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安全與感染控制 · MEDIUM · MCQ

護理師在為一位感染狀況不明的病人注射後,不慎扎傷自己。護理師的第一步行動應是什麼?

A nurse accidentally sticks themselves with a needle after administering an injection to a client with unknown blood-borne pathogen status. What is the nurse's first action?

  • AWash the area thoroughly with soap and water✓ 正解
    用肥皂和水徹底清洗該區域
  • BAsk the client to consent to blood testing
    請病人同意進行血液檢測
  • CComplete an incident report
    填寫事故報告
  • DReport to the occupational health department
    向職業健康部門報告
Explanation · 中文詳解

針扎事件(Needlestick injury)是醫療照護中的緊急安全事件。第一步行動必須是「物理清除」,即立即以肥皂與清水沖洗受傷部位,以機械方式降低病原體負載。隨後,護理師必須依照機構政策填寫異常報告(Incident report),並由職業健康部門評估是否需要進行暴露後預防(PEP),例如 B 型肝炎疫苗或 HIV 預防用藥。

A needlestick injury is an urgent occupational safety event. The first action must be physical removal: immediately rinse the injured area with soap and water to mechanically reduce the pathogen load. The nurse must then complete an incident report according to facility policy, and the occupational health department will evaluate the need for post-exposure prophylaxis (PEP), such as hepatitis B vaccine or HIV prophylactic medications.

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