— 安全與感染控制 · MEDIUM · MCQ —
進行傷口換藥時，護理師採取下列何種行動展現了對內科無菌技術的遵守？
Which action by the nurse demonstrates adherence to medical asepsis when performing a wound dressing change?
- AApplying an alcohol-based hand rub before putting on sterile gloves戴上無菌手套前使用含酒精的搓手液
- BUsing a new pair of clean gloves for each client✓ 正解為每位病人使用一雙新的清潔手套
- CHolding the sterile dressing above the waist level將無菌敷料保持在腰部以上高度
- DCleaning the wound from the outer edges toward the center由外緣向中心清潔傷口
— Explanation · 中文詳解 —
內科無菌技術（Medical Asepsis）的核心是降低病原體傳播。為每位病人更換乾淨手套是標準預防措施（Standard Precautions）。選項 D 違反由乾淨往髒處清潔的原則；C 是外科無菌概念，非內科核心；A 雖正確，但手套並非換藥唯一重點，換手套才是防止交叉感染的核心。
The core of medical asepsis is reducing pathogen transmission. Using a new pair of clean gloves for each client is a standard precaution. Option D violates the principle of cleaning from clean to dirty; option C reflects a surgical asepsis concept rather than a medical asepsis core; option A is correct hand hygiene practice, but glove use is not the only point in dressing changes, and changing gloves is the central action for preventing cross-contamination.
✦ 台美臨床差異
台美皆強調手部衛生，美國對於 PPE 使用時機有更嚴格的院內管控稽核。