應專用於此病房?(選所有適合的)
A nurse is caring for a client with Vancomycin-resistant enterococci (VRE). Which equipment should be dedicated to this client's room? (Select all that apply.)
- AStethoscope✓ 正解聽診器
- BBlood pressure cuff✓ 正解血壓計袖帶
- CThermometer✓ 正解體溫計
- DIncentive spirometer✓ 正解誘發性肺量計
- EFlashlight (Penlight)✓ 正解手電筒(瞳孔筆燈)
抗萬古黴素腸球菌 (VRE) 是一種高度抗藥性的細菌,極易透過環境媒介傳播。對於需要接觸隔離的病人,最有效的感染管制策略是使用「專人專用設備 (Dedicated Equipment)」。正確答案 A、B、C、D、E 涵蓋了所有可能進入病房並接觸病人的器材。臨床思路上,如果設備必須共用(如昂貴的超音波機),則必須在移出病房前使用藥管局核可的消毒劑進行徹底清潔。
To prevent the transmission of Vancomycin-resistant enterococci (VRE), all patient-care equipment that enters the room or contacts the client should be dedicated to that specific client. This includes items such as the stethoscope, blood pressure cuff, thermometer, incentive spirometer, and flashlight, which can serve as fomites for cross-contamination.
美國醫院通常會為隔離病房配備拋棄式 (Disposable) 的血壓計壓脈帶和聽診器。台灣臨床雖然也強調隔離,但有時會因為成本考量而重複使用酒精擦拭共用設備。NCLEX 考試時應選擇「專人專用」的最安全選項。