— 照護管理 · HARD · MCQ —
下列哪項員工護理師的行為需要護理長立即介入？
Which of the following actions by a staff nurse requires immediate intervention by the charge nurse?
- ADocumenting a patient's vital signs 30 minutes after taking them在測量生命徵號後 30 分鐘記錄病人數據
- BAsking for clarification on a physician's illegible order向醫師確認字跡不清的醫囑
- CUsing two patient identifiers before administering blood products在輸注血液製品前使用兩項病人識別資料
- DRecapping a contaminated needle after drawing blood✓ 正解抽血後重新套上受污染的針頭護套
— Explanation · 中文詳解 —
回套針頭（Recapping a needle）會大幅增加針扎感染風險，這違反了標準防護措施與 OSHA 安全規範。此行為直接危害護理師本人與機構安全，需要立即糾正。其他選項如補登生命徵象、確認身分與釐清醫囑，皆為正確且符合護理常規的專業行為。
Recapping a needle greatly increases the risk of needlestick infection and violates standard precautions and OSHA safety regulations. This behavior directly endangers the nurse and the institution's safety and requires immediate correction. The other options, including late documentation of vital signs, use of two patient identifiers, and clarifying an order, are all correct and consistent with professional nursing practice.
✦ 台美臨床差異
美國對於針扎防範有嚴格法規（Needlestick Safety and Prevention Act），台灣醫院評鑑亦嚴格執行防針扎計畫。