— 照護管理 · MEDIUM · MCQ —
護理師監督一名新人護理師執行無菌換藥，下列何種行為需立即介入？
A nurse is supervising a newly licensed nurse performing a sterile dressing change. Which action by the new nurse requires immediate intervention?
- AThe nurse uses sterile forceps to reach across the sterile field✓ 正解護理師使用無菌鑷子跨越無菌區域
- BThe nurse keeps the sterile field within the line of sight at all times護理師始終將無菌區域保持在視線範圍內
- CThe nurse places sterile items within the 1-inch border of the sterile field護理師將無菌物品放置在無菌區域邊緣1英吋範圍內
- DThe nurse opens the outermost flap of the sterile kit away from the body護理師將無菌套組最外層摺頁朝遠離身體的方向打開
— Explanation · 中文詳解 —
無菌技術（Sterile technique）旨在防止微生物進入傷口或無菌區域。無菌區的邊緣一英吋（1-inch border）被視為「受污染區」，跨越無菌區會增加空氣中落塵與微生物掉落的風險。護理師在執行無菌技術時，必須時刻確保視野內無異物，且嚴禁任何非無菌物品或肢體跨越無菌區上方。若發生跨越，該區域即視為污染，必須立即停止操作並重新更換器材，以保障病人安全。
Maintaining a sterile field requires keeping the area within direct line of sight and strictly avoiding reaching over it, as this increases the risk of contaminating the field with airborne particles or microorganisms. The one-inch border of a sterile drape is considered contaminated, and any breach of sterility necessitates stopping the procedure to replace equipment and ensure client safety.