— 安全與感染控制 · EASY · MCQ —
護理師執行完肌肉注射後正在處理使用過的針頭。哪項動作是正確的？
A nurse is disposing of a used needle after administering an intramuscular injection. Which action is correct?
- ARecap the needle using a two-handed technique使用雙手技術重新回套針頭
- BBreak the needle before disposal to prevent reuse丟棄前折斷針頭以防止重複使用
- CPlace the needle and syringe in a puncture-resistant container✓ 正解將針頭和注射器放入防穿刺容器
- DDispose of the needle in the regular trash can將針頭丟入一般垃圾桶
— Explanation · 中文詳解 —
針扎預防是護理安全的核心。使用過的針頭絕對不可重新回套（Recap），除非使用單手套管法（Scoop technique）且在極少數必要情況下。標準做法是立即將未回套的針頭連同針筒丟入防穿刺的尖銳物收集箱中。不可折彎、折斷或自行移除針頭，以防針扎。
Preventing needlestick injuries is central to nursing safety. Used needles should never be recapped, except by a single-handed scoop technique in the rare circumstances where it is required. Standard practice is to place the uncapped needle and syringe immediately into a puncture-resistant sharps container. Needles must not be bent, broken, or removed by hand because doing so increases the risk of injury.
✦ 台美臨床差異
美國 OSHA 規定極嚴，必須使用具安全保護裝置 (Safety devices) 的針頭；台灣雖也普及安全針頭，但在某些基層醫療單位仍見非安全型針具。