照護隔離病人後,脫除個人防護設備(PPE)的正確順序為何?
When preparing to remove personal protective equipment (PPE) after caring for a client on isolation, which order is correct?
- AGloves, gown, goggles, mask✓ 正解手套、隔離衣、護目鏡、口罩
- BGloves, goggles, gown, mask手套、護目鏡、隔離衣、口罩
- CMask, gloves, gown, goggles口罩、手套、隔離衣、護目鏡
- DGown, gloves, mask, goggles隔離衣、手套、口罩、護目鏡
脫除 PPE 的順序遵循 CDC 指引,核心目的是減少接觸受污染表面(尤其是手套外層)並防止病原體傳播至自身黏膜。正確順序為:手套 → 隔離衣 → 護目鏡/面罩 → 口罩。手套最髒,應優先脫除;隔離衣次之;護目鏡與口罩靠近面部,應最後處理。此流程強調『由髒到淨』的原則,以確保醫護人員在脫除過程中不會因碰觸外層而造成自我污染。
For a client experiencing mania, the priority nursing action is to reduce environmental stimuli to help stabilize their mood and prevent agitation. While administering medication is important, creating a low-stimulation environment is the immediate safety intervention, whereas encouraging activity or competition could exacerbate the manic episode.
台灣與美國在臨床感染管制守則上高度一致,皆嚴格遵循 CDC 的標準隔離防護建議。主要差異在於實務演練中,台灣醫院更強調『穿脫流程的稽核』,而美國 NCLEX 考試則更聚焦於這些步驟背後的『機轉與邏輯』,即如何保護自身黏膜不被污染。