— 安全與感染控制 · MEDIUM · MCQ —
護理師準備進行注射。哪項動作最能有效預防針扎傷害？
A nurse is preparing to administer an injection. Which action best prevents a needlestick injury?
- ARecap the needle immediately after use使用後立即回套針蓋
- BAsk a colleague to hold the syringe請同事協助持針筒
- CThrow the needle into a regular trash bin將針頭丟入一般垃圾桶
- DActivate the safety mechanism on the syringe✓ 正解啟動針筒的安全機制
— Explanation · 中文詳解 —
針扎預防的核心策略是「工程控制」（Engineering controls）優於「行為修正」。現代安全針具（Safety-engineered devices）設計有內建的保護機制，在注射完成後應立即啟用，將針尖鎖定或覆蓋，從根本上阻斷人員與尖銳物的接觸，這是預防針扎最有效的方法，遠比嘗試回套針蓋（Recapping）安全。
Activating the safety mechanism on the syringe is the most effective engineering control to prevent needlestick injuries. This device automatically covers or locks the needle after use, eliminating direct contact with the sharp object. Recapping needles is strongly discouraged as it is a leading cause of accidental sticks.
✦ 台美臨床差異
美國 OSHA（職業安全與健康管理局）嚴格規範必須使用具安全機制的針具，且禁止回套針蓋，違規操作在美國醫療機構會受到嚴厲懲處。