— 安全與感染控制 · HARD · MCQ —
移除個人防護裝備(PPE)時,哪種順序正確以確保安全?
When removing PPE, which order is correct to ensure safety?
- AGloves, goggles, gown, mask手套、護目鏡、隔離衣、口罩
- BMask, gloves, gown, goggles口罩、手套、隔離衣、護目鏡
- CGown, gloves, mask, goggles隔離衣、手套、口罩、護目鏡
- DGloves, gown, goggles, mask✓ 正解手套、隔離衣、護目鏡、口罩
— Explanation · 中文詳解 —
移除個人防護裝備(PPE)的順序旨在最大限度地減少護理師在脫除過程中接觸病原體的風險。原則是先移除最受污染的部位,並在過程中避免接觸面部。手套(Gloves)被視為最髒的部位,應最先處理;接著是隔離衣(Gown),因其表面接觸病人,最後才是保護呼吸道與眼部的口罩與護目鏡。遵循此順序可有效防止交叉污染。
The order for removing PPE is designed to minimize exposure during doffing. Gloves are considered most contaminated and are removed first, followed by the gown, then goggles, and finally the mask to maintain facial protection until last. This sequence follows CDC standards and prevents cross-contamination.
✦ 台美臨床差異
台灣醫院感染管制標準多依循 CDC 指引,但在部分臨床環境,脫除順序可能因當地政策(Policy)微調。NCLEX 考試必須嚴格遵守 CDC 的標準程序(Gloves -> Gown -> Goggles -> Mask)。