— 照護管理 · HARD · MCQ —
護理長觀察到工作人員執行操作，下列哪項行為需要立即介入？
A charge nurse observes a staff nurse performing a procedure. Which action by the staff nurse requires immediate intervention?
- ADonning clean gloves before emptying a urinary catheter drainage bag排空導尿管集尿袋前戴上清潔手套
- BPositioning the client in semi-Fowler's during enteral feeding在腸道營養輸注期間將病人置於半坐臥位
- CVerifying the client's identity using two patient identifiers使用兩項病人識別資訊來驗證病人身份
- DRecapping a used needle before placing it in the sharps container✓ 正解將用過的針頭重新蓋上護套後再放入利器盒
— Explanation · 中文詳解 —
重新套上針頭蓋（Recapping）是導致針扎意外的主因，屬於嚴重的感染控制違規，護理長應立即停止該行為並進行糾正。A 是標準程序，C 是安全給藥指標，B 是預防吸入性肺炎的標準擺位，皆符合臨床安全規範，無需介入。
Recapping a used needle is a major violation of safety protocols and significantly increases the risk of needlestick injuries. The charge nurse must intervene immediately to prevent injury, whereas using clean gloves, proper positioning, and verifying identity are all safe and appropriate practices.
✦ 台美臨床差異
台美皆嚴格執行禁止重套針頭，但在美國此項違規會直接列入護理失誤風險報告。