護理師照顧 MDRO 病人，何者是維持感染控制的必要行動？
A nurse is caring for a client with a multi-drug resistant organism (MDRO). Which action is necessary to maintain infection control?
- AKeep the door to the client's room wide open at all times隨時將病人房門保持敞開
- BWear a surgical mask when entering the room進入病房時佩戴外科口罩
- CUse only paper dishes for all meals所有餐點僅使用紙製餐具
- DPractice contact precautions as defined by the facility✓ 正解遵循機構定義的接觸隔離措施
針對多重抗藥性菌株（MDRO，如 MRSA、VRE）的病人，根據疾病管制與預防中心（CDC）的標準隔離規範，必須採取接觸隔離（Contact Precautions）。其目的在於阻斷經由直接或間接接觸傳播的途徑。接觸隔離的核心包含：穿戴隔離衣（Gown）與手套（Gloves），以及落實執行手部衛生（Hand Hygiene）。
For patients infected with multidrug-resistant organisms (MDROs such as MRSA and VRE), the Centers for Disease Control and Prevention (CDC) standard requires contact precautions. The purpose is to interrupt direct and indirect contact transmission. The core elements of contact precautions include wearing a gown and gloves and performing thorough hand hygiene.
台美隔離標準皆遵循 CDC 指引（Isolation Precautions）。差異在於美國醫院對於 PPE 的供應與穿脫流程（Donning/Doffing）有更嚴格的年度考核，且對 MDRO 的篩檢流程可能因各州法規與醫院政策而略有不同。