— 降低風險 · MEDIUM · SATA —
護理師正在照護一位使用連續式傷口引流裝置（Hemovac）的病人。應執行哪些措施？（選所有適合的）
A nurse is caring for a client with a continuous wound suction device (Hemovac). Which actions should the nurse take? (Select all that apply.)
- ACompress the device to establish negative pressure✓ 正解壓縮裝置以建立負壓。
- BEmpty the reservoir when it is half full當收集瓶半滿時排空。
- CClean the drainage port with an alcohol wipe after emptying✓ 正解排空後用酒精棉片清潔引流口。
- DKeep the drain below the level of the wound✓ 正解將引流管保持在傷口下方。
- ECheck the suction tubing for kinks or obstruction✓ 正解檢查吸引管路是否有折疊或阻塞。
— Explanation · 中文詳解 —
Hemovac 引流管依靠負壓工作。A 正確：必須壓扁維持負壓；C 正確：清潔接口避免污染；D 正確：利用重力協助；E 正確：確認管路通暢。B 錯誤：通常在引流液到達約 1/2 至 2/3 時清空，而非半滿即清，以減少開關頻率。
A Hemovac relies on negative pressure, so the nurse must compress the device to re-establish suction after emptying. The drainage port should be cleaned with an alcohol wipe to prevent contamination, and the drain must remain below the wound level to utilize gravity. Additionally, checking tubing for kinks ensures the system remains patent and functional.
✦ 台美臨床差異
台美皆重視引流管護理，美國護理師常依據 Protocol 獨立決定處理頻率，台灣則較常遵循醫師醫囑或固定班次處理。