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安全與感染控制 · MEDIUM · SATA

護理師進行傷口換藥時,哪些動作展現了無菌技術的正確運用?(選所有適合的)

Which of the following actions by the nurse demonstrates proper use of sterile technique when performing a dressing change? (Select all that apply.)

  • AKeeping the sterile field above waist level✓ 正解
    保持無菌區域在腰部以上
  • BOpening the outermost flap of the sterile kit away from the body✓ 正解
    將無菌包最外層摺頁向外打開
  • CReaching over the sterile field to retrieve an item
    越過無菌區域撿拾物品
  • DTouching only the outer 1-inch border of the sterile drape✓ 正解
    僅觸碰無菌舖單外側 1 英吋邊緣
  • EKeeping gloved hands within the line of sight at all times✓ 正解
    戴手套的手始終保持在視線範圍內
Explanation · 中文詳解

無菌技術(Sterile technique)的目的是防止微生物進入傷口。護理師必須維持無菌場域的完整性,任何超出視線或低於腰部的物品皆被視為污染。正確操作包括:保持無菌物品在腰部以上,開啟包裝時遠離身體以避免污染內層,且僅觸碰邊緣一英吋的非無菌區。保持戴手套的手在視線內可確保操作者隨時監控有無誤觸污染源,避免交叉感染。

Proper sterile technique includes keeping the sterile field above waist level, opening the outermost flap away from the body, and touching only the outer 1-inch border of sterile drapes, which is considered contaminated. Additionally, keeping gloved hands within the line of sight prevents accidental contamination and maintains the integrity of the sterile field.

✦ 台美臨床差異

台灣與美國在無菌操作的原則上高度一致,皆嚴格遵循 CDC 的感染控制指引。唯一的差異在於部分醫院設備與包裝設計可能略有不同,但「腰部以上」、「視線內」及「邊緣一英吋污染區」的判斷標準是全球標準。

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