護理師準備進行無菌換藥,哪項行為需要被糾正?
A nurse is preparing to perform a sterile dressing change. Which action by the nurse would require intervention?
- AHolding sterile forceps with the tip pointing downward手持無菌鑷子時尖端朝下
- BOpening the outermost flap of the sterile kit away from the body將無菌包最外層摺片向外翻開
- CAdding a sterile item to the field by dropping it from 6 inches above從高於無菌區 6 英吋處丟棄無菌物品
- DTouching the edge of the sterile drape with a gloved hand✓ 正解戴手套的手觸碰無菌鋪單邊緣
無菌技術(Sterile technique)的核心在於維持無菌區域的絕對無菌狀態。無菌舖單(Sterile drape)或無菌包裝的邊緣一英吋(約 2.5 公分)被視為「邊界區」,因其可能接觸非無菌表面,故被認定為已污染。觸碰此區域會導致無菌屏障失效,增加病人感染風險。護理師應嚴格控制操作範圍,只觸碰無菌區中心,以確保無菌技術的完整性。
The core of sterile technique is maintaining the absolute sterility of the sterile field. The 1-inch (approximately 2.5 cm) border of a sterile drape or sterile package is considered a "boundary zone"; because it may have come into contact with non-sterile surfaces it is regarded as contaminated. Touching this area breaks the sterile barrier and increases the patient's risk of infection. The nurse should strictly limit the working area and touch only the central sterile area to maintain the integrity of sterile technique.