— 安全與感染控制 · MEDIUM · SATA —
下列哪幾項護理措施展現了醫用無菌技術的原則?(選所有適合的)
Which of the following nursing interventions demonstrate the principles of medical asepsis? (Select all that apply.)
- AKeeping the soiled linen away from the nurse's uniform✓ 正解將受污染的寢具遠離護理師制服
- BCleansing the skin from the cleanest area to the dirtiest area✓ 正解由最清潔區域向最髒污區域清潔皮膚
- CPlacing a contaminated dressing directly on the overbed table將受污染的敷料直接放置在病床桌上
- DPerforming hand hygiene before and after patient care✓ 正解在病人照護前後執行手部衛生
- EHolding the sterile bottle cap with the inside facing upward將無菌瓶蓋內面朝上放置
— Explanation · 中文詳解 —
醫用無菌(Clean Technique)旨在減少微生物傳播。A 避免污染制服,B 遵循由淨到髒的擦拭原則(如清理傷口),D 為基本衛生要求。C 錯誤,污染敷料應直接丟棄垃圾桶。E 為手術無菌技術(Surgical Asepsis)而非醫用無菌範圍,雖也是原則,但在本題語境中,醫用無菌更側重於清潔習慣。
Medical asepsis (clean technique) aims to reduce microbial transmission. A avoids contaminating the uniform; B follows the clean-to-dirty principle (e.g., wound care); D is a basic hygiene requirement. C is incorrect because contaminated dressings should go directly into the trash. E pertains to surgical asepsis rather than medical asepsis; while still a principle, in this context medical asepsis focuses on clean habits.
✦ 台美臨床差異
台美皆嚴格執行環境清潔,台灣護理師在處理廢棄物(垃圾桶)的細分上非常嚴格。