護理師準備照護需要空氣隔離的病人,應穿戴什麼?
A nurse is preparing to care for a client requiring airborne precautions. What should the nurse wear?
- AA surgical mask外科口罩
- BA N95 respirator✓ 正解N95 呼吸防護器
- CA face shield only僅戴面罩
- DNo respiratory protection is needed無需呼吸防護
空氣隔離(Airborne Precautions)適用於病原體能經由空氣傳播的疾病,如肺結核(TB)、水痘或麻疹。這些病原體懸浮在小於 5 微米的微粒中,一般的醫用口罩無法過濾。N95 呼吸防護器(Respirator)必須經過適合度測試(Fit Test)以確保密封性,能有效阻隔微小病原體。臨床照護時,除穿戴防護裝備外,病人應安置於負壓隔離病房(Negative Pressure Room)以維持空氣流向。
Airborne precautions are required for diseases such as tuberculosis, varicella, and measles. Pathogens are suspended in particles smaller than 5 microns, which surgical masks cannot filter. An N95 respirator that has been fit-tested provides effective protection. The client should also be placed in a negative pressure isolation room to control airflow.
在美國,N95 必須每年進行 Fit Test 以確保密合度;台灣醫院雖亦有規定,但美國 OSHA 對於呼吸器保護計畫(Respiratory Protection Program)的要求極為嚴格且具法律強制性。