護理師正在評估一名為控制嚴重 MRSA 感染而採取嚴格接觸隔離的病患。送餐員工的哪項動作需要護理師立即介入？
A nurse evaluates a client taking strict contact precautions to contain a serious MRSA infection. Which action by the dietary staff member requires immediate intervention by the nurse?
- AThe dietary worker utilizes an external communication intercom to ask the client their order.餐飲人員使用外部通訊對講機詢問病人的點餐內容。
- BThe dietary worker applies gloves and a gown before entering the physical client room.餐飲人員進入實體病房前戴上手套和隔離衣。
- CThe dietary worker drops off the meal tray on a cart outside the closed isolation room door.餐飲人員將餐盤放在關閉的隔離室門外的推车上。
- DThe dietary worker carries the reusable dirty lunch tray out of the room to normal washing.✓ 正解餐飲人員將重複使用的髒午餐盤帶出房間進行一般清洗。
本題測驗接觸傳染 (Contact precautions) 與物體表面傳染的控制。超級細菌 MRSA 會附著在所有的環境表面上。根據標準感控流程，接觸隔離房內『所有用過的餐具與物品，除非使用一次性拋棄式餐具，否則不得任意帶出與常規物品混洗』。這個員工將污染的餐盤直接拿出房間並送往一般清洗區，會引發全院超級細菌交叉感染。選項 D 必須立刻被護士攔下。選項 C、B、A 的行為都是完全合乎感控安全規範的做法。
This item tests contact precautions and the control of fomite transmission. The superbug MRSA can adhere to all environmental surfaces. According to standard infection-control procedures, 'all dishes and items used inside a contact-precautions room may not be brought out and mixed with regular items for washing unless disposable, single-use utensils are used.' This staff member carries the contaminated tray directly out of the room to the general washing area, which will trigger hospital-wide cross-infection with the resistant organism. Option D must be intercepted immediately by the nurse. The behaviors in options C, B, and A fully comply with infection-control safety standards.
接觸型隔離的餐具處理。MRSA 或 C. diff 病患要求使用 disposable utensils (拋棄式餐具) 或特殊的感控回收流程。