— 安全與感染控制 · HARD · MCQ —
一位病人因接觸未知粉末而疑似生物恐怖襲擊，護理師的首要行動是什麼？
A client presents with signs of potential bioterrorism exposure involving an unknown powder. What is the nurse's priority action?
- ANotify the hospital security and public health authorities通知醫院保全及公共衛生主管機關
- BIsolate the client in a negative pressure room將病人隔離於負壓病房
- CAdminister prophylactic antibiotics給予預防性抗生素
- DInitiate decontamination procedures✓ 正解執行去污程序
— Explanation · 中文詳解 —
生物恐怖襲擊疑似物出現時，首要任務是啟動「去污處理」（Decontamination）。在病人未經清洗移除體表污染物前，不可進入醫療院所內部，否則會導致院內全面污染，危害其他病人與工作人員。安全優先（Safety First）是核心考量。
When suspected agents of bioterrorism are involved, the priority is to initiate decontamination. The client must not enter the healthcare facility before external contaminants have been removed, or widespread in-hospital contamination will occur, endangering other patients and staff. 'Safety first' is the core consideration.
✦ 台美臨床差異
美國醫院針對大型災害有明確 Decon 流程；台灣大型醫院亦有災難醫療應變隊（DMAT），但臨床護理師較少接觸實際演練。