— 安全與感染控制 · HARD · MCQ —
照護中性白血球減少症（Neutropenia）病人，下列哪項護理人員配置不妥？
A nurse is caring for a client with neutropenia. Which staff assignments are inappropriate?
- AAssigning a nurse who is caring for a client with a wound infection✓ 正解指派一位正在照顧傷口感染病人的護理師
- BEnsuring the nurse uses protective attire as needed確保護理師在必要時使用防護裝備
- CLimiting the number of healthcare personnel entering the room限制進入房間的醫療人員數量
- DAssigning a nurse who is healthy and has no recent sick contact指派一位健康且近期無病患接觸史的護理師
— Explanation · 中文詳解 —
中性白血球低下病人的防護重點在於阻絕外源性病原體。護理師若同時照護有傳染性傷口感染的病人，即便遵循感控措施，仍存在交叉污染的風險（如衣物帶菌）。因此，應儘量指派未接觸感染病患的護理師負責，以確保最高安全等級。
The priority in caring for neutropenic clients is to prevent exposure to exogenous pathogens. If a nurse is simultaneously caring for a client with an infectious wound, even with strict infection control measures, there is still a risk of cross-contamination (such as from contaminated clothing). Therefore, a nurse who has not been caring for infected clients should be assigned whenever possible to ensure the highest level of safety.
✦ 台美臨床差異
美台對癌症隔離病房的人力排班邏輯一致，台灣大型醫院亦強調「潔淨區」排班管理。