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安全與感染控制 · HARD · SATA

護理師照護一位接受放射性植入治療(近接治療)的病人。哪些安全措施是適當的?(選所有適合的)

A nurse is caring for a client with a radioactive implant (brachytherapy). Which safety precautions are appropriate? (Select all that apply.)

  • AWear a dosimeter film badge✓ 正解
    佩戴劑量計膠片徽章
  • BLimit visitors to 30 minutes per day✓ 正解
    將探視時間限制在每天30分鐘以內
  • CKeep the door to the client's room open
    保持病人房間的門敞開
  • DPlace a lead shield between the nurse and the client✓ 正解
    在護理師與病人之間放置鉛屏蔽
  • EAssign a private room✓ 正解
    安排單獨病房
Explanation · 中文詳解

放射性植入治療(Brachytherapy)屬於內部放射治療,護理師照護此類病人必須嚴格遵守「時間(Time)、距離(Distance)、遮蔽(Shielding)」三大輻射防護原則。為了保護護理師與訪客,必須限制暴露時間、保持安全距離,並在必要時使用鉛製屏風。此外,劑量計(Dosimeter)是監測個人輻射累積劑量的必備工具,而獨立病房則是防止輻射擴散至其他病人或員工的標準感染控制與安全措施。

Brachytherapy is a form of internal radiation therapy. Nurses caring for such clients must strictly adhere to the three principles of radiation protection: time, distance, and shielding. To protect nurses and visitors, exposure time must be limited, a safe distance must be maintained, and lead shielding must be used when necessary. In addition, a dosimeter is an essential tool for monitoring individual cumulative radiation exposure, and a private room is the standard infection control and safety measure to prevent the spread of radiation to other clients or staff.

✦ 台美臨床差異

美國醫院對於放射性物質的處理有嚴格的聯邦法規(NRC)規範,通常會有專門的輻射物理師(Radiation Physicist)指導,護理師若懷疑輻射外洩或植入物脫落,必須立即呼叫輻射安全官(RSO)。

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