— 照護管理 · EASY · MCQ —
護理師正在為病人執行無菌換藥，不慎將無菌包掉落。護理師應採取什麼行動？
A nurse is caring for a client who requires a sterile dressing change. The nurse accidentally drops a sterile package. What should the nurse do?
- AClean the dropped package and use it quickly清潔掉落的包裝並盡快使用
- BAsk the patient if they noticed the package falling詢問病人是否注意到包裝掉落
- CCheck if the package seal was intact before it fell檢查包裝在掉落前密封是否完好
- DOpen a new sterile package and continue with the procedure✓ 正解開啟新的無菌包裝並繼續進行程序
— Explanation · 中文詳解 —
無菌原則的核心是「一旦懷疑無菌狀態受損，即視為已污染」。無菌包掉落於地面，無菌狀態已破壞，即使包裝外觀看似完好也無法確保無菌。護理師應立即放棄該物品，重新取得新的無菌物品以確保病人的傷口安全，避免發生院內感染。
Once a sterile package touches the floor, it is considered contaminated regardless of its appearance or previous seal integrity. To maintain aseptic technique and prevent infection, the nurse must discard the dropped item and open a new sterile package for the procedure.
✦ 台美臨床差異
在兩地臨床現場，無菌技術要求標準一致，但美國護理師更傾向於不浪費資源，但在確認無菌原則上毫不妥協。