— 照護管理 · HARD · MCQ —
護理長觀察到一位護理師在換藥時未遵守無菌技術。優先採取哪項措施？
A charge nurse observes a staff nurse failing to follow sterile technique during a dressing change. What is the priority action?
- AReport the nurse to the nursing board for negligence向護理委員會報告該護理師疏忽職守
- BImmediately stop the nurse and intervene in the procedure✓ 正解立即制止該護理師並介入該程序
- CDocument the incident in the client's medical record將事件記錄於病人病歷中
- DWait until the dressing is finished and provide feedback等待換藥完成後再提供回饋
— Explanation · 中文詳解 —
病人的安全是首要考量（Client Safety First）。當無菌技術遭受破壞時，感染風險立即產生，護理長必須立即干預以阻止潛在危害，而非等待流程結束才糾正。事後的教育與行政報告是後續處理程序，非優先順序。
Client safety is the primary consideration (client safety first). When sterile technique is broken, the risk of infection is immediate, and the charge nurse must intervene immediately to stop the potential harm rather than wait until the procedure is complete to correct the action. Subsequent education and administrative reporting are follow-up steps and are not the priority.
✦ 台美臨床差異
美國職場強調「安全文化」，鼓勵即時干預與正向回饋；台灣職場文化較為含蓄，有時會因人情壓力而延後糾正。