— 照護管理 · MEDIUM · MCQ —
護理師照顧疑似傳染病病人時，哪項預防傳播的措施最為關鍵？
A nurse is managing a client with a suspected infectious disease. Which action is the most critical to prevent transmission?
- ALimiting visitors to one per day限制每日訪客人數
- BUsing sterile gloves for all patient interactions在所有病人互動中使用無菌手套
- CPlacing the client in a negative pressure room將客戶安置於負壓病房
- DStrict adherence to hand hygiene protocols✓ 正解嚴格遵守手部衛生協議
— Explanation · 中文詳解 —
手部衛生是預防醫源性感染最簡單且最有效的手段。儘管隔離措施很重要，但所有標準防護措施的核心皆以洗手為基礎。無菌手套僅適用於無菌技術操作，非接觸病人的常規手段；負壓病房僅針對空氣傳播疾病，非普適性措施。
Hand hygiene is the simplest and most effective measure for preventing healthcare-associated infections. While isolation measures are important, all standard precautions are built on a foundation of hand washing. Sterile gloves are reserved for aseptic procedures and are not a routine measure for client contact; negative pressure rooms are intended only for airborne diseases and are not a universal measure.
✦ 台美臨床差異
台美醫院均高度強調手部衛生指標（Hand Hygiene Compliance），但美國醫院更注重透過電子監測與即時回饋強化遵循率。