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安全與感染控制 · MEDIUM · MCQ

護理師移除個人防護裝備(PPE)時,哪一項動作顯示其操作技術正確?

Which action by the nurse demonstrates proper technique when removing personal protective equipment (PPE)?

  • ATouching the outside of the gown with bare hands
    以裸露雙手觸碰隔離衣外側
  • BRemoving the mask or respirator last✓ 正解
    最後移除口罩或呼吸器
  • CRemoving gloves after taking off the face shield
    在摘下面罩後才移除手套
  • DRemoving the gown first before the gloves
    在移除手套前先脫下隔離衣
Explanation · 中文詳解

移除個人防護裝備(PPE)的順序旨在最大限度地減少醫護人員接觸病原體的風險。正確的操作順序是先移除污染最嚴重的物品,最後移除最貼近臉部的呼吸防護設備。正確做法是:手套(最髒)→ 隔離衣 → 護目鏡/面罩 → 口罩/呼吸器。這能確保在移除過程中最貼近呼吸道的保護設備(口罩)留在最後,防止在脫除其他裝備時產生的氣膠或飛沫污染黏膜。

Proper PPE removal follows a sequence designed to minimize contamination, starting with the most soiled items like gloves and ending with the respiratory protection. The mask or respirator is removed last to prevent inhalation of pathogens or aerosols generated during the removal of other equipment. This order ensures that the client's airway remains protected until the final step of the decontamination process.

✦ 台美臨床差異

台美在 PPE 脫除順序上原則一致,皆遵循 CDC 指引。美國醫療機構更強調在進入隔離病房前與離開病房後,必須嚴格執行 hand hygiene(手部衛生),且針對不同隔離等級(如 Airborne vs. Contact),脫除順序的細節要求非常嚴格,護理師需確保在每個階段後遵循 protocol。

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