護理師正在為需要隔離防護的病人規劃照護計畫,應包含哪些措施?(選所有適合的)
A nurse is planning care for a client requiring isolation precautions. Which actions should the nurse include? (Select all that apply.)
- APlace the client in a private room or with a cohort client✓ 正解將病人安置於單獨病房或與其他同病原體病人同住
- BEnsure appropriate personal protective equipment (PPE) is available outside the room✓ 正解確保房間外備有適當的個人防護裝備 (PPE)
- CInform the client and family about the reason for isolation✓ 正解向病人及家屬說明隔離原因
- DLimit the number of visitors to only those necessary✓ 正解僅允許必要之訪客探視
- ERestrict all nursing staff from entering the room except for the primary nurse除主要護理師外,限制所有護理人員進入病房
傳染病隔離防護重點包含:安置(單人房或同病原體者同住)、環境準備(備妥 PPE)、溝通(說明隔離目的以降低焦慮)、控管動態(限制訪客)。選項 E 不正確,醫療照護需團隊配合,無法僅由單一護理師完成所有專業需求,且限制非必要。
Key points of isolation precautions for infectious diseases include: placement (private room or cohorting patients with the same pathogen), environmental preparation (having PPE readily available), communication (explaining the purpose of isolation to reduce anxiety), and traffic control (limiting visitors). Option E is incorrect: medical care requires teamwork, and a single nurse cannot meet all the professional needs alone, and such a restriction is unnecessary.
美國醫院針對隔離防護有非常嚴格的稽核標準;台灣在 COVID-19 疫情後,對於隔離措施的執行力與認知度已顯著提升。