在脫除個人防護裝備(PPE)時,護理師應先採取下列哪項步驟?
When removing personal protective equipment (PPE), which step should the nurse take first?
- APerform hand hygiene執行手部衛生
- BRemove the gloves✓ 正解脫除手套
- CRemove the mask脫除口罩
- DRemove the gown脫除隔離衣
脫除個人防護裝備(PPE)的標準順序旨在最大限度地減少醫護人員接觸受污染表面的風險。手套通常被視為最受污染的部分,因此必須優先處理。脫除順序依序為:手套、護目鏡或面罩、隔離衣、口罩。此順序的核心在於「由最髒到最乾淨」,確保在脫除過程中,手部不會因接觸受污染的外部表面而造成交叉感染。最後務必執行手部衛生以徹底清除可能殘留的病原體。
The CDC sequence for PPE removal minimizes contact with contaminated surfaces. Remove in order from most contaminated to least: gloves, goggles/face shield, gown, mask/respirator, followed by hand hygiene. Gloves are removed first because they have the most exposure to body fluids; the mask is removed last because the front is considered contaminated and removing it last reduces facial contamination risk.
美國醫院極度強調 CDC 規範的脫除順序(Doffing sequence),這在 NCLEX 考試中是必考題。台灣臨床雖然也遵循此原則,但部分單位在執行細節上可能因人力或資源限制,順序執行力不一,但在 NCLEX 考試中必須嚴格遵守 CDC 標準。