護理師照顧一位因 MRSA 需接觸隔離的病人。離開房間時必須採取哪項行動？
A nurse is caring for a client on contact precautions for MRSA. Which action must the nurse take when leaving the room?
- ARemove gown and gloves inside out, perform hand hygiene, then exit✓ 正解將防護衣和手套由內向外脫下，執行手部衛生，然後離開
- BPerform hand hygiene inside the room before removing personal protective equipment在脫除個人防護裝備前在房間內執行手部衛生
- CRemove the gown first, then perform hand hygiene先脫下防護衣，然後執行手部衛生
- DRemove gloves, perform hand hygiene, then remove the gown先脫下手套，執行手部衛生，然後脫下防護衣
個人防護裝備（PPE）的脫除順序是感染控制的核心考題。脫除原則為「最髒的先脫」，並在過程中儘量減少自身與污染表面的接觸。接觸隔離（Contact Precautions）病人的防護衣與手套均視為高度污染，應同時脫除以避免交叉污染，最後進行手部衛生以切斷傳播途徑。正確順序應先將手套與防護衣一併從內向外翻轉脫除，以包覆污染面，確保離開房間前已完成去污。
When removing personal protective equipment (PPE) under contact precautions, the nurse should remove the gown and gloves together, turning them inside out to contain contaminants. Proper hand hygiene must be performed immediately after removing all PPE to prevent cross-contamination. This sequence ensures that the most contaminated items are handled safely before exiting the room.
美國醫院（如 CDC 指引）對於 PPE 脫除順序有嚴格標準化流程（Protocol），且醫院會針對不同隔離層級進行年度考核（Competency Check），護理師務必熟記該機構的具體脫除動線。