為防止自我污染,穿脫個人防護裝備(PPE)的正確順序為何?
Which of the following PPE removal sequences is correct to prevent self-contamination?
- AGoggles, mask, gown, gloves護目鏡、口罩、隔離衣、手套
- BGloves, gown, goggles, mask✓ 正解手套、隔離衣、護目鏡、口罩
- CGown, gloves, mask, goggles隔離衣、手套、口罩、護目鏡
- DMask, gloves, gown, goggles口罩、手套、隔離衣、護目鏡
穿脫個人防護裝備(PPE)的順序是感染控制的基礎。脫除順序的核心原則是「由最髒到最乾淨」,目的是避免污染物接觸到護理師的皮膚或黏膜。手套(Gloves)是接觸病人體液最頻繁的部分,污染風險最高,故應優先脫除;接著脫除隔離衣(Gown),最後脫除面部保護裝備(護目鏡與口罩),以確保呼吸道與眼部在整個脫除過程中受到保護。
The sequence for donning and removing personal protective equipment (PPE) is a fundamental infection-control principle. The core principle for removal is to proceed from the most contaminated item to the least contaminated, preventing contaminants from contacting the nurse's skin or mucous membranes. Gloves contact body fluids most often and pose the highest contamination risk, so they are removed first; the gown is removed next; and the facial protection (goggles and mask) is removed last so that the respiratory tract and eyes remain protected throughout the process.
美國醫院在脫除 PPE 時,非常強調「手部衛生(Hand Hygiene)」的時機,特別是脫下手套後必須立即執行手部清潔,才可進行下一步。台灣臨床部分單位較易忽略脫除過程中的多次手部衛生。