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安全與感染控制 · EASY · MCQ

護理師準備對手術傷口進行無菌換藥。下列哪項措施能維持手術無菌技術?

A nurse is preparing to perform a sterile dressing change on a patient with a surgical incision. Which action by the nurse maintains surgical asepsis?

  • AKeep the sterile field above waist level✓ 正解
    保持無菌區域在腰部以上
  • BUse sterile gloves to open the sterile kit
    使用無菌手套開啟無菌包
  • CPlace sterile items 1 inch from the edge of the sterile field
    將無菌物品放置在無菌區域邊緣1英吋處
  • DOpen the outermost flap of the sterile kit toward the body
    朝向身體方向開啟無菌包的最外層蓋子
Explanation · 中文詳解

無菌技術(Surgical Asepsis)的執行是防止手術部位感染(SSI)的關鍵。無菌區的維持原則包括:無菌物品必須在腰部以上、無菌包裝邊緣 1 英吋(約 2.5 公分)視為污染區、不可背對無菌區、不可跨越無菌區,以及避免水分滲透無菌鋪單(Strike-through)。任何疑似被污染的區域都應視為不潔並立即更換。

Surgical asepsis is essential to preventing surgical site infection (SSI). Key principles for maintaining the sterile field include keeping sterile items above waist level, considering the 1-inch (about 2.5 cm) border of a sterile package as contaminated, never turning the back to the sterile field, never reaching across the field, and avoiding strike-through (moisture penetrating the sterile drape). Any area suspected of contamination should be treated as non-sterile and replaced immediately.

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