— 安全與感染控制 · EASY · MCQ —
護理師照護一位因 MRSA 採取接觸隔離措施的病人，下列哪項措施最優先？
A nurse is caring for a client on contact precautions for MRSA. Which action must the nurse prioritize?
- APerform hand hygiene before and after client contact✓ 正解在接觸病人前後執行手部衛生
- BRestrict all visitors from entering the room限制所有訪客進入病房
- CPlace the client in a negative pressure airflow room將病人安置於負壓氣流病房
- DUse a N95 respirator mask upon entry進入時使用 N95 呼吸防護面具
— Explanation · 中文詳解 —
MRSA 透過接觸傳播，手部衛生是防止院內交叉感染最有效且最根本的措施。N95 與負壓隔離室（D、C 選項）是用於空氣傳播（如結核病），非接觸隔離的需求。訪客限制非絕對，只要遵守接觸防護裝備規定即可。
Hand hygiene is the single most effective measure to prevent the cross-transmission of MRSA during contact precautions. Negative pressure rooms and N95 respirators are reserved for airborne precautions, and visitors may enter if they adhere to proper personal protective equipment protocols.
✦ 台美臨床差異
台美對於 MRSA 隔離規範一致，皆強調標準防護措施加上接觸隔離，並重視手部衛生依循率。