— 照護管理 · MEDIUM · MCQ —
護理師督導新進護理師進行無菌技術操作，觀察到下列哪種行為需要立即介入？
A nurse is supervising a newly licensed nurse who is preparing to perform a sterile procedure. Which observation requires the nurse to intervene?
- AThe nurse reaches over the sterile field to adjust equipment✓ 正解護理師跨越無菌區調整設備
- BThe nurse keeps their hands above their waist level護理師將雙手保持在腰部以上高度
- CThe nurse opens the sterile drape away from themselves first護理師先將無菌單向遠離自己的方向打開
- DThe nurse adds a sterile item to the field by dropping it護理師以掉落方式將無菌物品放置於無菌區上
— Explanation · 中文詳解 —
無菌技術（Sterile Technique）的核心在於維持無菌區域（Sterile Field）的完整性。任何跨越無菌區的動作，都可能因衣物纖維或皮膚微粒落下造成污染，違反無菌原則。護理師在督導過程中，若見到此類違規行為，必須立即介入以保障病人安全，避免術後感染（Surgical Site Infection, SSI）風險。
Reaching over a sterile field contaminates the area by allowing particles from non-sterile clothing or skin to fall onto it. Maintaining sterility requires keeping hands above the waist and opening drapes away from the body without crossing the sterile zone.
✦ 台美臨床差異
台美臨床對於無菌技術的重視程度皆極高。美國醫院普遍嚴格執行「Non-touch technique」，且對於護理師主動干預他人的無菌違規行為（Stop the line）有強烈的專業文化要求，即使對方是資深人員也不例外。