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降低風險 · MEDIUM · SATA

護理師準備為腹部傷口病人進行無菌換藥,下列哪些行為符合無菌技術?(選所有適合的)

A nurse is preparing to perform a sterile dressing change on a client with an abdominal incision. Which actions demonstrate proper sterile technique? (Select all that apply.)

  • AOpening the sterile package away from the body✓ 正解
    遠離身體開啟無菌包
  • BKeeping sterile items above the waist level✓ 正解
    將無菌物品保持在腰部以上
  • CTouching the inner edge of the sterile drape with gloved hands
    戴手套觸碰無菌單的內緣
  • DHolding the sterile tray near the edge of the table
    將無菌托盤靠近桌邊放置
  • EPouring solution into the container from a 6-inch height✓ 正解
    從6英吋高度將溶液倒入容器
Explanation · 中文詳解

無菌技術核心為維持無菌區域的邊界。包裝需背向身體打開避免污染,物品保持在腰部以上,溶液倒入時不可觸碰容器且維持高度以避免飛濺。邊緣 2.5 公分(1 英寸)內視為污染區域,觸摸該處則無菌手套已污染。托盤需置於桌子中央而非邊緣,防止誤觸。

The core of sterile technique is to maintain the boundaries of the sterile field. Packages should be opened away from the body to prevent contamination; items must remain above the waist; and when pouring solutions, the container must not be touched and must be held at a height that prevents splashing. The 2.5 cm (1 inch) edge of the field is considered contaminated; touching this area contaminates the sterile glove. The tray should be placed in the center of the table rather than at the edge to prevent accidental contact.

✦ 台美臨床差異

台美皆依循 CDC 無菌原則。美國護理教學強調這類技術的檢查清單(checklist),台灣則多仰賴臨床資深人員帶教。

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