— 安全與感染控制 · EASY · MCQ —
護理師正在進行無菌傷口換藥。哪項行動會導致無菌技術被破壞?
A nurse is performing a sterile dressing change. Which action would result in a break in sterile technique?
- AKeeping the sterile field within eyesight保持無菌區域在視線範圍內
- BReaching over the sterile field to pick up a gauze✓ 正解伸手越過無菌區域撿拾紗布
- CMaintaining a 1-inch (2.5 cm) border around the sterile field維持無菌區域周圍 1 吋 (2.5 公分) 的邊界
- DOpening the sterile package away from the body將無菌包裝朝遠離身體的方向打開
— Explanation · 中文詳解 —
無菌技術(Sterile technique)的目的在於預防醫源性感染。無菌區(Sterile field)要求所有進入該區域的物品必須無菌,且不可有非無菌物越過。手或非無菌物品越過無菌區會產生落塵或接觸污染。正確操作包括:包裝開啟時邊緣不可觸碰無菌面,保持無菌區在視線範圍內以防無意間接觸,以及嚴格遵守 1 吋(2.5 公分)邊界非無菌的概念。一旦無菌區被污染,必須視為無菌技術破壞。
Reaching over a sterile field breaks sterile technique because airborne particles may contaminate the area, and accidental contact can transfer microorganisms. Maintaining the field within sight, keeping a 1-inch non-sterile border, and opening packages away from the body are correct practices to preserve sterility.