護理師準備將一位疑似肺結核的病人送往放射科檢查,下列何者正確?
A nurse is preparing to transport a client with a suspected diagnosis of tuberculosis to the radiology department. Which action is appropriate?
- APlace a N95 respirator on the client為病人戴上 N95 呼吸器
- BEnsure the radiology suite is empty for 2 hours確保放射科診間空閒 2 小時
- CHave the client wear a surgical mask✓ 正解讓病人佩戴外科口罩
- DThe nurse wears a surgical mask during transport護理師在轉送過程中佩戴外科口罩
肺結核(TB)屬於空氣傳播(Airborne precautions)疾病,核心防護目標是攔截具傳染性的飛沫核。轉送過程中,為防止病人散播結核菌,要求病人佩戴外科口罩(Surgical mask)是標準防疫措施。此舉可阻擋病人呼出的飛沫,保護環境與他人。N95 口罩供醫護人員使用,病患因無法確保密合度且呼吸負荷過大,不建議使用。
Tuberculosis (TB) is transmitted via airborne precautions, and the core protective goal is to intercept infectious droplet nuclei. During transport, requiring the client to wear a surgical mask is the standard preventive measure to keep the client from disseminating Mycobacterium tuberculosis. This blocks droplets exhaled by the client, protecting the environment and others. N95 respirators are intended for healthcare personnel; they are not recommended for clients because fit cannot be ensured and the breathing resistance is excessive.
美國醫院對於轉送 TB 病人的流程極為嚴格,通常需確保該時段轉送路線較少人流,且病人佩戴口罩的規範在美國各醫院感染管制手冊(IC Policy)中屬於強制執行項目。