— 安全與感染控制 · MEDIUM · SATA —
在更換敷料過程中，護理師採取下列哪些行動符合無菌技術原則？（選所有適合的）
Which of the following actions by the nurse correctly follows the principles of sterile technique during a dressing change? (Select all that apply.)
- AOpening the sterile drape by touching only the outer one-inch border✓ 正解僅觸碰無菌單的外側一英吋邊緣進行打開
- BPlacing the sterile package below waist level for convenience為方便起見，將無菌包裝放置於腰部以下
- CHolding sterile items at least 6 inches above the sterile field將無菌物品保持在無菌區域上方至少 6 英吋處
- DTouching the inner surface of the sterile glove with the other glove✓ 正解用另一隻無菌手套觸碰已戴好的無菌手套內面
- EKeeping the sterile field within the line of sight at all times✓ 正解使無菌區域始終保持在視線範圍內
— Explanation · 中文詳解 —
無菌操作的核心在於維持無菌區（Sterile Field）的完整性。外側一英吋被視為已污染區，故可觸摸。無菌區必須在視線範圍內，且不可低於腰部（B錯誤），不可跨越無菌區，無菌物品掉落後應視為污染，而非以高度判定（C錯誤）。
The core principle of sterile technique is maintaining the integrity of the sterile field. The outer one-inch border is considered contaminated and may be touched. The sterile field must remain within line of sight and cannot be placed below the waist (B is incorrect), and one cannot reach across the sterile field. A dropped sterile item is considered contaminated regardless of height (C is incorrect).
✦ 台美臨床差異
台灣醫院評鑑對無菌技術稽核非常嚴格，與美國同樣重視無菌區的建立與維護。