— 基本照護與舒適 · MEDIUM · MCQ —
護理師為帶有引流管的傷口進行換藥，下列何項步驟正確？
Which action is correct when cleaning a client's wound with a drain?
- AClean from the outside in towards the wound由外向內朝傷口方向清潔
- BClean the drain site last最後清潔引流管出口處
- CClean from the wound outward in a circular motion✓ 正解以圓形動作由傷口向外清潔
- DUse the same swab for the entire wound and drain使用同一支棉棒清潔整個傷口和引流管
— Explanation · 中文詳解 —
傷口照護原則為「由乾淨處往骯髒處」。傷口本身較乾淨，引流口（Drain site）因為含有引流液，屬於相對較髒區域。因此需由傷口中心向外清理，最後再清理引流管部位，以避免將細菌帶入傷口。每個區域必須使用新的消毒棉棒，不可交叉污染。
Wound care follows the principle of cleaning from the cleanest area to the dirtiest area. The wound itself is comparatively clean, whereas the drain site, which contains drainage fluid, is relatively contaminated. Therefore the nurse cleans outward from the center of the wound and cleans the drain site last to avoid introducing bacteria into the wound. A new sterile swab must be used for each area to prevent cross-contamination.
✦ 台美臨床差異
美台在換藥程序上邏輯一致，強調無菌技術（Aseptic technique）。