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安全與感染控制 · MEDIUM · SATA

護理師下列哪些行為符合穿脫防護裝備(PPE)的正確規範?(選所有適合的)

Which of the following actions by a nurse demonstrates the correct use of personal protective equipment (PPE)? (Select all that apply.)

  • APerforming hand hygiene before and after removing gloves✓ 正解
    在脫除手套前後執行手部衛生
  • BRemoving the gown before removing the mask✓ 正解
    在脫除口罩前先脫除隔離衣
  • CTouching the outside of the gown during removal to ensure a tight fold
    脫除時觸碰隔離衣外側以確保緊密摺疊
  • DRemoving the face shield before the gloves
    在脫除手套前先脫除面罩
  • EDonning the mask before the gown
    在穿隔離衣前先戴上口罩
Explanation · 中文詳解

PPE 正確使用:A. 脫手套前後執行手部衛生(手套外層污染、脫除可能讓手沾染);B. 脫除順序為手套→護目鏡→隔離衣→口罩,故脫隔離衣應在脫口罩之前。錯誤:C. 脫隔離衣時應觸碰內層而非外層(外層為污染面);D. 手套應最先脫除而非最後;E. 穿戴順序為 Gown→Mask→Goggles→Gloves,先戴口罩再穿隔離衣的方向相反。

Correct PPE use: A. Perform hand hygiene before and after removing gloves (because the outer surface of the gloves is contaminated and removal may soil the hands); B. The order of removal is gloves -> goggles -> gown -> mask, so the gown is removed before the mask. Incorrect items: C. When removing the gown, the inner surface should be touched rather than the outer surface (the outer surface is the contaminated side); D. Gloves should be removed first rather than last; E. The order of donning is gown -> mask -> goggles -> gloves, so putting on the mask first and then the gown is in the reverse direction.

✦ 台美臨床差異

美國醫院對於 PPE 脫除順序極為嚴格,通常在單位牆上有標準流程圖(CDC 指引)。台灣臨床實務雖大同小異,但美國更強調脫除後的「手部衛生(Hand hygiene)」絕對不可省略,即便穿戴手套時也不能忽略。

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