護理長觀察照護員(UAP)執行任務。若發現 UAP 無菌敷料更換方式錯誤,護理師應採取什麼行動?
An charge nurse observes an unlicensed assistive personnel (UAP) performing a task. Which action should the nurse take if the UAP is incorrectly applying a sterile dressing?
- AReport the UAP to the nursing board向護理委員會通報該未註冊護理人員
- BWait until the procedure is finished to give feedback待程序結束後再提供回饋
- CIntervene immediately and explain the correct technique✓ 正解立即介入並說明正確技術
- DPerform the dressing change themselves to save time自行更換敷料以節省時間
無菌技術(Aseptic technique)是防止病人發生醫療照護相關感染(HAI)的核心防線。護理師肩負監督責任(Delegation and Supervision),當發現輔助人員(UAP)操作錯誤時,必須立即介入以中斷錯誤行為,防止病人的傷口暴露於污染風險。NCLEX 考題非常重視「病人安全」(Patient Safety)與「立即矯正」。等待程序結束才回饋(選項B)會導致病人已處於被污染的狀態,這違反了護理師預防傷害的職責。
Aseptic technique is the core defense against healthcare-associated infections (HAIs). The charge nurse has a duty to supervise delegated tasks. When a UAP performs sterile dressing change incorrectly, the nurse must intervene immediately to stop the contaminated practice and protect the patient. NCLEX prioritizes patient safety and immediate correction. Waiting until the procedure ends (B) allows continued contamination. Reporting to the nursing board (A) and performing the task herself (D) are not the first appropriate steps.
在美國,護理師對 UAP 的督導責任極重,必須確保委派任務的執行符合醫院政策(Policy)。若發生重大錯誤,通常需填寫事故報告(Incident report/Occurrence report),而非直接訴諸外部機構。