— 照護管理 · MEDIUM · MCQ —
護理長觀察新進護理師進行傷口護理，哪項操作顯示需要立即介入？
A charge nurse is observing a newly licensed nurse perform wound care. Which action by the new nurse indicates a need for intervention?
- ADisposing of soiled dressings in the biohazard bag將髒污敷料丟入生物危害袋
- BCleaning the wound from the center outward由中心向外清潔傷口
- CChecking the client's allergies before applying topical ointment塗抹局部藥膏前檢查病人過敏史
- DUsing sterile gloves for a clean dressing change✓ 正解使用無菌手套進行清潔傷口換藥
— Explanation · 中文詳解 —
傷口更換敷料時，是否使用無菌手套取決於傷口性質與機構政策。一般清潔傷口更換敷料通常採用「乾淨技術（Clean Technique）」，即使用無菌棉棒或紗布，但手套不一定需為無菌。新進人員使用無菌手套雖未對傷口造成直接危害，但顯示其對無菌技術的適用情境認知不足，浪費醫療資源。護理長應在臨床指導中澄清無菌手套的適用場域，確保資源運用得宜。
Using sterile gloves for a routine clean dressing change indicates a misunderstanding of aseptic technique, as clean technique is typically sufficient for non-infected wounds. This unnecessary use of sterile supplies reflects poor resource management and a lack of clarity regarding when sterile vs. clean techniques are indicated.