— 照護管理 · HARD · MCQ —
護理長目擊一位資深護理師使用違反無菌技術原則的捷徑。最妥當的初步行動為何？
A charge nurse witnesses an older nurse using a shortcut that violates a sterile technique protocol. What is the best initial action?
- AReport the nurse to the board of nursing immediately立即向護理委員會報告該護理師
- BIgnore it if the client does not develop an infection若病人未發生感染則不予理會
- CWait until the procedure is finished and discuss it privately等待程序結束後私下討論
- DIntervene immediately to prevent infection✓ 正解立即介入以預防感染
— Explanation · 中文詳解 —
當目擊違規行為可能直接威脅病人安全時，護理師的專業義務是「立即介入（Immediate Intervention）」。NCLEX 考題中，保護病人免受醫源性傷害（Iatrogenic harm）的優先級高於維護同事間的關係。無菌技術一旦遭到破壞，感染風險隨即產生，等待程序結束才處理將錯失預防感染的關鍵時機。
When witnessing a violation that may directly threaten patient safety, the nurse's professional duty is to intervene immediately. On the NCLEX, protecting patients from iatrogenic harm is prioritized over preserving collegial relationships. Once sterile technique is broken, infection risk arises immediately, and waiting until the procedure is over will miss the critical window for infection prevention.